Employment Application Step 1 of 6 16% Today's Date Date Format: MM slash DD slash YYYY Name of Applicant First Last List Positions for Which You Are Applying:Position Type*Choose one.Full-Time with BenefitsInternSeasonal/Summer HelpPlease SpecifyShift Preferred*DaysNightsAnyChoose one.Area/Career Path Interest*ProductionAssistant Team LeaderTeam LeaderOffice AdministrativeProfessional-ExemptOtherChoose one.You Selected Production PositionsCheck all that apply.PC-Logistics (Forklift Operator/Warehouse/Shipping/Receiving)AssemblyMachining (Compressor Machining)Machining (Hub/Stator/Rotor)Production Die Cast/PressYou Selected Assistant Team Leader*Indicate the area/areas of interest, or fill in the Job Posting# to which you are applying You Selected Team Leader*Indicate the area/areas of interest, or fill in the Job Posting# to which you are applying You Selected Other*Indicate the area/areas of interest, or fill in the Job Posting# to which you are applying You Selected Maintenance/Skilled Trades*Indicate the area/areas of interest, or fill in the Job Posting# to which you are applying You Selected Professional-Exempt*Indicate the area/areas of interest, or fill in the Job Posting# to which you are applying Date of Application Date Format: MM slash DD slash YYYY Upload ResumeIf you have a resume, cover letter or other materials you would like us to consider, please upload here. Personal InformationName* First Middle Last Home PhoneCell PhonePreferred Method of Contact*i.e. Cell - text messageEmail Best Time to Contact* Monday Tuesday Wednesday Thursday Friday Saturday Sunday Time of Day* Early Morning (6am - 8am) Day time (8am - 3pm) Afternoon (3pm - 6pm) Evening (6pm - 9pm) Night (9pm - midnight) Other You Selected Other (Please Specify)Shift Preference* Select All Blue (6 AM to 2:30 PM) Blue - Office (8 AM to 5 PM) Blue - Maintenance (7 AM to 3:30 PM) Green (9 PM to 5:30 AM) Green (2:30 PM to 11 PM) Green - Maintenance (3 PM to 11:30 PM) Red (11 PM to 7:30 AM) Check all that apply.Home Address* Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Are you lawfully entitled to be employed in the U.S.?*YesNoDo you have proof of your right to work in the U.S.?*YesNoI understand that I will be required to provide proof of legal employability status to MACI, on acceptance of a contingent offer, as required by Department of Homeland Security (I-9 documentation). I understand that MACI is E-Verify employer, and I am indicating that I meet the criteria for consideration of employment*YesNoAre you 18 years of age or older?*YesNoReferred to Michigan Automotive Compressor, Inc. by: EducationI am currently enrolled in MACI’s Robotic Systems program with Western HighYesNoI have completed MACI’s Robotic Systems program with Western High SchoolYesNoHigh School*NameLocationDegreeMajor SubjectsNumber of Years AttendedGED CollegeNameLocationDegreeMajor SubjectsNumber of Years Attended OtherNameLocationDegreeMajor SubjectsNumber of Years Attended GraduateNameLocationDegreeMajor SubjectsNumber of Years Attended Business SkillsBusiness SkillsTyping SpeedComputer Programs/Business Machine SkillsSupervision Experience (YRS.) Military ServiceMilitary ServiceBranchDatesHonorable Discharge Special Training Related to Employment Interests List 4 References Familiar with Your Employment HistoryPlease provide at least two references who are familiar with your employment history. A qualified reference indicates that the individual has been in a supervisor role to your work/education history, or is at least not an immediate peer in the environment nor are they related to you by blood or marriage.Reference 1*NameMailing AddressPhone NumberHow Long KnownCapacity Known Team Leader / Shift LeaderSupervisorManagerProject ManagerTeacher/Instructor/ProfessorInternship SupervisorOther Previous Michigan Automotive Compressor, Inc. HistoryWere you previously employed by Michigan Automotive Compressor, Inc. ?*YesNoDateDepartment Have you ever applied to this company before?*YesNoIf so, when?Are you currently temping here at Michigan Automotive Compressor?*YesNoDo you have any friends or relatives currently/previously employed by Michigan Automotive Compressor, Inc?*YesNoWhat is their relationship to you?FriendRelativeBy MarriageTheir InfoFull NameRelation to youSpecify ParentGrandparentSiblingAunt/UncleCousinOther (please specify in the next line) Employment HistoryMACI is interested in candidates from various sectors and at various points in their educational and professional development. Please be sure to read and complete this section carefully so your application can be routed to the proper MACI Human Resources contactI am designating my application type as follows:*1st time Job Seeker – post H.S. Diploma/GED completionCurrent H.S. Student – Summer Help early application submittalCurrent Student H.S. or College/University –Work-study (JAC3)/Internship application submittaCurrent Temporary Associate – Consideration for TEP submittalOutside Applicant – Active Interest in Specific MACI Open PositionOutside Applicant - Seeking new opportunities for consideration of career developmentWestern High School – Robotic Systems Student/GraduateYou are not required to submit 7 years of job history, if you have any work history, including casual part-time, please complete as much as possible.You are not required to submit 7 years of job history, if you have any work history, including casual part-time, please complete as much as possible.You are not required to submit 7 years of job history, if you have any work history, including casual part-time, please complete as much as possible.You are not required to submit 7 years of job history, if you have any work history, including casual part-time, please complete as much as possible.You are required to give detailed information on your history of MACI assignments as temporary and include a minimum of last 3 years of work historyPlease indicate your level of proficiencyNone: Getting Started on a New Career1-3 years: Entry Level4-5 years: Intermediate Level6-8 years: Advanced LevelMore than 8 years: Sr. Advance LevelEmployer 1Name of EmployerPhoneName of Contact First Last Address Address of Employer City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Employment Dates (From) Date Format: MM slash DD slash YYYY Employment Dates (To) Date Format: MM slash DD slash YYYY Reason for leavingEnding SalaryDescription of DutiesEmployer 2Name of EmployerPhoneName of Contact First Last Address Address of Employer City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Employment Dates (From) Date Format: MM slash DD slash YYYY Employment Dates (To) Date Format: MM slash DD slash YYYY Reason for leavingEnding SalaryDescription of DutiesEmployer 3Name of EmployerPhoneName of Contact First Last Address Address of Employer City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Employment Dates (From) Date Format: MM slash DD slash YYYY Employment Dates (To) Date Format: MM slash DD slash YYYY Reason for leavingEnding SalaryDescription of DutiesEmployer 3Name of EmployerPhoneName of Contact First Last Address Address of Employer City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Employment Dates (From) Date Format: MM slash DD slash YYYY Employment Dates (To) Date Format: MM slash DD slash YYYY Reason for leavingEnding SalaryDescription of DutiesEmployer 4Name of EmployerPhoneName of Contact First Last Address Address of Employer City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Employment Dates (From) Date Format: MM slash DD slash YYYY Employment Dates (To) Date Format: MM slash DD slash YYYY Reason for leavingEnding SalaryDescription of DutiesEmployer 5Name of EmployerPhoneName of Contact First Last Address Address of Employer City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Employment Dates (From) Date Format: MM slash DD slash YYYY Employment Dates (To) Date Format: MM slash DD slash YYYY Reason for leavingEnding SalaryDescription of Duties Target Total Compensation:Salary or Wage*SalaryWageAmount/Hour or Amount/YearVacation TimeOpen/As offered for positionOtherPlease SpecifyHolidaysNumber of Days expected per yearExpected – my cost of Health Insurance Coverage/payPlease type in $ amountADDITIONAL INFORMATION Michigan Automotive Compressor, Inc. is an equal opportunity employer and will not discriminate against any applicant on the basis of any characteristic that is protected by State or Federal law. Michigan Law requires that a person with a disability or handicap requiring accommodation to perform the essential duties of the job must notify the employer In writing within 182 days of the date that the need is known or should have been known. I understand that, prior to being offered employment, I may be requested to take an employment examination, in the event that I have a disability that will affect my ability to take the test, I will so inform Michigan Automotive Compressor, Inc. prior to the test so that a reasonable accommodation can be made. Michigan Automotive Compressor, Inc. reserves the right to require medical documentation regarding the need for accommodation. I agree that any lawsuit against the company arising out of my employment or termination of employment, including but not limited to claims arising under State or Federal civil rights statutes, must be brought within one year of the event giving rise to the claims or to be forever barred. I waive any limitation period to the contrary. I certify that all information given herein is complete and made truthfully. If information is found to be false or deliberately omitted, it may be sufficient reason for dismissal. I hereby grant approval for a reference check with former employers, references listed and any other appropriate individuals. I release from liability those individuals who may provide such information. I understand that such information may include a record of disciplinary action assessed by previous employers and hereby release such parties from any obligation to provide me with written notification of such disclosure. I also understand failure to pass a drug test or refusal to take a test, will result in denial for future consideration of employment. I agree and understand that any employment offer is conditional upon the results of the pre-employment medical exam.HAVE YOU BEEN CONVICTED OF A FELONY? (CONVICTION DOES NOT AUTOMATICALLY DISQUALIFY YOU FROM EMPLOYMENT CONSIDERATION)*YesNoPLEASE STATE CITATION. DATE AND LOCATION WHERE OCCURRED I UNDERSTAND THAT MICHIGAN AUTOMOTIVE COMPRESSOR, INC. CANNOT GUARANTEE EMPLOYMENT FOR A SPECIFIC LENGTH OF TIME. IF I ACCEPT EMPLOYMENT, I AGREE TO ABIDE BY THE POLICIES AND PROCEDURES OF THE COMPANY.By typing my name below, I am electronically signing my application.