Application for Employment

Be thorough in your response to all questions and directions. A background check must be submitted for this application to be considered.

Position applied for 1st choice

2nd choice

Referred by

Date available

YYYY

General Information

Name

Primary contact number

Address

On the start date of employment, I will be:

13 years old or younger

14 years old

15 years old

16-17 years old

18-20 years old

21+ years old

Do you have any relatives employed by Michindoh?

Yes

List all relatives employed by Michindoh

Have you ever been convicted of a felony, plead no contest in a felony, or been convicted of a misdemeanor resulting in imprisonment or a fine over $500 during the last 10 years (conviction will not necessarily disqualify applicant)?

Yes

Please explain

Education

List your educational history beginning with your most current first

School / college name

City, state

Course of study

Progress / completion

Other education, specialized training, certification(s), or apprenticeship(s)

Employment

List all employment for the past 10 years, starting with the most current

Organization

Street Address

City, state

Job Title

Phone

Start Date

YYYY

End Date

YYYY

Supervisor

Starting Hourly Wage

USD

Ending Hourly Wage

USD

Work performed

May Michindoh contact?

Yes

If Michindoh may not contact, please explain why

Reason for Leaving

References

Please include at least three references.

Name

Relationship to applicant

Phone

Years acquainted

Additional Information

Additional information you want to include

Attach a resume, certificates, or other documents (optional)

Delete all uploads

Choose files or drag here

Submission Policy and Information

I have read the Religious Organization Employment Policy.

I affirm that this policy represents my sincerely held beliefs.

I acknowledge this policy, but it may not represent my sincerely held beliefs.

I do not agree to abide by this policy and it does not represent my beliefs.

Please include any comments you wish to submit with your application

I agree to the Applicant Statement.

By using this form, I consent to Michindoh's Terms of Service.

Signature

Date

2025

Verification