Job Application

Application Form

We are an Equal Opportunity Employer and committed to excellence through diversity.
Personal Information
Name*

First NameLast Name
Phone Number*

Area CodePhone Number
Email*
example@example.com
Address

Street Address

line 2

CityState

Zip Code
What is the best time to contact you?
Are you currently legally entitled to work in the country where the job is based?

YesNo
If applicable, please detail any restrictions:
If not Applicable please input N/A
How did you hear about our company and this job opening?

Company WebsiteJob PostingNews PaperCareer/Job FairRelative/FriendMichigan House Employee (input name in "other")Radio AdOther
If hired, would you have a reliable means of transportation to and from work?

YesNo
Have you worked for this Company before?

YesNo
Please provide your location, manager, the time period you have worked for Company and reason of leave
If not Applicable please input N/A
Are you able to perform the essential functions of the job for which you are applying, either with or without reasonable accommodation?

YesNo
If no, describe the function that cannot be performed.
If not Applicable please input N/A
If selected for employment are you willing to submit a background check?

YesNo
Position Information
What position are you applying for?
What is your desired employment?
What is your available start date?

MonthDayYear
Date
Education
Work Experience
Please Provide a Reference for Each Job Placement
Qualifications
Microsoft Office
Communication Skills
References
Please upload your Resume here*

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Please upload your Cover Letter here

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I hereby certify that I have not knowingly withheld any information that might adversely affect my chances for employment and that the answers given by me are true and correct to the best of my knowledge. I further certify that I, the undersigned applicant, have personally completed this application. I understand that any omission or misstatement of material fact on this application or on any document used to secure employment shall be grounds for rejection of this application or for immediate discharge if I am employed, regardless of the time elapsed before discovery.

YES
I hereby authorize MICHIGAN HOUSE to thoroughly investigate my references, work record, education and other matters related to my suitability for employment unless otherwise specified above. I further, authorize the references I have listed to disclose to the company any and all letters, reports and other information related to my work records, without giving me prior notice of such disclosure. In addition, I hereby release the Company, my former employers and all other persons, corporations, partnerships, and associations from any and all claims, demands or liabilities arising out of or in any way related to such investigation or disclosure.

YES
I understand that nothing contained in the application, or conveyed during any interview which may be granted or during my employment, if hired, is intended to create an employment contract between me and the Company. In addition, I understand and agree that if I am employed, my employment is for no definite or determinable period and may be terminated at any time, with or without prior notice, at the option of either myself or the Company, and that no promises or representations contrary to the foregoing are binding on the company unless made in writing and signed by me and the Company’s designated representative.

YES
In compliance with federal law, all persons hired will be required to verify identity and eligibility to work in the United States and to complete the required employment eligibility verification document form upon hire.

YES
Date

MonthDayYear
Date
Signature

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Application Form

Personal Information

Position Information

Education

Work Experience

Qualifications

References