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    Are you at least 18 years of age?

    Upon the signing of this application, I represent that all of the information in this application or which now or hereafter may be given by me in support of my application is true and complete. I authorize the Blue Water Area Transportation Commission (the "Commission") to verify any of the information concerning me, including my former employment, education, credit history, criminal history, or medical history (post offer), with any individuals, companies, institutions or agencies, and I authorize them and references to release such information as you require including my prior disciplinary employment record without liability for damage incurred in giving any such information and without any obligation to give me written notice of such disclosure that may be required by state or federal law. I also authorize you to release any information requested by any of my prospective or subsequent employers without liability for damage incurred in giving any such information and without any obligation to give me written notice of such disclosure that may be required by state or federal law. I hereby release you and them from any liability whatsoever as a result of any such inquiries and disclosures except that this release from liability does not waive or prohibit an individual from filing a charge of discrimination under the laws enforced by the EEOC. I agree that any false information, misrepresentation, or omissions, oral or written, provided on the application or in support may disqualify me from further consideration for employment or may subject me to discipline or discharge at any time during the period of my employment.

    I agree that if I become an employee of the Commission either party may terminate the employment relationship, with or without cause, at any time, and I further agree that this arrangement may only be altered by a writing directed to me personally and signed by the Commission General Manager. I agree that I shall be bound by the other rules, policies, regulations and terms and conditions of employment of the Commission - as they are from time to time changed, and no additional obligations can be imposed on the Commission except those which have been acknowledged in writing, by the Commission General Manager.

    I hereby consent to the release of my driving record to the Commission. I understand upon an offer of employment, I will be required to undergo a physical examination prior to employment and such future medical examinations as may be required by the Commission.

    I hereby give my consent for the Commission through an authorized testing service of its choice, to collect blood, urine or saliva samples from me and to conduct any other necessary medical tests to determine the presence of alcohol, drugs, or controlled substances, and I hereby release the Commission and the testing service from any liability arising out of such test or its result. Further, I give my consent for the release of the test results and other relevant medical information to authorized Commission management for appropriate review.



    A person with a disability or handicap requiring accommodation for completing the application process should notify the Commission Manager as soon as possible.

    The Commission is an Equal Opportunity Employer. It is policy of the Commission to afford equal employment opportunity regardless of a person’s race, religion, color, national origin, sex, age, marital status, height, weight, or disability.

    Michigan law requires that a person with a disability requiring accommodation for employment notify the employer in writing 182 days after the need is known.


    Have you ever worked for the Commission under another name?



    If you are hired, can you provide proof of authorization to work in the United States?

    Educational Background



    Graduated (grade school)




    Graduated (high school)




    Graduated (college)




    Graduated (trade school)


    Health

    Are you able to perform the essential job functions listed for the position applied for with or without reasonable accommodation? (Driver functions are listed further on this application.)

    Work Record

    Have you ever worked for the Commission before?

    If yes, from when to when?





    Names of any relatives employed by BWATC





    Have you ever been discharged (fired) from employment?


    Have you ever been convicted of a crime (conviction will not be an absolute bar to employment)?


    Are there any felony charges pending against you?


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