BB Senior Services of MI Employment Application

BB Senior Services of MI Employment Application

Please complete the form below to apply for a position with us.
By completing this application, you understand and accept that you are applying for a position as an "At Will" employee. "At Will" employment means that either you or the Company can terminate your employment with or without cause and with or without notice.

~NOTE - Positions are "On Call", "Full Time", or "Part Time"
Personal Information

Please provide the information below
Full Name

First NameMiddle NameLast Name
Current Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.
Emergency Contact Information

Please list at least one person as your emergency contact
Name

First NameLast Name
Phone Number
Please enter a valid phone number.
Additional Information

Please provide the following information
What is your social security number?
What is your driver's license number
Email Address
example@example.com
LinkedIn
Position Applied
Education

Please tell us about your education
Do you have a General Education Diploma (GED)?

YesNo
What High School / GED School did you attend?
High School
What year did you graduate from high school?
Year / Date of Graduation
What College did you attend?
College / University
What year did you finish college?
Year of completion
Work History

Please provide previous and current work history
1. Current Employer or Most Recent Employer
Please tell us where you worked
Tell us when you worked for this employer
Please give us the month, date and year ex: 01/01/2020 - 01/01/2021
Employer Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
What was your job title?
What position do you currently hold or had
Please tell us what you did at this job
List all of your skills performed on the job
2. Most Recent Employer
Please tell us where you worked
Tell us when you worked for this employer
Please give us the month, date and year ex: 01/01/2020 - 01/01/2021
Employer Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
What was your job title?
What position do you currently hold or had
Please tell us what you did at this job
List all of your skills performed on the job
3. Most Recent Employer
Please tell us where you worked
Tell us when you worked for this employer
Please give us the month, date and year ex: 01/01/2020 - 01/01/2021
Employer Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
What was your job title?
What position do you currently hold or had
Please tell us what you did at this job
List all of your skills performed on the job
May we contact your previous employers?

YESNO
Please upload your Resume (pdf, .doc, .docx)

Cancelof
REFERENCES
REFERENCE #1 - Please include (Name, Title, Phone Number & Email Address)
REFERENCE #2 - Please include (Name, Title, Phone Number & Email Address)
REFERENCE #3 - Please include (Name, Title, Phone Number & Email Address)
How did you hear us
Available Start Date

MonthDayYear
Tell us when you are available to start
You must accept all Company Policies to proceed with the application process*

Accept Policies
By Submitting this application I understand that BB Senior Services of MI, LLC referred as "Company", requires its employees to adhere to the highest standards of business and personal ethics and responsibility. I understand that the Company believes that one method by which such high standards are demonstrated is through the timely arrivals to any job site. Consequently, I understand and agree that by making application for a position with this company, I am agreeing that my credit worthiness is substantially related to the job for which I am applying or which I hold and that my credit worthiness may be examined by the company.

I further understand and agree that this application is not a contract of employment. I understand and agree that the Company adhere to a policy of employment at will which means that either I, or the employer, may terminate my employment at any time, or for any reason, consistent with application of state and federal law. I further understand that this "at will" employment relationship may not be changed by any written document or by conduct unless such change is in a written employment contract naming me and signed by the President of the Company. I understand that to be employed, I must be lawfully authorized to work in the United States and must show the employer documents to prove this.

I understand that the Company may investigate my work and personal history and verify the information provided in this application, on related documents or information obtained through other sources and I hereby authorize such investigation. I authorize all individuals, schools, firms and business named in this application or in other documents or interviews, except my current employer if I have so designated in this application, to provide complete and accurate information regarding my relationship with them to the Company. I further release those individuals, schools, firms and business and the Company from any and all liability for damage for providing or requesting such information.

I certify under penalty of perjury that all of the information provided in the entire application process including any information provided in addition to this application including, but not limited to, information provided in resumes or interviews is true and correct. I understand that if there is any falsification or omission, this may lead to the Company’s refusal to hire me or a determination, at any time, that my employment should be terminated.

The Company is an Equal Employment Opportunity Employer and considers all applicants without regard to race, color, religion, gender, national origin, age, marital status, veteran’s status, the presence of a mental, physical or sensory disability, sexual orientation, or any other legally protected status. Employment shall be based solely on the needs of the companies and the qualifications of the individuals making application.
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BB Senior Services of MI Employment Application

Personal Information

Emergency Contact Information

Additional Information

Education

Work History

REFERENCES