NC: 248-840-8333 :: Email Us

Michigan Applicants Apply Online

→ ALL Fields are Required!

Printable Application

Personal InformationInfo about the applicant.

Name: First, Last & Middle

→ Required Field

Address: Street, City, State & Zip

→ Required Field

Telephone Number:

→ Required Field

Last Four Digits of Social Security #:

→ Required Field

Verify Social Security #

→ Required Field

Email Address:

→ Required Field

Are You 18 years or older?:



→ Required Field

Are you a U.S. Citizen:Not applicable in California


→ Required Field

Are you authorized to work in the United States?:


→ Required Field

Emergency ContactIn Case of an accident or emergency.

Name:

→ Required Field

Address:

→ Required Field

Telephone Number:

→ Required Field

Additional InformationFelony Convictions, Special Skills, Salary, etc.

Have you been convicted of a felony or are there any felony charges pending against you?:


→ Required Field

If yes, where, when & the nature of offense?:

Do you have any special training, skills, qualifications or other experiences that relate to the position(s) applied for?:

Salary Desired:

→ Required Field

Date Available to Work:

→ Required Field

Education HistoryH.S, College, Graduate, etc.

High School

High School Name/Location:

→ Required Field

Years Completed:

→ Required Field

Diploma/Degree:

→ Required Field

Course of Study:

College

College Name/Location:

Years Completed:

Diploma/Degree:

Course of Study:

Graduate

Graduate Name/Location:

Years Completed:

Diploma/Degree:

Course of Study:

Employment HistoryList current or most recent jobs first. Attach Recommendation Letters, etc.

Employer 1

   

Employer:

→ Required Field

Dates:Beginning Date - Ending Date

→ Required Field

Address:

→ Required Field

Hourly Rate / Salary:Starting Pay - Final Pay

→ Required Field

Job Title:

→ Required Field

Work Performed:

→ Required Field

Supervisor:

→ Required Field

Reason For Leaving:

→ Required Field

Upload Recommendation Letter:

Employer 2

   

Employer:

Dates:Beginning Date - Ending Date

Address:

Hourly Rate / Salary:Starting Pay - Final Pay

Job Title:

Work Performed:

Supervisor:

Reason For Leaving:

Upload Recommendation Letter:

Employer 3

   

Employer:

Dates:Beginning Date - Ending Date

Address:

Hourly Rate / Salary:Starting Pay - Final Pay

Job Title:

Work Performed:

Supervisor:

Reason For Leaving:

Upload Recommendation Letter:

Upload Resume

Resume File:

 

Authorization & Disclaimer

Upon the signing of this application, I represent that all the information given by me is true and complete. I authorize Extra Resource Inc. to verify and of the information concerning my former employment, education, or credit. I authorize to release such information as required including any record of disciplinary action with out any obligation to give me written notice of such disclosure.

I authorize Extra Resource Inc. to release any information requested by any of my prospective employers with out any obligation to give me written notice of such disclosure. I here by release Extra Resource Inc. and such other third parities from any liability whatsoever as a result of any such inquires and disclosures.

I certify that all information on this application is true, and correct. I understand and agree that any misrepresentation, misleading statement or omission on this application will be sufficient reason for (1) my not being offered employment;(2) dismissal at any time.

I agree that any offer of employment by Extra Resource Inc. is contingent upon the results of a physical examination and or drug test. I authorize and consent to such examination and or drug test.

I agree that my employment if hired by Extra Resource Inc. is in "at-will" and either party may terminate the employment relationship with or with out cause at any time, I further agree that this policy may only be altered in writing directed to me personally and signed by the President of Extra Resource Inc. I agree that Ishall be bound by the rules, policies, terms and conditions of employment of Extra Resource Inc. as they are from time to time chaned, and no obligation can be imposed on Extra Resource Inc. except those which have been acknowledged in writing.

I agree that any action or suit against Extra Resource Inc arising out of or related to my employment or termination including but not limited to claims arising under state or federal civil rights statutes, must be arbitrated through the procedures of the American Arbitration Association and must be brought if at all with in the shorter of 180 days of theevent giving rise to the claim or the applicable statute of limitations, or be forever barred. I waive my limitation period to the contrary.

Checking "I Agree" below is considered your legal signature for this application submission.

I Agree (Required to Apply)

 

To prevent spam please
enter the code below:

CAPTCHA Image
Reload Image

**NOTE: Please download your Michigan IRS Forms before starting application.

Michigan IRS Tax & Contract Forms

All Employees Must Print and Fill Out ACA Form.

Questions or issues: Call 248-299-8600. Thank You.