Pre-Employment Application Form

This is not an offer for employment.

To the applicant: We appreciate your interest in our company and assure you that we are interested in your qualifications. We ask that you complete the following Pre-Employment form. This will assist us in determining if a position is available based on the information provided. You may also be asked to complete a more comprehensive Application for Employment as the next step in our hiring process.

We are an equal opportunity employer and will not unlawfully discriminate on the basis of race, color, sex, religion, national origin, age, marital or veteran status, the presence of a medical condition or handicap, height, weight, or other protected status.

Instructions:

You may download a hard copy of the Pre-Employment form here. Please print this form (completing all areas) and fax it to us at 810-664-6053

To submit the form Online, please complete the following form:

Personal Information:
Name
Phone Number
Email Address
Address
City / State / Zip Code
18 Years or Older?	Yes No
US Citizen?	Yes No
Authorized to work in US?	Yes No
Have you applied before?	Yes No
If Yes, when?
Employment Details:
Position Applied For:	Full Time Part Time
	Other:
Kind of work sought:
Special Skills or Training:
Salary Range:
Date Available for Work:
Employment Experience: Provide a simple description of yur current/past employment history.
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2)
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4)
5)
Comments

NADC respects your privacy and promises not to use this information in any manner inconsistent with the purpose intended.

NADC
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Toll Free: 800-664-3697 | Fax: 810-664-6053

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