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MPS application

Michigan Prime Staffing

Michigan Prime Staffing is an equal opportunity employer. This application will not be used for limiting or excluding any applicant from consideration for employment on a basis prohibited by local, state, or federal law. Should an applicant need reasonable accommodation in the application process, he or she should contact a company representative.

Applicant Information

Employment Position

Position(s) applying for:

Personal Information

Have you ever applied to any staffing agencies in the last 12 months?

If yes, please list below?

Are you 18 years of age or older?
Are you a U.S. citizen or approved to work in the United States?

What document can you provide as proof of citizenship or legal status?

Will you consent to a mandatory controlled substance test?
Do you have any condition which would require job accommodations?

If yes, please describe accommodations required below.

Have you ever been convicted of a criminal offense (felony or misdemeanor)?

If yes, please state the nature of the crime(s), when and where convicted and disposition of the case:

(Note: No applicant will be denied employment solely on the grounds of conviction of a criminal offense. The date of the offense, the nature of the offense, including any significant details that affect the description of the event, and the surrounding circumstances and the relevance of the offense to the position(s) applied for may, however, be considered.)

Job Skills/Qualifications

Please list below the skills and qualifications you possess for the position for which you are applying:

(Note: Michigan Prime Staffing complies with the ADA and considers reasonable accommodation measures that may be necessary for eligible applicants/employees to perform essential functions. )

Education and Training

High School

College/University

Vocational School/Specialized Training

Military:

If yes, please describe accommodations required below.

Previous Employment

Employer Name:

Employer Name:

Employer Name:

Additional Information:

Do you have 5 years of Driving experience? Do you have a valid Drivers License?

Do you have more than two driving violations in the past three years.

Have you ever been asked to resign in the last 12 months

At-Will Employment

The relationship between you and the Michigan Prime Staffing is referred to as "employment at will." This means that your employment can be terminated at any time for any reason, with or without cause, with or without notice, by you or the Michigan Prime Staffing. No representative of Michigan Prime Staffing has authority to enter into any agreement contrary to the foregoing "employment at will" relationship. You understand that your employment is "at will," and that you acknowledge that no oral or written statements or representations regarding your employment can alter your at-will employment status, except for a written statement signed by you and either our Executive Vice-President/Chief Operations Officer or the Company's President.

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