Zeeland Application for Employment Δ Step 1 of 333%Your Personal InformationYour Name(Required) First Last Your Email Address(Required) Enter Email Confirm Email Your Phone(Required)Address(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Are you legally authorized to work in the United States?(Required) Yes NoAre you under 18 years of Age?(Required) Yes NoHave you ever worked for us before?*(Required) Yes NoIf you have been known to any employer, school, or reference by a different name, what was that name?Position You're Applying ForWhich job are you applying for?(Required)First ChoiceSecond ChoiceThird ChoiceExpected Pay(Required)Type of employment desired(Required) Full Time Part Time Seasonal InternshipIf there are days/hours you are NOT available to work, please list and explain them here:List anyone you know who works for us:Do you have reliable transportation to and from work?* Yes NoIf hired, when can you start?Background InformationHave you ever been convicted of a crime (including a guilty or no contest plea)?(Required) Yes NoIf yes, explain when, where, and the nature of the offense (a crime does not automatically disqualify you).Have you ever been arrested for a felony?(Required) Yes NoIf yes, please explain.Education and SkillsHigh School NameAre you still attending? Yes NoSelect Highest Grade Completed: 9 10 11 12List post-secondary education degrees, certifications, and trainings, and if a degree was obtained.Describe any other skills, special training, qualifications, or experiences relevant to the position for which you are applying:Previous EmploymentYour Previous EmployersPlease list your previous employers, the dates you worked and the position you heldEmployer NameStarting DateEnding Date Add RemovePhone NumberPosition TitleSupervisor's Name Add RemoveReason for Leaving: Discharge Layoff Voluntary ResignationIf other than Voluntary, please explain:Previous Employer 2Employer NameStarting DateEnding Date Add RemovePhone NumberPosition TitleSupervisor's Name Add RemoveReason for Leaving: Discharge Layoff Voluntary ResignationIf other than Voluntary, please explain:Your Previous Employer 3Employer NameStarting DateEnding Date Add RemovePrevious Position Title and SupervisorPhone NumberPosition TitleSupervisor's Name Add RemoveReason for Leaving: Discharge Layoff Voluntary ResignationIf other than Voluntary, please explain:Professional ReferencesPlease provide the names and contact information of three business references not related to you, whom you have known, and worked with at least one year. Please include prior supervisors, co-workers, and/or direct reports, if possible.Reference 1NameProfessional RelationshipCompany NamePhone Number Add RemoveReference 2NameProfessional RelationshipCompany NamePhone Number Add RemoveReference 3NameProfessional RelationshipCompany NamePhone Number Add RemoveReference 4NameProfessional RelationshipCompany NamePhone Number Add RemoveMore About YouUpload Your ResumeUpload your resume in .pdf, .doc or .docx formatAccepted file types: pdf, doc, docx, Max. file size: 25 MB.Terms and Conditions(Required) APPLICANT'S CERTIFICATION AND AGREEMENT Please Read Carefully Definition. For purposes of this Certification and Agreement, "City of Zeeland" means the City of Zeeland and any of its past, present, and future affiliated entities. Certification of Truthfulness. I certify that all statements on this Application for Employment are complete, correct, and truthful and I further understand and agree that any false or evasive statements or material omissions on this Application or interview(s) may be investigated and if found to be false or materially omitted will be sufficient reason for not being employed, or if employed, may result in my dismissal. Authorization for Employment/Educational Information. I authorize the references listed in this Application for Employment, and any prior employer, educational institution, or any other persons or organizations to give the City of Zeeland any and all information concerning my previous employment/educational accomplishments, disciplinary information, or any other pertinent information they may have, personal or otherwise, and release all parties from all liability for any damage that may result from furnishing same to you. I hereby waive written notice that employment or educational information is being provided by any person or organization. Employment at Will. I understand that this application is not an offer, promise or contract of employment, either expressed or implied. If l am hired, in consideration of my employment, I agree to abide by the rules and policies of the City of Zeeland, including any changes made from time to time, and agree that my employment and compensation can be terminated with or without reason, and with or without notice, at any time, at the option of either the City of Zeeland or myself. I understand that no manager or other representative of the City of Zeeland, other than the City Manager or General Manager, has any authority to enter into any agreement for employment for any specific or indefinite period of time, or to make any agreement contrary to the foregoing. Any such agreement made by the City Manager or General Manager must be made in writing and signed by him or her to be effective. Authorization to Work. I understand that, if hired, I will be required to provide documentation of both my identity and employment eligibility in the United States in accordance with the Immigration Reform and Control Act of 1986. I understand, that, if hired, my employment will be subject to various guidelines, rules and regulations of the City of Zeeland as stated in the Employee Handbook, any policy and procedure manual, or other communications to employees. I further understand that the City of Zeeland’s policies and procedures are subject to modification without notice. Limitation on Claims. I agree that any lawsuit or claim against the City of Zeeland arising out of my employment or termination of employment (including, but not limited to, claims arising under state, federal or local civil rights laws) must be brought within the following time limits or be forever barred: (a) for lawsuits requiring a Notice of Right to Sue from the EEOC, within 90 days after the EEOC issues that Notice; or (b) for all other lawsuits or claims, within (i) 180 days of the event(s) giving rise to the claim, or (ii) the time limit specified by statute, whichever is shorter. I waive any statute of limitations that exceeds this time limit. Need for Accommodation. We are an Equal Opportunity Employer and do not discriminate against any individual in any phase of employment in accordance with the requirements of local, state, and federal law. The Company also provides reasonable accommodations to qualified individuals with disabilities in accordance with the Michigan Persons with Disabilities Civil Rights Act, and applicable local, state, and federal law. Under Michigan law, if you need an accommodation, you must notify the Human Resources office in writing within 182 days after you knew or reasonably should have known of the need. Failure to notify Human Resources in a timely manner may result in the loss of legal rights under Michigan law. Background Check. The City of Zeeland may conduct criminal background checks and social security number verification for employees as a condition of employment. Criminal background checks include County, State, and Multi-State criminal record checks. As required by position, employees may also be subject to Employment Credit Checks as permitted by State law. Individuals that drive for the City of Zeeland as a requirement of their position are subject to a Motor Vehicle Record check. I authorize the City of Zeeland to secure my background check history. I agree to execute the appropriate authorization if necessary, to obtain such information. Driving Record Check. I agree to execute an authorization for the City of Zeeland to inquire into, and obtain documents related to, any driving record from every state in which I have held a motor vehicle operator's license or permit. Physical Exam and Drug and Alcohol Testing. I understand that I may be required to pass a pre-employment drug screen and physical, and if hired, I will be subject to the City of Zeeland’s Drug and Alcohol testing policy during my employment. One purpose of this analysis is to determine or exclude the presence of alcohol, drugs, or other substances. I understand that decisions concerning my employment may be made as a result of these tests. Consideration for Employment. I agree that if any of the above commitments is ever found to be legally unenforceable as written, the particular commitment concerned shall be limited to allow its enforcement as far as legally possible. I have read items 1 through 11 above, and I understand them. I knowingly and voluntarily agree to them with my signature below. Your electronic signature below indicates your agreement with the following statements: By typing my name in the following box and clicking submit button I certify the above statements to be true and correct, to the best of my knowledge, and that this information can be used for the purpose of processing my employment application and information. I agree to the terms and conditions.Applicant's NameDate MM slash DD slash YYYY