MMI On-line Job Application | Mid-Michigan Industries

[Home] [About MMI] [Business Services] [Human Services] [Careers at MMI] [Contact MMI]

Business Services

Human Services

Spotlight on MMI

MMI’s Business Services consist of a wide range of services designed to save businesses time and money. Let us show you some new ideas to meet the needs of your business as cost effectively as possible.

MMI provides jobs and training for individuals with barriers to employment in eight Michigan counties and is a leading employer in Central Michigan area. We are also one of the largest community rehabilitation providers in Michigan.

>> Learn More

•	Employee of the Month
•	Person Served of the Month
•	MMI in the News

Click on one of the Spotlight pages below for exciting things happening at MMI!

MMI On-Line Job Application

The On-Line Application is Currently Not Available
Please Check Back Soon

All applicants will be considered for employment without regard to race, religion, color, sex, national origin, non-job-related medical condition or handicap, or other legally protected status. Auxiliary aids and services for completing this application are available to persons with disabilities upon request. We are an Equal Opportunity Employer.

First Name:

E-mail Address:

City:

State:

Address:

Last Name:

Zip:

Today's Date:

mm/dd/yyyy

How did you hear about us? (please select only one)

Current Employee

Other

What position(s) are you applying for?

Would you prefer: (please select only one)

Full-time

Part-time

Temporary

Contingent

Summer only

List any days or hours that you are NOT able to work:

Clare

Montcalm

Other

Isabella

Gratiot

Which county(s) are you willing to work in? (please select all that apply)

Are you employed now?

Yes

If yes, where?

Date available to work:

mm/dd/yyyy

Were you previously employed at MMI?

Yes

If yes, under what name?

Start Date:

mm/dd/yyyy

End Date:

mm/dd/yyyy

Have you previously applied for work at MMI?

Yes

If yes, under what name?

When?

mm/dd/yyyy

Have you ever been convicted of a crime?

Yes

Are there any felony charges pending against you?

Yes

If yes, describe?

Are you legally eligible for employment in the united States?

Yes

(Proof of citizenship or immigration status will be required upon employment)

Are you 18 years of age or older?

Yes

Are you currently on lay-off status and subject to recall?

Yes

Have you ever been discharged or asked to resign from a job?

Yes

(Please include any discharges that were subsequently converted to resignations)

If yes, explain?

During the past 5 years, were you ever unemployed for longer than 6 months?

Yes

If yes, explain?

If the position for which you are applying requires driving on behalf of the agency, we must conduct a check of your driving record. Do you authorize the agency to conduct a records check on your license?

Yes

If yes, please enter your license number:

Issuing state of license:

If yes, do you have any points on your license?

Yes

If yes, how many points?:

Are you related to any Board Member, employee or client of MMI?

Yes

If yes, please enter their name and relationship

EDUCATION AND TRAINING

Type of education

Name of School:

City and State:

School #1

Course of Study:

Years Completed:

Did you graduate?:

Yes

School #2

Type of education

Name of School:

City and State:

Course of Study:

Years Completed:

Did you graduate?:

Yes

School #3

Type of education

Name of School:

City and State:

Course of Study:

Years Completed:

Did you graduate?:

Yes

School #4

Type of education

Name of School:

City and State:

Course of Study:

Years Completed:

Did you graduate?:

Yes

Have you completed the Dept. of Mental Health curriculum for Direct Care workers?

Yes

If yes, when?

mm/dd/yyyy

What agency provided the training?

Are you certified in First Aid or CPR?

Yes

Expiration Dates: First Aid

mm/dd/yyyy

CPR

Please list additional training or certifications that you have that would be relevant to this position:

Please list any volunteer experience or professional memberships that would be relevant to the job: (exclude those that may disclose your race, color, religion or national origin)

Please indicate your proficiency with any work-related equipment or office machines:

EMPLOYMENT HISTORY

(Start with your most recent employer; include military experience)

Employer:

Address:

City:

State:

Zip:

Phone:

Dates of Employment:

From:

To:

mm/dd/yyyy

Position Title:

Job Duties:

Supervisor's Name:

Reason for Leaving:

Salary / Wages:

Starting:

Ending:

May we contact this employer?

Yes

Employer:

Address:

City:

State:

Zip:

Phone:

Dates of Employment:

From:

To:

mm/dd/yyyy

Position Title:

Job Duties:

Supervisor's Name:

Reason for Leaving:

Salary / Wages:

Starting:

Ending:

May we contact this employer?

Yes

Employer:

Address:

City:

State:

Zip:

Phone:

Dates of Employment:

From:

To:

mm/dd/yyyy

Position Title:

Job Duties:

Supervisor's Name:

Reason for Leaving:

Salary / Wages:

Starting:

Ending:

May we contact this employer?

Yes

Employer:

Address:

City:

State:

Zip:

Phone:

From:

To:

mm/dd/yyyy

Job Duties:

Dates of Employment:

Position Title:

PERSONAL REFERENCES

(List three people not related to you who are familiar with the quality of your work and whom you have know for at least a year.)

Name:

Address:

Relationship:

Phone:

Name:

Address:

Relationship:

Phone:

Name:

Address:

Relationship:

Phone:

Please read the statements below and sign to confirm your understanding. Applications will not be considered without signature.

     I certify that all statements made on this application and applicable attachment(s) are true and that I have not withheld any facts or circumstances which would, if disclosed, affect my application unfavorably. I fully understand that the misrepresentation or omission of facts or circumstances will be sufficient cause for the cancellation of my consideration for employment or cause for dismissal if I have already been employed.

     I authorize the investigation of all statements contained in this application and applicable attachment(s) and the further investigation of any information required to determine my qualifications for the position(s) for which I am applying. I authorize current and former employers, schools and other sources to release any information required by MMI to determine my qualifications for the positions for which I am applying and hereby release all individuals and organizations for any liability or damages on account of having furnished such information. I waive any right under Public Act 397 or 1978 to receive any written notice from the organization, former employers, and other sources that such information has been released.

     I understand and agree that if an offer of employment is made, I may be required to submit to a pre-employment screening. I also understand and agree that if I should become employed by the organization to tests for alcohol and drug use prior to my employment and periodically thereafter.

     I understand and agree that if I should become employed by MMI, my employment will be governed by the organization's personnel policies applicable to my position. I also understand and agree that MMI’s personnel policies may be changed by the organization at its discretion from time to time.

     I understand and agree that this application is not intended to be a contract of employment. Should I become employed, my employment is not for any specified period of time and is terminable at the will of MMI without cause or notice. Modifications of the at-will employment relationship will not be valid unless reduced to writing and signed by myself and the organization's President.

ELECTRONIC SIGNATURE

Applicant's Name:

Today's Date:

mm/dd/yyyy

Revised: 9/1/2010