Production Staff Production Staff ApplicationFirst Name *Last Name *D.O.B *mm/dd/yySSN# *Example - 321549876Address *City *State *Zip Code *Phone *Email *Who referred you to this company? Have You Ever Worked For This Company Before? *YesNoIf yes when? EducationHighest Grade Completed *1-12College *0-4Special Training (Including machinery operation) Accreditations, Certifications, AccomplishmentsPrevious Work ExperienceEmployer 1 From mm/dd/yyTo mm/dd/yyEmployer 2 From mm/dd/yyTo mm/dd/yyEmployer 3 From mm/dd/yyTo mm/dd/yy*In Accordance with Applicable law, Michigan Premier Laundry is an Equal Opportunity Employer Have You Ever Been Convicted Of A Crime? *YesNoIf yes, what is nature of offense? Any Physical Condition Or Illness Which Might Limit Your Ability To Perform The Particular Job Or Jobs For Which You Are Applying? *YesNoIf yes, what is the cause of the physical condition? Any Relatives Employed By Michigan Premier Laundry? *YesNoIf yes, what is the relatives name? Notify in case of emergency Name *Phone *Name Phone NOTIFICATION & AUTHORIZATION TO RELEASE CRIMINAL INFORMATION FOR EMPLOYMENT PURPOSES First Name *Middle Name *Last Name *Legal information To determine my qualifications for employment, I authorize this company to conduct an investigation of my application. I understand that any false or misleading information furnished by me on this application form or in connection with my application for employment may result in rejection of the application, or if employed by this company, in the termination of my employment.Consent *By submitting this form I agree with the terms and conditions stated above. VerificationPlease enter any two digits *Example: 12This box is for spam protection - <strong>please leave it blank</strong>: