See Robinson Industries Inc, Coleman, MI on MacRaes Blue Book

Employment Application

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Employment Application

Name(*)
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Address(*)
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City(*)
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State(*)
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Zip Code(*)
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What county do you live in?(*)
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Email(*)
Please add a valid email address.

Telephone Number (with area code)(*)
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Cell Number (with area code)
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Are you 18 years or older? (*)
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Are you a U.S. citizen? (*)
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Are you authorized to work in the United States? (*)
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Have you been previously employed here? (*)
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Employment Date(s)(*)
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Supervisor Name(s)(*)
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Have you filed an application before? (*)
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If yes, date(s)(*)
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List any friends or relatives working here
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Employment Desired

Position(s) applied for(*)
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Kind of work sought(*)
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Do you have any special training, skills, qualifications or other experiences that relate to the position(s) applied for?
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Salary desired(*)
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Date available to work(*)
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Employers must make accommodations to disabled applicants and employees where the accommodation does not impose an undue hardship on the employer. Under Michigan law only, disabled employees and applicants may request an accommodation of their disability by notifying the Company in writing of the need for accommodation within 182 days of the date the disabled individual knows or should know that an accommodation is needed. This requirement does not apply to an individual’s right under the Americans with Disabilities Act. Failure to properly notify the Company may preclude any claim that the employer failed to accommodate the disabled individual.

Please note:
Robinson Industries requires all applicants that receive a job offer to successfully complete a pre-employment skill test and DRUG TEST.

Your employment application will be kept on file for 90 days. Please feel free to submit a new application after the 90 day period. Thank you for your interest in Robinson Industries.

 

Employment Experience:

(List current or most recent job first) 1 of 3

Employer(*)
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Address(*)
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City (*)
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State (*)
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Zip Code(*)
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Job Title(*)
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Reason for leaving(*)
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Date

From(*)
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To(*)
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Telephone (with area code)(*)
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Supervisor(*)
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Hourly Rate/Salary

Starting(*)
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Final(*)
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Work Performed(*)
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Employment Experience:

(List current or most recent job first) 2 of 3

Employer
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Address
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City
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State
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Zip Code
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Job Title
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Reason for leaving
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Date

From
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To
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Telephone (with area code)
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Supervisor
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Hourly Rate/Salary

Starting
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Final
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Work Performed
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Employment Experience:

(List current or most recent job first) 3 of 3

Employer
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Address
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City
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State
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Zip Code
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Job Title
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Reason for leaving
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Date

From
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To
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Telephone (with area code)
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Supervisor
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Hourly Rate/Salary

Starting
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Final
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Work Performed
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Education

(check all that apply)(*)
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Elementary

Name/Location(*)
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Years Completed(*)
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Diploma/Degree(*)
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Courses of Study(*)
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High School

Name/Location(*)
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Years Completed(*)
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Diploma/Degree(*)
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Courses of Study(*)
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College

Name/Location(*)
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Years Completed(*)
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Diploma/Degree(*)
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Courses of Study(*)
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Graduate

Name/Location(*)
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Years Completed(*)
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Diploma/Degree(*)
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Courses of Study(*)
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Vocational/Training

Name/Location(*)
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Years Completed(*)
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Diploma/Degree(*)
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Courses of Study(*)
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References

(Do not include relatives or former employers)

Name(*)
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Address(*)
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Telephone (with area code)(*)
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Years Acquainted(*)
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Name(*)
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Address(*)
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Telephone (with area code)(*)
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Years Acquainted(*)
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Name(*)
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Address(*)
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Telephone (with area code)(*)
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Years Acquainted(*)
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Military Service Record

Have you had any experience in the Armed Forces of the United States or in a State National Guard? (*)
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What branch?(*)
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Rank at Discharge(*)
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Date of Discharge(*)
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Special/technical training(*)
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Additional Information

Have you been convicted of a crime?(*)
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Where, when and nature of offense(*)
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Do you have a valid driver’s license? (*)
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License Number(*)
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State(*)
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List professional trade, business or civic activities and offices held excluding groups the name or character of which indicate race, color, religion, sex, national origin, disability, marital or veteran status, height, weight or age.
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State any additional information that you feel may be helpful to us in considering your application.
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Name, address and telephone number of the person to be notified in the event of accident or emergency.(*)
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Authorization and Understanding: Upon submitting this application, I represent that all of the information now or hereafter given by me in support of my application is true and complete. I authorize you to verify any of the information concerning my background, including but not limited to, my employment, driving record, education, criminal history, or medical history (post-offer only), with the appropriate individuals, companies, institution or agencies, and I authorize them to release such information as you require, including my prior disciplinary employment record, without any obligation to give me written notice of such disclosure. I also authorize you to release any information requested by any of my prospective or subsequent employers without any obligation to give me written notice of such disclosure. I hereby release you and them from any liability whatsoever as a result of any such inquiries and disclosures and this release from liability does not waive or prohibit an individual from filing a charge of discrimination under the laws enforced by the EEOC. I agree that any false information in support of my application may subject me to discharge at any time during the period of my employment.

I agree that either party may terminate the employment relationship, with or without cause, at any time, and I further agree that this arrangement may only be altered in writing directed to me personally and signed by the president of the Company. I agree that I shall be bound by the other rules, policies, regulations and terms and conditions of employment of the Company as they are from time to time changed, and no additional obligations can be imposed on the Company except those which have been acknowledged in writing, by the president or his designated representatives.

I agree that any action or suit against the Company, its agents or employees, arising out of my employment or termination of employment, including, but not limited to, claims arising under State and Federal law, but not Federal civil rights statutes containing a separate limitations period, must be brought within 180 days of the event giving rise to the claims or be forever barred unless the applicable statute of limitations periods is shorter than 180 days in which case I will continue to be bound by that shorter limitations period. I waive any limitation periods to the contrary. I further agree that if I should bring any non-statutory action or claim arising out of my employment against the Company, in which the Company prevails, I will pay to the Company any and all such costs incurred by the Company in defense of said claims or actions, including attorney fees. I agree that this limitations period may only be altered in writing directed to me personally and signed by the president of the Company. I further agree that my employment is conditional until such time as the results of my post-offer physical (if such physical is required) are known.

I have read and agree to the Authorization terms:(*)
Please read and agree to the Authorization and Understanding terms.

Turing
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