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Employment Form

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Contact Information

First Name:

Last Name:

Email Address:

Alternate Email:

Cell Phone:

Home Phone:

Position Applying For:

How did you hear about this opportunity?

Please specify source, if applicable:

Attachments

Resume:

Cover Letter:

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Current Address

Address:

Address #2:

City:

State:

Zipcode:

Country:

Desired Salary

Desired Salary Range:

Education

Name and Location of High School:

Diploma or GED:

Yes No

Name and Location of College:

Degree/Major:

Did you Graduate?

Yes No

Name and Location of Graduate School:

Degree/Major:

Did you graduate?

Yes No

Work History

Employer:

Start Date:

End Date:

Address:

City:

State:

Phone Number:

Starting Salary:

Ending Salary:

Job Title:

Supervisor's Name and Title:

Phone Number:

Reason for Leaving:

May we Contact?

Yes No

Employer:

Start Date:

End Date:

Address:

City:

State:

Phone Number:

Starting Salary:

Ending Salary:

Job Title:

Supervisor's Name and Title:

Phone Number:

Reason for Leaving:

May we Contact?

Yes No

Employment Understanding

I authorize investigation of all statements contained in this employment application if I am considered for employment. I authorize the above employers listed to release information regarding my previous employment. I understand that misrepresentation or omission of facts called for herein will be sufficient cause for cancellation of consideration for employment or dismissal from the company's service if I have been employed. I further understand that employment can be terminated with or without cause at any time at the option of Michigan Wheel Operations, LLC and/or me.

I have read and agree to this disclaimer

Applicant Signature:

Date:

Comments

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By submitting this form I give permission to MiWheel and their affiliates to contact me

U.S. Equal Employment Opportunity/Affirmative Action Information
Individuals seeking employment are considered without regards to race, color, religion, national origin, age, sex, marital status, ancestry, physical or mental disability, veteran status, or sexual orientation. You are being given the opportunity to provide the following information in order to help us comply with federal and state Equal Employment Opportunity/Affirmative Action record keeping, reporting, and other legal requirements.

Please Note: Completion of this form Is voluntary
Completion of the form is entirely voluntary. Whatever your decision, it will not be considered in the hiring processor thereafter. Any information that you do provide will be recorded and maintained in a confidential file.

Gender:

Male
Female
Declined to Self-Identify

Ethnicity/Race:

Hispanic or Latin
A person of Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish culture or origin regardless of race.
White (Not Hispanic or Latino)
A person having origins in any of the original peoples of Europe, the Middle East, or North Africa.
Black or African American (Not Hispanic or Latino)
A person having origins in any of the black racial groups of Africa.
Native Hawaiian or Other Pacific Islander (Not Hispanic or Latino)
A person having origins in any of the peoples of Hawaii, Guam, Samoa, or other Pacific Islands.
Asian (Not Hispanic or Latino)
A person having origins in any of the original peoples of the Far East, Southeast Asia, or the Indian Subcontinent, including, for example, Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the Philippine Islands, Thailand, and Vietnam.
American Indian or Alaska Native (Not Hispanic or Latino)
A person having origins in any of the original peoples of North and South America (including Central America), and who maintains tribal affiliation or community attachment.
Two or More Races (Not Hispanic or Latino)
All persons who identify with more than one of the above five races.
Declined to Self-Identify

Veteran Status:

Veteran

Recently Separated Veteran
Armed Forces Service Medal Veteran
Other Protected Veteran

Not a Veteran
Declined to Self-Identify

Contact Information

Michigan Headquarters

1501 Buchanan Ave SW
Grand Rapids, MI 49507
Phone: (616) 452-6941
Fax: (616) 247-0227
Email: jobs@miwheel.com

Apply Now

Employment Form

1501 Buchanan Ave SW
Grand Rapids, MI 49507
Phone: 800.369.4335
Fax: 616.247.0227
E-mail: info@miwheel.com

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