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A World of Accounting & Business Financial Services Call today at 800-624-2400

Weinlander Fitzhugh - Certified Public Accountants & Consultants

This Company 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. 

Please note that this application will only remain active for 3 months, after which the applicant would need to re-apply.

Position Applied for(*)
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Date of Application(*)
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Date you can start(*)
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Last Name(*)
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First Name(*)
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Middle Name(*)
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Street Address(*)
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City(*)
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State(*)
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Zip Code(*)
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Home Phone(*)
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Are you 18 years or older?

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Are there any hours or days of the week you cannot work?

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When?
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Salary Desired
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Type of Employment

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Are you employed now?

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Name, title and phone of current employer?
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May we contact your present employer?
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Have you ever applied to this Company before?

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Where?
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When?
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Under what name?
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Education

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Elementary School

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Did you Graduate?
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High School

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College

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Specialized Training

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Did you Graduate?
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Military

Do you have US Military experience?

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Date Entered
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Branch
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Rank
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Date Discharged
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Honorably?
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Are you lawfully entitled to be employed in the United States?
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Have you ever been convicted of a crime except a minor traffic violation?

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If so, please state citation, date and place where offense occurred.
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Please provide any additional information such as special skills, training, management experience, equipment operation or qualifications you feel will be helpful to us in considering your application.
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References

1. Name
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Address and Phone
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Relationship
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Years Acquainted
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2. Name
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Address and Phone
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Relationship
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Years Acquainted
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3. Name
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Address and Phone
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Relationship
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Years Acquainted
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Emergency Contact Name
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Emergency Contact Address
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Emergency Contact Phone Number
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Current and Former Employers

(Most Recent One First)

1. Employer

Employer Name
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Address
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Phone
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Start Date
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End Date
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Salary Starting/Ending
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Last Position Held/Responsibilities
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Reason for leaving
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2. Employer

Employer Name
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Address
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Phone
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Start Date
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End Date
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Salary Starting/Ending
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Last Position Held/Responsibilities
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Reason for leaving
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3. Employer

Employer Name
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Address
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Phone
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Start Date
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End Date
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Salary Starting/Ending
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Last Position Held/Responsibilities
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Reason for leaving
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4. Employer

Employer Name
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Address
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Phone
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Start Date
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End Date
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Salary Starting/Ending
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Last Position Held/Responsibilities
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Reason for leaving
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5. Employer

Employer Name
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Address
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Phone
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Start Date
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End Date
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Salary Starting/Ending
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Last Position Held/Responsibilities
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Reason for leaving
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May we contact the employers listed?

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If not, which one(s)
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Please read the following statement carefully before submitting to indicate your understanding:

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 the Company prior to the test so that a reasonable accommodation can be made. The Company reserves the right to require medical documentation regarding the need for accommodation.

I certify that the facts contained in this application are true and complete to the best of my knowledge and understand that, if employed; falsified statements on this application may result in termination.

I understand and agree that, if hired, my employment is for no definite period and may, regardless of the date of payment of my wages and salary, be terminated with or without cause, at any time, with or without notice.

As a condition of employment, employees agree not to commence any action, claim, or suit relating to their employment with the Company more than 182 calendar days after the date the employee knew or should have known that a claim existed. Further, employees agree to waive any statute of limitation to the contrary.

I authorize investigation of all statements contained in this application for any employment-related purpose. I release the listed references and all employers, except those specifically excepted,* to provide you with any and all applicable information they may have. I hereby release these references and former employers from all liability for any information they may give to the Company.


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