Application for Employment The application must be fully completed to be considered. Please complete each section, even if you attach a resume. Applications will be held active for six months.A person with a disability or handicap requiring accommodation for completing the application process should notify Human Resources as soon as possible. Michigan law requires that a person with a disability requiring accommodation for employment must notify the employer in writing within 182 days after the need is known. SECTION ONE: RESUME AND COVER LETTERUpload Resume and Cover Letter (If Available) Drop files here or Select files Accepted file types: pdf, doc, docx, jpg, png, Max. file size: 128 MB. SECTION TWO: PERSONAL INFORMATIONName(Required)(First, Middle and Last Name)Address(Required) Street Address City State / Province / Region ZIP / Postal Code Phone number(Required)Email address(Required) Are you legally authorized to work in the US?(Required) Yes No Are you a veteran?(Required) Yes No If selected for employment are you willing to submit to a background check?(Required) Yes No Have you ever been convicted of a felony?(Required) Yes No If Yes, when and what was the nature of the offense?(Required)SECTION THREE: POSITIONPosition You Are Applying For(Required)Available Start Date(Required) MM slash DD slash YYYY Salary Expectations(Required)Employment Desired(Required) Full Time Part Time Referred By(If Applicable)SECTION FOUR: EDUCATION1. School / Institution Name(Required)Location(Required)Years Completed(Required)Degree(Required)Major(Required)2. School / Institution NameLocationYears CompletedDegreeMajor3. School / Institution NameLocationYears CompletedDegreeMajor4. School / Institution NameLocationYears CompletedDegreeMajorList Employment Related Professional Licenses, Certifications or OrganizationsSECTION FIVE: EMPLOYMENT HISTORYList most recent first. Include all present and past employment (attach additional sheets if necessary).1. Employer NameJob TitleDates EmployedAddress Street Address City State / Province / Region ZIP / Postal Code Work PhoneSupervisorReason for LeavingJob Duties2. Employer NameJob TitleDates EmployedAddress Street Address City State / Province / Region ZIP / Postal Code Work PhoneSupervisorReason for LeavingJob Duties3. Employer NameJob TitleDates EmployedAddress Street Address City State / Province / Region ZIP / Postal Code Work PhoneSupervisorReason for LeavingJob Duties4. Employer NameJob TitleDates EmployedAddress Street Address City State / Province / Region ZIP / Postal Code Work PhoneSupervisorReason for LeavingJob DutiesSummarize other employment related to this job:SIGNATURE DISCLAIMERConsent(Required)I certify that all the information submitted by me on this application and throughout the selection process is true and complete, and I understand that if any false information, omissions, or misrepresentations are discovered, my application may be rejected and, if I am employed, my employment may be terminated at any time. In addition, I understand this application does not create an employment agreement between R.L. Deppmann and myself. In consideration of my employment, I agree to conform to the company’s rules and regulations, and I agree that my employment and compensation can be terminated, with or without cause, and with or without notice, at any time, at either my or the Company’s option. I also understand and agree that the terms and conditions of my employment may be changed, with or without cause, and with or without notice, at any time by the Company. I agree to the above statement.Full Name(Required)Date(Required) MM slash DD slash YYYY Proud to be an Equal Opportunity Employer.
