16655 19 Mile Rd.
Clinton Twp, MI 48038
586.286.8435
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Employment Application

Click Here for Printable Application

Last Name	A value is required.	Phone	A value is required. Invalid format.
First Name	A value is required.	Alternate Phone	A value is required. Invalid format.
Address	A value is required.	Email Address	A value is required. Invalid format.
City	A value is required.	Position Desired	A value is required.
State	A value is required.	Highest Level of Education Completed	Please select an item.
Zip	A value is required.	Highest Level of Education Completed

Please list your past two employers
Employer	Supervisor	Phone	Worked From	To
A value is required.	A value is required.	A value is required. Invalid format.	A value is required.	A value is required.
A value is required.	A value is required.	A value is required. Invalid format.	A value is required.	A value is required.

Please write in your own words...
Why you want to work at Ernie's?	Why you think Ernie's should hire you?
A value is required.	A value is required.

Do you have any handicaps that would hinder the performance of your job?	Yes No Please make a selection.
Have you ever been injured on the job?	Yes No Please make a selection.
Have you ever collected workman’s compensation?	Yes No Please make a selection.
Have you ever been involved in a lawsuit against an employer?	Yes No Please make a selection.
Would you submit to a drug test prior to employment?	Yes No Please make a selection.
Have you ever been sued by an employer?	Yes No Please make a selection.
Are you at least 18 years of age?	Yes No Please make a selection.

Attach Resume:

I HAVE FILLED OUT THE ABOVE INFORMATION TRUTHFULLY. AS AN EMPLOYEE OF THIS COMPANY, I MAY BE RESPONSIBLE TO COLLECT CASH and/or OTHER PAYMENTS AS PART OF MY REGULAR JOB RESPONSIBILITIES. I UNDERSTAND THAT I AM RESPONSIBLE FOR SAID CASH/PAYMENTS AND WILL BE ACCOUNTABLE TO MANAGEMENT FOR THESE FUNDS. FURTHERMORE, I MAY BE ISSUED KEYS, EQUIPMENT, UNIFORMS AND OTHER SUPPLIES. UPON TERMINATION I WILL IMMEDIATELY RETURN ALL ISSUED ITEMS. I ALSO UNDERSTAND THAT I WILL REPORT ANY INJURY IMMEDIATELY TO A MANAGER.

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