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Employment Opportunities

Position(s) applied for: General Application

Location: Plant 1 - New Troy, MI

Job Description:

Use this application form if you are not qualified for any of the open positions, or if we do not have any open positions available.
Date of Application
*First Name

Middle Name
*Last Name
*Street Address
*City
*State/Zip
*Telephone Number
Mobile/Other Phone Number
If you are under 18, and it is required, can you furnish a work permit?
Yes No
If yes, please explain:
Were you referred by a current Vickers employee?
Yes No
If yes, please list name:
Are you legally eligible for employment in this country?
Yes No
Have you ever been employed with us before?
Yes No
Date available for work? (mm/dd/yyyy)
Type of employment desired:
Full-Time Part-Time Temporary Educational Co-Op
Are you able to meet the attendance requirements of the position?
Yes No
Have you been convicted of a crime in the last seven (7) years?
Yes No
If yes, please explain:

*CONVICTION WILL NOT NECESSARILY BE A BAR TO EMPLOYMENT. EACH INSTANCE AND EXPLANATION WILL BE CONSIDERED IN RELATION TO THE POSITION FOR WHICH YOU ARE APPLYING

EMPLOYMENT

Provide the following information for your past four (4) employers, assignments or volunteer activities, starting with the most recent.

Please give accurate complete full-time and part-time employment record. Start with your present or most recent employer. Please document reasons for employment gaps.

Note: We may contact the employers listed above or on your resume unless you indicate those you do not want us to contact.



1. Company Name
Telephone
Address
Employed (mm/dd/yyyy)
From To
Name of Supervisor
Salary
Start $ Last $
Job Title
Describe Your Work
Reason For Leaving
2. Company Name
Telephone
Address
Employed (mm/dd/yyyy)
From To
Name of Supervisor
Salary
Start $ Last $
Job Title
Describe Your Work
Reason For Leaving
3. Company Name
Telephone
Address
Employed (mm/dd/yyyy)
From To
Name of Supervisor
Salary
Start $ Last $
Job Title
Describe Your Work
Reason For Leaving
4. Company Name
Telephone
Address
Employed (mm/dd/yyyy)
From To
Name of Supervisor
Salary
Start $ Last $
Job Title
Describe Your Work
Reason For Leaving
Summarize any training, skills, licenses, and/or certificates that may qualify you as being able to perform job-related functions in the position for which you are applying.
EDUCATION
High School
Name & Location
Course of Study
No. of Years Completed
Did You Graduate?
Yes No
Degree or Diploma
Business/Trade/Technical
Name & Location
Course of Study
No. of Years Completed
Did You Graduate?
Yes No
Degree or Diploma
College
Name & Location
Course of Study
No. of Years Completed
Did You Graduate?
Yes No
Degree or Diploma
Graduate School
Name & Location
Course of Study
No. of Years Completed
Did You Graduate?
Yes No
Degree or Diploma
List special job related skills?
REFERENCES:

1. Name:
Phone Number:
Years Known:
2. Name:
Phone Number:
Address:
3. Name:
Phone Number:
Address:
RESUME
Upload Resume /
Cover Letter:

*File must be in .doc, .docx or .pdf format.

* You must initial the box below in order to submit your application.

I UNDERSTAND THAT IF I AM EMPLOYED, ANY MISREPRESENTATION OR MATERIAL OMISSION MADE BY ME ON THIS APPLICATION WILL BE SUFFICIENT CAUSE FOR CANCELLATION OF THIS APPLICATION OR IMMEDIATE DISCHARGE FROM THE EMPLOYERS SERVICE WHENEVER IT IS DISCOVERED.

I GIVE THE EMPLOYER THE RIGHT TO CONTACT AND OBTAIN INFORMATION FROM ALL REFERENCES, EMPLOYERS, EDUCATIONAL INSTITUTIONS AND TO OTHERWISE VERIFY THE ACCURACY OF THE INFORMATION CONTAINED IN THIS APPLICATION I HEREBY RELEASE FROM LIABILITY THE EMPLOYER AND ITS REPRESENTATIVES FOR SEEKING, GATHERING AND USING SUCH INFORMATION AND ALL OTHER PERSONS, CORPORATIONS OR ORGANIZATIONS FOR FURNISHING SUCH INFORMATION.

THE EMPLOYER DOES NOT UNLAWFULLY DISCRIMINATE IN EMPLOYMENT AND NO QUESTION ON THIS APPLICATION IS USED FOR THE PURPOSE OF LIMITING OR EXCUSING ANY APPLICANT FROM CONSIDERATION FOR EMPLOYMENT ON A BASIS PROHIBITED BY LOCAL, STATE OR FEDERAL LAW.

THIS APPLICATION IS CURRENT FOR ONLY 60 DAYS AT THE CONCLUSION OF THIS TIME, IF I HAVE NOT HEARD FROM THE EMPLOYER AND STILL WISH TO BE CONSIDERED FOR EMPLOYMENT, IT WILL BE NECESSARY TO FILL OUT A NEW APPLICATION.

IF I AM HIRED, I UNDERSTAND THAT I AM FREE TO RESIGN AT ANY TIME, WITH OR WITHOUT CAUSE AND WITHOUT PRIOR NOTICE, AND THE EMPLOYER RESERVES THE SAME RIGHT TO TERMINATE MY EMPLOYMENT AT ANY TIME, WITH OUR WITHOUT CAUSE AND WITHOUT PRIOR NOTICE, EXCEPT AS MAY BE REQUIRED BY LAW. THIS APPLICATION DOES NOT CONSTITUTE AN AGREEMENT OR CONTRACT FOR EMPLOYMENT FOR ANY SPECIFIED PERIOD OR DEFINITE DURATION. I UNDERSTAND THAT NO REPRESENTATIVE OF THE EMPLOYER, OTHER THAN AN AUTHORIZED OFFICER, HA THE AUTHORITY TO MAKE ANY ASSURANCES TO THE CONTRARY. I FURTHER UNDERSTAND THAT ANY SUCH ASSURANCES MUST BE IN WRITING AND SIGNED BY AN AUTHORIZED OFFICER.

I UNDERSTAND IT IS THIS COMPANY'S POLICY NOT TO REFUSE TO HIRE A QUALIFIED INDIVIDUAL WITH A DISABILITY BECAUSE OF THAT PERSON'S NEED FOR A REASONABLE ACCOMMODATION AS REQUIRED BY THE ADA.

I UNDERSTAND THAT MY INFORMATION MAY BE SHARED WITH AN OUTSIDE TEMPORARY AGENCY.

I ALSO UNDERSTAND THAT IF I AM HIRED, I WILL BE REQUIRED TO PROVIDE PROOF OF IDENTITY AND LEGAL WORK AUTHORIZATION.

 
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