Open the Door to Opportunity - Employment Services Inc.

Open Opportunities
Alpena, MI
Posted 3 years ago

Employment Services, Inc.

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Required Field *

Referred by? (optional)

Personal Information

First Name *

Middle Initial *

Last Name *

Street Address *

City *

State *

Zip Code *

Phone *

Email Address *

Date Available *

Employment Type *

Shifts available to work *

Are you at least 18 years old? *

Emergency contact and phone number *

Upload Resume (optional)

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Felony and Misdemeanor Info

Have you ever been convicted of, or pled guilty to, a felony; or do you have any pending felony arrests? *

During the past 5 years, have you been convicted of, or pled guilty to, a misdemeanor? *

If yes to either of these questions, please explain (optional)

Education

High School Attended (optional)

HS Subjects Studied (optional)

HS Number of Years (optional)

HS Graduate? (optional)

College/University Attended (optional)

C/U Subjects Studied (optional)

C/U Number of Years (optional)

C/U Graduate? (optional)

Business/Vocational Attended (optional)

B/V Subjects Studied (optional)

B/V Number of Years (optional)

B/V Graduate? (optional)

Special Skills or Training (optional)

Employment History

Job 1

Company Name 1 (optional)

Supervisor Name 1 (optional)

Dates Employed 1 (optional)

Position/Job Title 1 (optional)

Wage 1 (optional)

Reason for leaving? 1 (optional)

Can we contact this employer? 1 (optional)

Job 2

Company Name 2 (optional)

Supervisor Name 2 (optional)

Dates Employed 2 (optional)

Position/Job Title 2 (optional)

Wage 2 (optional)

Reason for leaving? 2 (optional)

Can we contact this employer? 2 (optional)

Job 3

Company Name 3 (optional)

Supervisor Name 3 (optional)

Dates Employed 3 (optional)

Position/Job Title 3 (optional)

Wage 3 (optional)

Reason for leaving? 3 (optional)

Can we contact this employer? 3 (optional)

Job 4

Company Name 4 (optional)

Supervisor Name 4 (optional)

Dates Employed 4 (optional)

Position/Job Title 4 (optional)

Wage 4 (optional)

Reason for leaving? 4 (optional)

Can we contact this employer? 4 (optional)

Military Service

Military Dates (optional)

Military Occupation (optional)

Type of Discharge (optional)

I affirm that all the answers to the foregoing questions are correct to the best of my ability and knowledge. I hereby authorize the Company to verify and investigate my background and I hereby release all liability for any damage that may result from furnishing information and opinions to the Company. Failure to complete this application, concealment of information, intentional omissions or misrepresentations will be grounds for refusal of employment or immediate dismissal. I further acknowledge that I understand that the Company has a policy of employment at will and if I am hired by the Company, my employment may be terminated, either by myself or by the Company, at any time, with or without cause. I FURTHER AGREE, AS A CONDITION OF EMPLOYMENT, TO COMPLY WITH ALL RULES, REGULATIONS AND PRACTICES OF THE COMPANY. *

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