Application of Employment

Website Friends & Family, Inc.

Providing community-based services to the special needs population.



We are an equal opportunity employer. It is the policy of this organization not to discriminate on the basis of race, sex, religion, national origin, marital status, age, weight, height, color, or disability, or veteran status in the hiring, promotion, payment or discipline of employees.



If you are a person with a disability, you may request any needed, reasonable accommodation to participate in the application process or interview process. Michigan law requires that a person with a disability or handicap requiring accommodation for employment must notify the employer in writing within 182 days after the need is known.



NOTE: We will not discriminate against a person with a covered disability under the Americans with Disabilities Act in regard to employment practices or terms, conditions, and privileges of employment.



SECTION ONE: APPLICANTS PERSONAL INFORMATION

SECTION TWO: EDUCATION

School Name | Address | Degree/Major | Graduation Date

SECTION THREE: REFERENCES/EXPERIENCE

Employer | Phone Number | Job Position/Title | Dates employed | Reason For Leaving
Employer | Phone Number | Job Position/Title | Dates employed | Reason For Leaving
Employer | Phone Number | Job Position/Title | Dates employed | Reason For Leaving

I hereby give my permission to contact the above employers, references, and educational institutions to verify the items I listed above. I hereby release (Name of Employer) and the above referenced organizations, reference persons and employers from all claims, liability and damages that may result from furnishing the information to you expressly and fully waive all written notice from all prior employers. I consent to releasing any information relating to my job performance which is documented in my personnel file.

I also understand that because of the nature of my job and licensing requirements, I hereby consent to the release of this application or portions of this application to representatives of the Dept. of Commerce/Dept. of Consumer and Industry Services, Family Independence Agency, Dept. of Community Health, and local Community Mental Health agencies, or other governmental or private agencies for all licensing or investigatory purposes and to verify information I have listed in this job application. I hereby release (Name of Employer), the Dept. of Commerce, Family Independence Agency, Dept. of Community Health, and local Community Mental Health agencies and other various governmental or private agencies from all claims, liability, and damages that may result from furnishing the information to you.

I further specifically waive written notice and agree to the divulging of any disciplinary reports, letter or reprimand or other disciplinary action by all prior employers, and herby release my prior employers from all claims, liability and damages that may result from furnishing the information to you.

Upload your CV/resume or any other relevant file. Max. file size: 1 MB.

I further understand that any dishonest, false, or incomplete answers on this application or in any subsequent interviews are grounds for immediate dismissal.

This application will be kept current for six months. You need to complete another application to be reconsidered after this date.

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