Occupational Research Section

 

 

HOW TO COMPLETE A JOB APPLICATION

 

 

The completed job application will often make the crucial difference in

whether or not an employer will interview the applicant for a job

opening. Employment interviewers will review and analyze the completed

application before deciding to give or not to give an interview. Most

employment interviewers will consider four things in an initial review of

a jobseeker's written application: (1) the information given, (2) the

skills shown in presenting the information, (3) the way the jobseeker

thinks as revealed by answers to application form questions, and (4) the

appearance and completeness of the job application.

 

In a detailed analysis, the employment interviewer will: (a) study the

applicant's employment history, check reasons for leaving previous jobs,

and look for gaps or periods of unemployment; (b) evaluate educational

background, including the completing of job-related courses; (c) study the

way the applicant replies to questions (looking for clear and accurate

answers with sufficient detail); (d) check the quality of the applicant's

handwriting; (e) see what the application reveals about the applicant's

attitude; and (f) look for signs of self-reliance as well as the ability

to work in groups.

 

 

 

Develop an "occupational work sheet"

 

Some advance preparation is necessary before starting a job search and

completing job applications. An important requirement is that you prepare

a personal "Occupational Work Sheet." The "Occupational Work Sheet"

contains the facts and details which you will need to complete job

applications. It also saves considerable time and frustration as you

proceed with the writing process. Complete the blank "Occupational Work

Sheet," and refer to it when filling out job applications. A sample job

application follows the "Occupational Work Sheet" and may be completed as

a practice exercise.

 

 

Suggestions for completing job applications

 

In completing job applications, use the following suggestions as

guidelines:

 

1. Be sure your occupational goals are reasonable and relate to the

job for which you are applying. (Do not aim too high, too soon.)

 

2. Read and follow the instructions on the job application.

 

3. Read every question carefully before answering.

 

4. Carry and use a fine-point, black or blue ink pen to complete the

job application.

 

5. Write legibly and use the vocabulary of the industry you are

targeting.

 

6. Include only positive information on the job application.

(Describe your abilities, not disabilities.)

 

7. Insert a short dash ( - ) after those questions that do not apply

to you.

 

8. Allocate the most space on the job application to the most

applicable and pertinent data.

 

9. Have a copy of your birth certificate, if you are a young job

seeker, and a work permit, if you are under 18 years of age and in

high school. (See your school counselor regarding the work

permit.)

 

10. Be sure to have a Social Security card. (Apply for it at the

nearest Social Security Administration office.)

 

11. Have an Alien Registration Card (also called a Green Card), if you

are not a U. S. citizen.

 

12. Do not give your "nickname" on the job application unless

specifically asked to do so.

 

13. Give only the city and state if asked for your place of birth. (By

law, you do not have to answer this question.)

 

14. Do not give a religious preference unless asked. (By law, you do

not have to answer this question.)

 

15. Include the Zip Code with all addresses you list on the

application.

 

16. List two (2) telephone numbers where you may be reached. (Always

include the Area Code with telephone numbers.)

 

17. List you marital status as being married or single. (Any other

term may give the employer a negative impression.)

 

18. Write "Open" in the "Salary Desired" blank if you are not sure of

an appropriate amount. *

 

19. Report a health ailment or problem on the job application if the

ailment or problem is obvious or would be discovered through

medical examination, otherwise leave the question blank and be

prepared to discuss it in the job interview.

 

20. Avoid using medical terms on the job application to describe a

health ailment or problem. (Describe it in simple terms.)

 

21. List the number of high school semester hours completed if you do

not have a diploma. (Do not leave the question unanswered.)

 

22. Be sure to give in the "Position Desired" blank, the job title of

the position for which you are applying, also include titles of

similar or related positions. (Do not use the term "any job.")

For example,

 

Position Desired

 

Secretary

(Word Processor)

(Typist)

 

Or

 

Position Desired

 

Accountant *

(or similar position).

 

23. Present your work history data in such a way that it relates to the

job for which you are applying.

 

24. Provide facts to accurately describe what the employer could expect

of you on a particular job.

 

25. Use an "action" verb to begin each sentence which describes a job

task you previously performed. (Such "action" verbs include

operated, repaired, installed, inspected, supervised, analyzed,

organized, programmed, sold, administered and managed.) Show that

you are also profit-minded by using phrases like "generated cost

savings," "eliminated bottlenecks," and "set priorities."

 

26. Use numbers and quantities in your job task statements where

possible. For example,

 

Sold an average of 20 new cars and trucks per month.

 

Or

 

Implemented quality control procedures which reduced product

defects by 39% in a 4-month period.

 

 

27. Include responses such as "to take a better job," "moved,"

"seasonal," or "homemaker" to the question "Why did you leave your

last job?" (Avoid saying "fired.")

 

28. Indicate self-employment and/or part-time work, if appropriate, to

fill in employment gaps between full-time jobs.

 

29. List part-time, summer, or volunteer work on the application, if

you are a young adult or have little or no work experience.

 

30. Attach a separate page describing your work history, if there is

not enough space to respond on the job application.

 

31. Attach a copy of your military discharge papers to the application,

if you are a honorably discharged veteran. (Some employers will

give job preference to applicants who are veterans.)

 

32. List volunteer activities in the Work History section of the job

application if no special section is provided.

 

33. Show flexibility, if possible, by indicating your willingness to

work any shift and overtime. (A willingness to relocate and/or

travel also increases your chances of being hired.)

 

34. Indicate an availability for work date that will give your present

employer sufficient notification of your resignation and that will

give you time to handle any personal matters which may interrupt

your new job during your first few months.

 

35. List the names of professional organizations or associations in

which you are a member, however, avoid including the names of

controversial organizations and labor unions. (Some employers have

a negative opinion of labor unions.)

 

36. List interests or hobbies which might relate to your job goal.

 

37. Try to avoid replying to any question on the job application

regarding an arrest or conviction you have incurred. (Leave the

question blank and discuss it in the interview along with any gaps

in your work history as a result of the arrest.)

 

38. Include personal references such as previous employers, business or

professional persons who know you, former instructors, and clergy

members. (Prior to listing anyone as a reference, ask for his/her

permission.)

 

39. Check the completed job application for spelling, punctuation, and

grammatical errors as well as neatness and appearance.

 

40. Do not forget to sign your name and to enter the correct date.

 

 

* For career information (including job titles and duties, salary data,

employment outlook, etc.), refer to the Michigan Occupational

Information System (MOIS) and Occupational Outlook Handbook, which are

available at most public and school libraries and Michigan Works! offices.

 

 

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Questions Which May Not Legally Be Asked By Employers

 

 

Governmental laws prohibit employers from asking some specific pre-

employment questions of job applicants. The purpose of these laws is to

prevent employers from discriminating against any job applicant because of

nonjob-related factors such as religion, race, color, national origin,

age, sex, height, weight, marital status, or handicap. The Michigan

Department of Civil Rights' "Pre-employment Inquiry Guide," which is

reprinted below, summarizes what are considered lawful and unlawful

questions.

 

Pre-employment Inquiry Guide

 

Lawful pre-employment Unlawful pre-employment

(job application) inquiries (job application) inquiries

 

Subject

 

 

Name:

 

Applicant's full name. Original name of an applicant

whose name has been changed by

court order or otherwise.

 

Have you ever worked for this Applicant's maiden name.

company under a different name?

 

Is any additional information

relative to a different name necessary

to check work record? If yes, explain.

 

 

Address or Duration of Residence:

 

How long a resident of this state

or city?

 

 

Birthplace:

 

Birthplace of applicant.

 

Birthplace of applicant's

parents, spouse or other close

relatives.

 

Requirement that applicant

submits birth certificate,

naturalization or baptismal

record.

 

 

Lawful pre-employment Unlawful pre-employment

(job application) inquiries (job application) inquiries

 

Subject

 

 

Age:

 

Are you 18 years old or older? How old are you? What is your

date of birth?

(This question may be asked for the

purpose of determining whether

applicants are of legal age for

employment.)

 

 

Religion or Creed:

 

Inquiry into an applicant's

religious denomination,

religious affiliations, church,

parish, pastor, or religious

holidays observed.

 

An applicant may not be told

"This is a Catholic (Protes-

tant or Jewish) organiza-

tion."

 

 

Race or Color:

 

Complexion or color of skin.

 

 

Photograph:

 

Requirement that an applicant

for employment affixes a

photograph to an employment

application form.

 

Request an applicant, at his or

her option, to submit a

photograph.

 

Requirement for photograph

after interview but before

hiring.

 

 

 

Lawful pre-employment Unlawful pre-employment

(job application) inquiries (job application) inquiries

 

Subject

 

 

Height:

 

Inquiry regarding applicant's

height.

 

 

Weight:

 

Inquiry regarding applicant's

weight.

 

 

Marital Status:

 

Requirements that an applicant

provides information regarding

marital status or children.

Are you single or married? Do

you have any children? Is your

spouse employed? What is your

spouse's name?

 

 

Sex:

 

Mr., Miss or Mrs. or an inquiry

regarding sex. Inquiry as to

the ability to reproduce or

advocacy of any form of birth

control.

 

 

Education:

 

Inquiry into the academic,

vocational, or professional

education of an applicant and

the public and private schools

attended.

 

 

 

Lawful pre-employment Unlawful pre-employment

(job application) inquiries (job application) inquiries

 

Subject

 

 

Health:

 

Do you have any impairments, Inquiries regarding an indivi-

physical, mental, or medical which dual's physical or mental condi-

would interfere with your ability tion which are nor directly re-

to do the job for which you have lated to the requirements of a

applied? specific job and which are used

as a factor in making employment

Inquiry into contagious or decisions in a way which is con-

communicable diseases which may trary to the provisions or pur-

endanger others. If there are any poses of the Michigan Handicap-

positions for which you should not pers' Civil Rights Act.

be considered or job duties you

cannot perform because of a Requirement that women be given

physical or mental handicap, please pelvic examinations.

explain.

 

 

 

Citizenship:

Are you a citizen of the United Of what country are you a

States? citizen?

 

If not a citizen of the United Whether an applicant is

States, does applicant intend to naturalized or a native-

become a citizen of the United born citizen; the date when

States? the applicant acquired ci-

tizenship.

 

If you are not a United States Requirement that an appli-

citizen, have you the legal right cant produces naturaliza-

to remain permanently in the United tion papers or first papers.

States? Do you intend to remain

permanently in the United States?

 

Whether applicant's parents or

spouse are naturalized or native-

born citizens of the United States;

the date when such parents or

spouse acquired citizenship.

 

 

 

 

Lawful pre-employment Unlawful pre-employment

(job application) inquiries (job application) inquiries

 

Subject

 

 

National Origin:

 

Inquiry into languages applicant Inquiry into applicant's

speaks or writes fluently. (a) lineage; (b) ancestry;

(c) national origin; (d) de-

scent; or (e) parentage.

 

Nationality of applicant's

parents or spouse.

 

What is your mother's

tongue?

 

Inquiry into how applicant

acquired ability to read,

write, or speak a foreign language.

 

Experience:

 

Inquiry into work experience.

 

Inquiry into countries applicant

has visited.

 

Arrests:

 

Have you ever been convicted of a Inquiry regarding arrests.

crime? If so, when, where, and

nature of offense?

 

Are there any felony charges

pending against you?

 

 

Relatives:

 

Names of applicant's relatives, Address of any relative of ap-

other than a spouse, already plicant, other than address

employed by this company. (within the United States) of

applicant's father and mother,

husband or wife and minor de-

pendent children.

 

 

 

Lawful pre-employment Unlawful pre-employment

(job application) inquiries (job application) inquiries

 

Subject

 

 

Notice in Case of Emergency:

 

Name and address of person to be Name and address of near-

notified in case of accident or est relative to be notifi-

emergency. ed in case of accident or

emergency.

 

 

Military Experience:

 

Inquiry into an applicant's Inquiry into applicant's

military experience in the Armed general military experi-

Forces of the United States or in a ence.

state militia.

 

Inquiry into applicant's service in

a particular branch of the United

States Army, Navy, etc.

 

 

 

Organizations:

 

Inquiry into the organizations of List all clubs, societies

which an applicant is a member, and lodges to which you

excluding organizations, the name belong.

or character of which indicates the

race, color, religion, national

origin, or ancestry of its members.

 

 

References:

 

Who suggested that you apply for a

position here?

 

 

Note: The federal Immigration Reform and Control Act of 1986 required all new employees to complete and sign, within three days of their first day of employment, the Immigration and Naturalization Service's Employment Eligibility Verification, Form I-9. The law requires that employers hire only citizens and aliens lawfully authorized to work in the United States. Employment Eligibility Verification, Form I-9, asks questions regarding citizenship and legal residency and requires supporting documents such as a U.S. passport, Certificate of U.S. Citizenship, Certificate of Naturalization, or Alien Registration Card with photograph.

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O c c u p a t i o n a l W o r k S h e e t

 

 

 

Last name First M.I. Social Security Number

 

_________________ _____________ _____ _________________________

 

 

Driver's license no. & expiration date

 

Operator - ____________________________________

 

Chauffeur - ___________________________________

 

Commercial Driver License Designation

and/or Endorsement - ________________________

 

Present address City State Zip Code

 

___________________________ ___________ _________ ________

Previous addresses

(number & street) City State Zip Code

 

1.___________________________ ____________ __________ _________

 

2.___________________________ ____________ __________ _________

 

3.___________________________ ____________ __________ _________

 

 

Phone (area code & number)

 

First - (___)__________________ Alternate - (___)_______________

 

 

E-mail Address: ________________________________________________________

 

 

Education

 

 

High School (name, city, state): _________________________________________

__________________________________________________________________________

 

Graduation date (month and year): _____________________________________

Major studies: ________________________________________________________

Honors/awards: ________________________________________________________

______________________________________________________________________

 

Clubs and extracurricular activities: _________________________________

Offices held: _________________________________________________________

Special accomplishments: ______________________________________________

_______________________________________________________________________

 

 

Vocational (postsecondary) or apprenticeship training program: ___________

__________________________________________________________________________

 

School/employer (name, city, state): __________________________________

Graduation date: ______________________________________________________

Number of classroom hours:

Number of on-the-job training hours: __________________________________

Technical courses completed: __________________________________________

_______________________________________________________________________

_______________________________________________________________________

Job tasks or work processes learned: __________________________________

_______________________________________________________________________

_______________________________________________________________________

_______________________________________________________________________

Equipment, machines, tools, and/or work aids used (include computers and

software):____________________________________________________________

_______________________________________________________________________

_______________________________________________________________________

_______________________________________________________________________

 

 

College (name, city, state): _____________________________________________

__________________________________________________________________________

 

Graduation date (month and year): _____________________________________

Degree and grade point: _______________________________________________

Major field of study and credits earned: ______________________________

Minor field of study and credits earned: ______________________________

Internship/field work related to degree: ______________________________

______________________________________________________________________

Honors/awards/class standing: _________________________________________

_______________________________________________________________________

Clubs/extracurricular activities: _____________________________________

______________________________________________________________________

Offices held: _________________________________________________________

______________________________________________________________________

Special accomplishments: ______________________________________________

______________________________________________________________________

 

 

Postgraduate/professional education (school name, city, state): __________

__________________________________________________________________________

 

Graduation date or dates attended: ____________________________________

Degree and grade point: _______________________________________________

Certificate/license: __________________________________________________

Major field of study: _________________________________________________

Internship/field work related to profession: __________________________

_______________________________________________________________________

Honors/extracurricular activities: ____________________________________

_______________________________________________________________________

Offices held: _________________________________________________________

Special accomplishments: ______________________________________________

_______________________________________________________________________

 

 

Foreign languages:

 

Read Speak Write

_____________________ ______________________ _______________________

_____________________ ______________________ _______________________

 

 

Work experience (Begin with current or most recent position and include

military experience)

 

(1.) Employer: __________________________________________________________

__________________________________________________________________________

(Address) (City) (State) (Zip Code)

 

Position or job title: ___________________________________________________

Number of persons supervised: ____________________________________________

Dates of employment: from ______________________ to _____________________

Starting base pay: __________________ Ending base pay: _________________

Other compensation (bonus, commission, cost-of-living adjustment, etc.):

__________________________________________________________________________

Job duties: ______________________________________________________________

__________________________________________________________________________

__________________________________________________________________________

__________________________________________________________________________

__________________________________________________________________________

__________________________________________________________________________

Equipment, machinery, tools, and/or work aids used (include computers and

software): _______________________________________________________________

__________________________________________________________________________

__________________________________________________________________________

Accomplishments/achievements: ____________________________________________

__________________________________________________________________________

__________________________________________________________________________

Company training received and/or skills learned: _________________________

__________________________________________________________________________

__________________________________________________________________________

Supervisor: ______________________________________________________________

Reason for leaving: ______________________________________________________

__________________________________________________________________________

 

 

(2.) Employer: __________________________________________________________

__________________________________________________________________________

(Address) (City) (State) (Zip Code)

 

Position or job title: ___________________________________________________

Number of persons supervised: ____________________________________________

Dates of employment: from ______________________ to _____________________

Starting base pay: ___________________ Ending base pay: _________________

Other compensation (bonus, commission, cost-of-living adjustment, etc.):

__________________________________________________________________________

 

Job duties: ______________________________________________________________

__________________________________________________________________________

__________________________________________________________________________

__________________________________________________________________________

__________________________________________________________________________

__________________________________________________________________________

__________________________________________________________________________

Equipment, machinery, tools, and/or work aids used (include computers and

software):________________________________________________________________

__________________________________________________________________________

__________________________________________________________________________

__________________________________________________________________________

Accomplishments/achievements: ____________________________________________

__________________________________________________________________________

__________________________________________________________________________

Company training received and/or skills learned: _________________________

__________________________________________________________________________

__________________________________________________________________________

Supervisor: ______________________________________________________________

Reason for leaving: ______________________________________________________

__________________________________________________________________________

 

 

(3.) Employer: __________________________________________________________

__________________________________________________________________________

(Address) (City) (State) (Zip Code)

 

Position or job title: ___________________________________________________

Number of persons supervised: ____________________________________________

Dates of employment: from ______________________ to _____________________

Starting base pay: _______________________________________________________

Other compensation (bonus, commission, cost-of-living adjustment, etc.):

__________________________________________________________________________

Job duties: ______________________________________________________________

__________________________________________________________________________

__________________________________________________________________________

__________________________________________________________________________

__________________________________________________________________________

__________________________________________________________________________

__________________________________________________________________________

Equipment, machinery, tools, and/or work aids used (include computers and

software): _______________________________________________________________

__________________________________________________________________________

__________________________________________________________________________

__________________________________________________________________________

Accomplishments/achievements: ____________________________________________

__________________________________________________________________________

__________________________________________________________________________

Company training received and/or skills learned: _________________________

__________________________________________________________________________

Supervisor: ______________________________________________________________

Reason for leaving: ______________________________________________________

__________________________________________________________________________

 

Professional memberships

 

(1.) Organization: _____________________________________________________

Dates: ____________________________________________________________

Offices held: _____________________________________________________

Duties/responsibilities: __________________________________________

___________________________________________________________________

___________________________________________________________________

Skills acquired: __________________________________________________

__________________________________________________________________

__________________________________________________________________

Certificate/license: ______________________________________________

 

(2.) Organization: _____________________________________________________

Dates: ____________________________________________________________

Offices held: _____________________________________________________

Duties/responsibilities: __________________________________________

___________________________________________________________________

___________________________________________________________________

Skills acquired: __________________________________________________

___________________________________________________________________

___________________________________________________________________

Certificate/license: ______________________________________________

 

(3.) Organization: _____________________________________________________

Dates: ____________________________________________________________

Offices held: _____________________________________________________

Duties/responsibilities: __________________________________________

___________________________________________________________________

__________________________________________________________________

Skills acquired: __________________________________________________

__________________________________________________________________

__________________________________________________________________

Certificate/license: ______________________________________________

 

Certification or licensure by governmental agency

 

 

(1.) Certificate/license _______________________________________________

Date awarded ______________________________________________________

Expiration date ___________________________________________________

Licensing agency __________________________________________________

 

 

(2.) Certificate/license _______________________________________________

Date awarded ______________________________________________________

Expiration date ___________________________________________________

Licensing agency __________________________________________________

 

 

References

 

 

(1.) Name: _____________________________________________________________

Professional relationship to you: _________________________________

Job title: ________________________________________________________

Mailing address: __________________________________________________

Phone number: _____________________________________________________

 

(2.) Name: _____________________________________________________________

Professional relationship to you: _________________________________

Job title: ________________________________________________________

Mailing address: __________________________________________________

Phone number: _____________________________________________________

 

(3.) Name: _____________________________________________________________

Professional relationship to you: _________________________________

Job title: ________________________________________________________

Mailing address: __________________________________________________

Phone number: _____________________________________________________

 

 

Community service/volunteer activities

 

 

(1.) Name of organization: _____________________________________________

___________________________________________________________________

(Address) (City) (State) (Zip Code)

Dates: ____________________________________________________________

Activities engaged in: ____________________________________________

___________________________________________________________________

___________________________________________________________________

___________________________________________________________________

Offices held: _____________________________________________________

Skills/knowledge acquired: ________________________________________

___________________________________________________________________

___________________________________________________________________

___________________________________________________________________

 

(2.) Name of organization: _____________________________________________

___________________________________________________________________

(Address) (City) (State) (Zip Code)

Dates: ____________________________________________________________

Activities engaged in: ____________________________________________

___________________________________________________________________

___________________________________________________________________

__________________________________________________________________

Offices held: _____________________________________________________

Skills/knowledge acquired: ________________________________________

___________________________________________________________________

___________________________________________________________________

(3.) Name of organization: _____________________________________________

___________________________________________________________________

(Address) (City) (State) (Zip Code)

Dates: ____________________________________________________________

Activities engaged in: ____________________________________________

___________________________________________________________________

___________________________________________________________________

___________________________________________________________________

Offices held: _____________________________________________________

Skills/knowledge acquired: ________________________________________

___________________________________________________________________

___________________________________________________________________

 

 

Military service

 

 

Branch of military: ______________________________________________________

Dates: ___________________________________________________________________

Rank at discharge: _______________________________________________________

Military occupational specialty: _________________________________________

 

 

Hobbies/interests

 

 

Hobby/interest: __________________________________________________________

__________________________________________________________________________

Skills learned: __________________________________________________________

__________________________________________________________________________

__________________________________________________________________________

__________________________________________________________________________

__________________________________________________________________________

 

Hobby/interest: __________________________________________________________

__________________________________________________________________________

Skills learned: __________________________________________________________

__________________________________________________________________________

__________________________________________________________________________

__________________________________________________________________________

__________________________________________________________________________

 

 

 

 

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S A M P L E

 

 

 

A P P L I C A T I O N F O R E M P L O Y M E N T

 

 

Information furnished on this application is subject to verification.

Misrepresentation of data could result in rejection as an applicant or

subsequent dismissal if employed.

 

 

PERSONAL DATA

 

Last Name First M.I.

_________________________ __________________________ ____________

 

Social Security Number ___________________________________

Are you under 18? ________

 

__________________________________________________________________________

Address (street and number) City State Zip Code County

__________________________________________________________________________

Permanent Address City State Zip Code County

(if other than above)

 

( )_____________________ ___________________ M T W Th F

Phone (area code and number) Best time to call Day (circle)

 

( )______________________ ___________________ M T W Th F

Phone (alternate number) Best time to call Day (circle)

 

E-mail Address: __________________________________________________________

 

Do you have invitations to interview at other locations in the company?

Yes______ No______

 

If yes, specify: _________________________________________________________

__________________________________________________________________________

 

 

Only U. S. citizens or aliens who have a legal right to work in the United

States are eligible for employment.

 

Are you a U.S. citizen or permanent resident alien? Yes____ No____

 

If no, what is your visa status? _________________________________________

 

If alien, what is your registration number? ______________________________

 

An Equal Opportunity Employer

Have you previously applied at or worked for this company?

 

Applied: Yes______ No______

Dates: ___________________________________________________________________

Location: ________________________________________________________________

 

Worked: Yes______ No______

Dates: ___________________________________________________________________

Location: ________________________________________________________________

 

 

Are you willing to relocate? Yes______ No_______

Geographic preference: ___________________________________________________

Geographic limitations: __________________________________________________

 

Are you willing to travel as required? Yes_____ No_____

Are you willing to work overtime as required? Yes_____ No_____

Are you willing to work shifts as required? Yes_____ No_____

Are you willing to take a drug test? Yes_____ No_____

 

 

Date available for employment ____________________________________________

 

Total annual salary requirement __________________________________________

 

What led you to apply here? (check one)

 

 

Own initiative: _____ Walk-in Answered ad: _____ Walk-in

_____ Write-in _____ Write-in

 

Referred by: ____ Private employment agency

____ State employment agency (Michigan Works!)

____ Company employee

____ Campus recruited or referral

____ Professional organization

____ Other (explain) ___________________________________

___________________________________

___________________________________

 

 

 

 

AREAS OF WORK INTEREST

 

Type of work desired (check one):

______ Full-time ______ Part-time ______ Temporary ______ Summer

 

Position desired: ________________________________________________________

 

 

Check your primary field of work interest.

 

Professional/Technical

 

_____ Administrative _____ Product Engineering

_____ Accounting _____ Production Control

_____ Computer Systems/Programming _____ Public Relations

_____ Finance _____ Purchasing

_____ Human Resources _____ Quality Control

_____ Health Care _____ Research & Development

_____ Legal _____ Sales/Marketing

_____ Manufacturing Engineering _____ Transportation/Traffic

_____ Plant Engineering _____ Labor Relations

 

Skilled/Production/

Office/Clerical Maintenance Work

 

_____ General Clerk _____ Mechanic/Repairer

_____ Mail Clerk _____ Machine Operation

_____ Secretary _____ Material Handling

_____ Typist _____ Maintenance Work

_____ Word Processor _____ Other

 

 

EDUCATION

 

High School: _____________________________________________________________

(Name) (City) (State)

Graduated Yes _____ No _____

If no degree, credits earned _____________________________________________

Type of degree rec'd. or expected ______________ Mo. ______ Yr. ________

Grade Point: _______ Maj. _______ Cum. _______ Base

Class standing by quarter: _____ Top _____ 2 _____ 3 _____ 4

 

Technical/

GED/Other: _______________________________________________________________

(Name) (City) (State)

Graduated Yes ______ No ______

If no degree, credits earned ____________________________________________

Type of degree rec'd. or expected ______________ Mo. ______ Yr. _______

Grade Point: ________ Maj. ___________ Cum. ___________ Base ____________

Class standing by quarter: _____ Top _____ 2 _____ 3 _____ 4

 

College or

University: ______________________________________________________________

(Name) (City) (State)

Graduated Yes _____ No _____

If no degree, credits earned ____________________________________________

Type of degree rec'd. or expected ______________ Mo. ______ Yr. ________

Grade Point: ________ Maj. ___________ Cum. ___________ Base _____________

Class standing by quarter: _____ Top _____ 2 _____ 3 _____ 4

What foreign languages do you:

 

Read ____________________ ____________________ _____________________

Speak ____________________ ____________________ _____________________

Write ____________________ ____________________ ____________________

 

Did you work during your educational program?

Yes _____ No _____ Average hours per week: _____________

 

 

 

WORK EXPERIENCE

 

Start with present or most recent position. You may include military

service, summer positions, and volunteer work experience. (You may attach

a separate page.)

 

May we contact your present employer? Yes _____ No _____

 

 

Employer (present or most recent) ________________________________________

Address __________________________________________________________________

Dates employed From: ________________________ To: _____________________

Position title ___________________________________________________________

Number of persons supervised _______________

Starting base pay $_________________ per_______________

Additional compensation $_______________

Ending base pay $_________________ per________________

Additional compensation $_______________

Duties ___________________________________________________________________

__________________________________________________________________________

__________________________________________________________________________

__________________________________________________________________________

__________________________________________________________________________

__________________________________________________________________________

__________________________________________________________________________

Average number of work hours per week _______________

Reason for leaving _______________________________________________________

__________________________________________________________________________

 

 

Employer _________________________________________________________________

Address __________________________________________________________________

Dates employed From: _________________________ To: _____________________

Position title ___________________________________________________________

Number of persons supervised _______________

Starting base pay $_________________ per _______________

Additional compensation $_______________

Ending base pay $ ________________ per _______________

Additional compensation $ ______________

Duties ___________________________________________________________________

__________________________________________________________________________

__________________________________________________________________________

__________________________________________________________________________

__________________________________________________________________________

__________________________________________________________________________

__________________________________________________________________________

Average number of work hours per week _______________

Reason for leaving _______________________________________________________

__________________________________________________________________________

 

 

Employer _________________________________________________________________

Address __________________________________________________________________

Dates employed From: _________________________ To: _____________________

Position title ___________________________________________________________

Number of persons supervised _______________

Starting base pay $_________________ per _______________

Additional compensation $_______________

Ending base pay $_________________ per ________________

Additional compensation $ ______________

Duties ___________________________________________________________________

__________________________________________________________________________

__________________________________________________________________________

__________________________________________________________________________

__________________________________________________________________________

__________________________________________________________________________

__________________________________________________________________________

Average number of work hours per week _______________

Reason for leaving _______________________________________________________

__________________________________________________________________________

 

 

ACTIVITIES AND ACHIEVEMENTS

 

(You may exclude those which indicate race, color, religion, sex, marital

status, age, or national origin, handicapped or veteran status.)

 

Honors (include societies and scholarships)

__________________________________________________________________________

__________________________________________________________________________

 

Publications

__________________________________________________________________________

__________________________________________________________________________

Professional and technical associations

__________________________________________________________________________

__________________________________________________________________________

 

Patents

__________________________________________________________________________

__________________________________________________________________________

 

**************************************************************************

 

TO BE COMPLETED BY OFFICE AND CLERICAL APPLICANTS ONLY

 

 

Typing speed (words/minute) _______ Shorthand speed (words/minute) ______

Other related skills _____________________________________________________

__________________________________________________________________________

 

What office machines do you operate, e.g., duplicating machine, facsimile

machine, etc.? __________________________________________________________

__________________________________________________________________________

 

What computer software applications have you regularly used? _____________

__________________________________________________________________________

__________________________________________________________________________

 

 

CAREFULLY READ THE PARAGRAPHS BELOW BEFORE SIGNING AND DATING THE APPLICATION

 

I understand that prior to beginning my employment, I will submit to drug testing. My refusal to complete this requirement or my positive test result will terminate my consideration for employment. The testing procedure will be conducted by an independent laboratory chosen by employer and be paid for by the employer.

 

I acknowledge that the information I have furnished is correct to the best of my knowledge and understand that falsification of this information could be grounds for disciplinary action to include retraction of employment offer or dismissal if employment has taken place.

 

I understand that I shall not become an employee of this company or any of its subsidiaries until I have signed an employment agreement with final approval of the company and that such employment will be contingent upon my submitting to a physical examination to assure that I am physically able to perform the type of employment for which I am applying and such employment will be subject to verification of the information I have provided on this application and any related documents or resume.

 

I understand that it may be necessary for the company to use consumer reporting agencies to verify such information provided by me and that any information obtained may be retained by those agencies and subsequently used in later reports. I understand that the company chooses consumer reporting agencies with care. I understand that should use of a consumer reporting agency for verification of the information provided by me be deemed necessary, I will be contacted to complete releases to the parties from whom verification will be sought, and that I may make a written request to the company location to which I applied for a copy of the verification report.

 

Alternatively, I may make a written request of the consumer reporting agencies for additional information as to the nature and scope of the verification report. I understand that if the need to correct or amend any statement on the verification report arises, I may notify the company location to which I made application. I understand that the company will not make any unwarranted disclosure of information generated in the process of application to persons outside the company without my consent. I understand that if I am selected for employment, evidence of U.S. citizenship or U.S. permanent resident status must be provided to the company.

 

 

Signature ______________________________________ Date __________________

 

 

WE APPRECIATE YOUR INTEREST IN THE COMPANY AND THE TIME YOU HAVE TAKEN TO

PREPARE THIS APPLICATION.

 

**************************************************************************

 

DO NOT COMPLETE - FOR PERSONNEL USE ONLY

 

 

Tests Test Results

Pass / Fail

.

.

Typing ____ ____

.

Stenographic dictation ____ ____

.

OBK-LMR ____ ____

.

MIS-C ____ ____

.

TBJ-P ____ ____

 

 

Test administrator __________________________________ Date ______________

 

**************************************************************************

 

CONVICTION DATA SHEET

 

This portion of your application must be completed, but will be detached

and maintained separately. It will be used only when the information is

relevant to your application. If employed, this information will not

become part of your permanent employment record.

 

__________________ ___________ ______ ______________________

Last Name First M.I. Social Security Number

 

 

Have you ever been convicted of a felony or convicted of a lesser crime

within the last five years? Do not include arrests without conviction,

charges expunged, convictions adjudged "Youthful offender" or "juvenile,"

or convictions for minor traffic violations. Yes_____ No_____

 

If yes, please briefly describe the circumstances of your conviction and

your name at that time; indicating the date, nature, and place of the

offense and disposition of the case including any rehabilitation. Your

answer is looked upon as only one of the factors considered in the

employment decision and is evaluated in terms of the nature, severity, and

date of the offense.

 

 

 

Signature of applicant _____________________________ Date ______________

 

SUPPLEMENTAL DATA SHEET

 

The following applicant information is requested for the purpose of

preparing periodic reports to the government or other recordkeeping in

connection with government requirements. We encourage you to complete

this section, but your employment prospects will not be adversely affected

should you choose not to provide this information. This portion of the

employment application will not become part of your application or

employment file.

 

 

_________________ __________ _____ ______________________

Last Name First M.I. Social Security Number

 

 

Are you a disabled veteran? Yes ______ No ______

 

 

Are you a Vietnam Era veteran? Yes ______ No ______

 

 

Do you have a physical or mental handicap? Yes ______ No ______

 

 

If yes, please describe: _________________________________________________

__________________________________________________________________________

__________________________________________________________________________

 

 

Sex/Race - Ethnic (check one)

 

_____ White male _____ White female

 

_____ Black male _____ Black female

 

_____ Hispanic male _____ Hispanic female

 

_____ American Indian or Alaskan Native male

 

_____ American Indian or Alaskan Native female

 

_____ Asian or Pacific Islander male

 

_____ Asian or Pacific Islander female

 

_____ Other