237 Center St, Douglas, MI 49406  dottie.png  (269) 857-2443  dottie.png  View Location

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Online Employment Application

Application for Equal Opportunity Employer


Name *
Address 1
Address 2
City
State
ZIP
Phone
Email *
What would you most like to do for us? Please list your top 3 choices.
Monday Availibility (list approximate times)
Tuesday Availibility (list approximate times)
Wednesday Availibility (list approximate times)
Thursday Availibility (list approximate times)
Friday Availibility (list approximate times)
Saturday Availibility (list approximate times)
Sunday Availibility (list approximate times)
Have you ever worked with us before? *
 No
 Yes
If you have worked with us before, when?
Highest level of education completed
 In high school
 High school diploma
 College 1 year
 College 2 years
 College 3 years
 College 4 years
 College Degree
 Graduate Degree
Where was your highest level of education completed?
Please list a few reasons why we would be lucky to have you working with us.
Name and Address of Previous Employer (Current or Most Recent)
Job Position
For How Long?
Supervisor Name
Phone
Name and Address of Next Previous Employer
Job Position
For How Long?
Supervisor Name
Phone
Reference Authorization (please type your full name if you authorize the above to be contacted as your references)
This application of employment is not intended to be a contract of employment (please type your full name in agreement). *
Date *
Please type the letters and numbers shown in the image.
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