Application Form-Carney, MI

General Information

NAME(Required)
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POSITION APPLIED FOR(Required)
CURRENT ADDRESS(Required)
ARE YOU OVER 18 YEARS OF AGE?(Required)
Please enter a number greater than or equal to 0.
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WHAT SHIFT WOULD YOU PREFER TO WORK?(Required)
HAVE YOU EVER APPLIED HERE BEFORE?(Required)
ARE YOU PREVENTED FROM LAWFULLY BECOMING EMPLOYED IN THIS COUNTRY BECAUSE OF VISA OR IMMIGRATION STATUS? (PROOF OF CITIZENSHIP OR IMMIGRATION STATUS WILL BE REQUIRED UPON EMPLOYMENT.)
HAVE YOU BEEN CONVICTED OF ANY CRIMINAL OFFENSE WITHIN THE LAST 7 YEARS?(Required)
ARE YOU RELATED TO ANYONE WHO WORKS HERE?(Required)
ARE YOU LOOKING FOR FULL-TIME WORK?(Required)

Employment Record (please list your last 3 employers starting with the most recent)

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HAVE YOU EVER BEEN DISCHARGED FROM A JOB OR FORCED OR ASKED TO RESIGN?(Required)

Special skills and Qualifications

HAVE YOU EVER HAD ANY MANUFACTURING OR SAW MILL EXPERIENCE?(Required)
DO YOU HAVE EXPERIENCE OPERATING ANY OF THE FOLLOWING EQUIPMENT?

Military Service Record

Educational Record

References

General Job Description for Pallet and Lumber Related Jobs

I certify that the facts contained in this application are true and complete to the best of my knowledge and understand that, if employed, falsified statements on this application shall be grounds for dismissal. I authorize investigation of all statements concerning my previous employment and any pertinent information that may have, personal or otherwise, and release all parties from liability for any damage that may result from furnishing same to you.~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ I understand and agree that if hired, my employment is for no definite period, and may regardless of the date of payment of my wages or salary, be terminated at any time without prior notice. I also understand that the Immigration Reform and Control Act of November 6, 1986, requires me to prove the legality of my residency or citizenship. I am also aware that failure to provide such proof at the time of request may legally force my termination.
Signature
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Read this section carefully before answering any of the questions in this area. The Civil Rights Act of 1964 prohibits discrimination in employment because of race, color, religion, sex or national origin. The questions below are believed by the employer to be needed for legally permissible reason. You must be able to lift 25 to 75 lbs. At least 200 times per day. The job requires a lot of strenuous repetitive work with bending and lifting. You must be able to reach a height of 5' to unload product. You should have a general knowledge of hard and soft woods. You may be required to use nail guns, hammers, saws, or operate various machines. ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~
THIS IS A GENERAL WRITTEN JOB DESCRIPTION WHICH INCLUDES ESSENTIAL JOB FUNCTIONS OF THE POSITION FOR WHICH YOU ARE APPLYING. ARE YOU ABLE TO PERFORM EACH OF THE ESSENTIAL JOB FUNCTIONS LISTED FOR THIS POSITION WITH OR WITHOUT ACCOMMODATION?(Required)

Authorization and Release

I certify that the facts contained in this application are true and complete to the best of my knowledge and understand that, if employed, falsified statements, misrepresentation, or omissions of facts on the application shall be grounds for dismissal. I understand that this application for employment does not in any way constitute an offer of employment or a contract of employment. Employment with Performance is not by contract express or implied. Furthermore, should I be employed, I understand that my employment is for no definite duration but is on "at-will" basis and no representative of the Company has the authority to make any assurances to the contrary except by the President of the Corporation. I give Performance Corp. the right to investigate all references and the right to secure additional information about me including the right to obtain investigative reports made through consumer reporting agencies. Furthermore, I authorize all current and former employers, school officials, instructors, licensing board(s), reporting agencies or any other persons whether or not named in this application to give Performance any information they may have regarding me, whether or not such is in their written records. I release this Company and its representatives from seeking such information, and I release those Companies, agencies, and individuals supplying such information from any liability for any damages whatsoever resulting from the giving of such information. I certify that I have read the job description which sets forth the essential functions of the job for which I have applied. If I am extended an offer to work for this company, my employment is still contingent upon passing a physical examination which could include drug screening. I understand that if employed, all of Performance Corp.'s policies and procedures including its Employee handbook (in whole or in part), do not constitute a contract of employment and that I agree to read and familiarize myself with all written policies and procedures (including the Employee Handbook). I understand that this application is current for thirty (30) days following the date entered below. At the conclusion of the thirty (30) day period, if I have not heard from this company and still wish to be considered for employment, it will be necessary to fill out a new application. My signature below certifies that I have read and understand the above seven (7) paragraphs. ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~
Signature
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Date
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