Employment Application

The Authority is an equal opportunity employer and will not discriminate against any applicant on the basis of any characteristic that is protected by state or federal law. Michigan law requires a person with a disability or handicap requiring accommodation to perform the essential duties of the job must notify the employer in writing within 182 days of the date that the need is known or should have been known.

Please note that this application will only remain active for 6 months from the date of application ({{Today}}), after which the applicant would need to re-apply.

Thank you for your submission.
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Name
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Present Address
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Permanent Address
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Contact Info
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Are you 18 years or older?
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Are there any hours or days of the week you cannot work?
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Type of Employment:
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Are you currently employed?
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If so, may we conntact your present employer?
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Have you ever been discharged from employment or asked to resign?
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Have you ever applied to the Authority before?
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Have you ever worked for the Authority before?
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Do you have any relatives employed by the Authority?
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Education

Elementary School

Did you graduate?

High School

Did you graduate?

College

Did you graduate?

Specialized Training

Did you graduate?
Do you have US Military experience?
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Were you honorably discharged?
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Are you lawfully entitiled to be employed in the United States?
Have you ever been convicted of a crime expect a minor traffic violation?
This will be considered in conjunction with the nature and gravity of the offense, when it occured, and successful efforts at rehabilitation since conviction, and how it relates to the nature of the job sought.
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Other Skills
References

Three individuals NOT related to you, whom you have known for at least one year.

Availability

Please enter the times you are available to work.

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday

Current & Former Employers:

List current and former employers (most recent first).

May we contact the employers listed?
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Please read the following statement carefully before signing to indicate your understanding:

I certify that the facts contained in this employment application are true and complete to the best of my knowledge and understand that falsified statements or a material omission of information from this application may result in termination of the hiring process and/or the employment relationship.

I authorize investigation of all statements contained in this application for any employment related purpose. I release the listed references and all employers, except those specifically excepted, to provide you with any and all applicable information they may have. I hereby release these references and former employers from all liability for information they may give to you.

I agree not to begin any claim, complaint, action or suit relating to this hiring process or my employment with LEPFA more than one hundred and eighty-two (182) calendar days after the event giving rising to the claim, complaint, action, or suit; or later than the applicable limitations period established by statute, whichever is less. This is not intended to modify any timeline that is set forth in an applicable collective bargaining agreement.

I have read and understand the above.
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