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Click here or scroll down to respond to this candidateAPPLICATION FOR EMPLOYMENTStaff Finders Inc is an Equal Opportunity Employer. This application has been designed to comply with Michigan and Federal Fair Employment Practice Laws prohibiting discrimination. All qualified applicants will receive equal consideration for employment without regard to race, religion, color, sex, national origin, age, military background, handicap or any other legally protected status. INFORMATIONFirst NameKimberlyMiddle NameElaineLast NameGrantTodays Date01/05/202418 Years or Older?YesStreet Address (Include Apt #)147 Church StreetCityDetroitStateMiZip48203Main TelephonePHONE NUMBER AVAILABLEEmail AddressEMAIL AVAILABLEAlternate TelephoneEmergency Contact Full NameShanavia grantEmergency Contact TelephonePHONE NUMBER AVAILABLEEmergency Contact RelationshipDaughterCAREERPosition/Type of Work DesiredN/aWhat Type of Work Are You Looking For?Full Time Part Time TemporaryHow Did You Hear of This Position/Company?IndeedSummer Seasonal On CallList Friends/Relatives Employed by Staff Finders or Position of Interest N/aWhat is Your Shift Availability?2ndWhat Days Are You NOTAvailable to Work?Mon Tue Wed Thurs Fri Sat SunWhat Times Are You NOTAvailable to Work?AM PMPHONE NUMBER AVAILABLE 10 11 PHONE NUMBER AVAILABLE 10 11 Are You Currently Working? Are You Subject to Lay-Off or Recall?Can you perform the duties ofthe job you are applying for?Are You Prevented from LawfullyBecoming Employed in this CountryBecause of Visa or Immigration Status?No No Yes NoEDUCATIONHigh School College Graduate/Professional/Trade School School Name/Location Osborn high school DetroitMichiganDate of Graduation/Date Last Attended1998Diploma/Degree General study1SKILLSSkill How Long? Skill How Long? Skill How Long?ProductionMachine OperatingPress OperatingVisual InspectionCustomer Service QualityOther Job Skills/Certifications:EMPLOYMENT HISTORYPlease give complete and detailed information regarding all of your present and former employment (exclude military service) to ensure application processing. Please check mark whether the position was full time, part time, or temporary/seasonal employment, and what staffing agency it was with. Company Info Start Date/ End DateJob Type(Pick One)Job Title/Details Pay Reason for LeavingCompany NameHill machinery LLC workforceStart Date01/23Full TimeJob TitleMachine operatorStart Pay Looking for somethingbetterCity/StateFrasier miPart TimeSkills Used or Learned at JobOperator machineStaffing Agency Name(If applicable)End Date09/23Temporaryor SeasonalFinal PayCompany Name Start Date Full TimeJob Title Start PayCity/State Part TimeSkills Used or Learned at JobStaffing Agency Name(If applicable)End Date Temporaryor SeasonalFinal PayCompany NameRivererStart Date10/23Full TimeJob TitleMachine operatorStart Pay PersonalCity/StateFrasier miPart TimeSkills Used or Learned at JobOperator machineStaffing Agency Name(If applicable)Entech staffingEnd Date12/23Temporaryor SeasonalFinal PayCompany Name Start Date Full TimeJob Title Start PayCity/State Part TimeSkills Used or Learned at JobStaffing Agency Name(If applicable)End Date Temporaryor SeasonalFinal PayIf there are any periods between these employers when you were not employed, please state the dates you were not employed and the reason: 2HEALTH INSURANCE POLICIESStaff Finders is offering health insurance (for all FULL-TIME employees) at a nominal cost to you. Do you currently have health Insurance? YesAre You Interested in Learning About These Plans? No By signing here, I acknowledge that SFI has made me aware that all full-time SFI employees have access to health insurance through the company and SFI has offered enrollment information to all available health insurance plans. I have chosen to either take the information and enrollment forms home so that I may review the plans before making a decision, or I have chosen to decline the health insurance due to pre-existing coverage. If I have chosen to take the information and enrollment forms home, I understand that in order to sign up for one or more of these plans, I must complete and return these forms prior to my 30th day of employment. If Staff Finders does not receive my completed enrollment form within 30 days of my start date, open enrollment, or qualifying life event, I understand I will be voluntarily declining the health insurance plan(s) offered by Staff Finders.Additionally, I hereby give permission to Staff Finders to submit the ACA year-end health insurance paperwork via electronic distribution(e-mail).Name Kimberly Grant Date 01/05/2024 SSN: XXXXXXXXXSignature Kimberly Grant Email EMAIL AVAILABLE Regardless of your responses to the questions in this section, you may enroll under ANY of the following circumstances: If you wish to enroll, in order to guarantee your coverage by the 60th day of employment you must submit enrollment forms within 30 days of hire, re-hire, beginning of full-time status (if you have any questions about when your 30-day period ends, call the office). Outside of the 30 day period You may elect a special-enrollment if you have a qualifying life event (marriage, divorce, birth/adoption of a child, termination, death of an immediate family member (1st degree), Medicare entitlement, Employer bankruptcy, loss of dependent status, or loss of prior coverage) within 30 days of the occurrence of the event. You may request a special enrollment of 60 days within 30 days of termination of Medicaid coverage. In addition, Staff Finders will have an annual Open Enrollment period every November. In all cases, please notify SFI at the earliest possible time if you wish to enroll. BACKGROUND CHECK AUTHORIZATIONI understand that having a criminal background does not automatically exclude being eligible for work with Staff Finders. Providing false information is potential grounds for immediate employment denial. Please check either YES or NO:Have you ever pled guilty to any crimes or misdemeanors? No, I have not If YES, please explain why and include year(s) convicted: I hereby authorize Staff Finders Inc. and its designated agents and representatives to conduct a comprehensive review of my background causing a consumer report and/or an investigative consumer report to be generated for employment purposes. I give Staff Finders the right to "approve" or "deny" any employment upon review of the background check returned. I understand that the scope of the consumer report/ investigative consumer report may include, but is not limited to the following areas: verification of social security number; credit reports, current and previous residences; employment history, education background, character references; drug testing, civil and criminal history records from any criminal justice agency in any or all federal, state, county jurisdictions; driving records, birth records, and any other public records. I authorize any individual, company, firm, corporation, or public agency to divulge any and all information, verbal or written, pertaining to me, to or its agents. I further authorize the complete release of any records or data pertaining to me which the individual, company, firm, corporation, or public agency may have, to include information or data received from other sources and its designated agents and representatives shall maintain all information received from this authorization in a confidential manner in order to protect the applicants personal information. I understand an extensive background check will be conducted. A cost of $40 for the background check will be deducted from my first paycheck with any of Staff Finders clients. In the event I am hired direct with a client of Staff Finders, I understand that I will be reimbursed for the full cost of the background check within three weeks after getting hired in.By affixing my signature to this form, I acknowledge my statements are true and give full consent to complete the requested background check. Name Kimberly Grant Signature Kimberly Grant Date 01/05/2024 3DIRECT DEPOSIT/W-2/FEE POLICIES1. ANY CHANGE OF ADDRESS OR BANKING INFORMATION MUST BE MADE IN WRITING. YOU MAY SEND IT BY E-MAIL OR BY HAND. 2. If you have a bank account or pre-existing paycard you would like to use for Direct Deposit, please provide the information either by email or by hand. This can be given or sent any time between your start date and the Monday of your second week on the job. If we do not receive direct deposit information by 5pm Monday, you will be issued a paycard, which can be picked up at the Staff Finders office in Troy. 3. If a direct deposit needs to be cancelled during a payroll week after it has been sent out, or a check is lost, damaged, or stolen and is unable to be cashed, employee will be responsible to pay $40.00 for a stop payment. A new direct deposit or check can only be issued 48 hours after the stop payment has been made, and it will have the $40.00 deducted from it. 4. For every direct deposit, there will be an email weekly with a link to access the paystub digitally. It is your responsibility to keep track of your paystubs Please DO NOT delete the paystub emails. If you do not receive it by Friday, call the office as soon as possible for it to be resent. Any request for additional copies of paystubs after the Monday following payroll will incur a $2 administrative fee per paystub. 5. If any garnishments are ordered to be taken out of your direct deposit, there will be a one-time administrative charge per month. For electronic payment, i.e. direct deposit, there will be a $2/month charge. 6. If you request to change your State/Federal tax paperwork outside of a QLE, or Qualifying Life Event (marriage, birth of a child, etc.), you must fill out a new tax form. There will be a $10 processing fee to make each adjustment. 7. Please note that (regardless of employment status) you MUST provide SFI with a correct mailing address and email address by the end of the year so that your W-2 can be sent to you.8. W2s will be sent via email by January 31st. If you would like a paper copy, please call our office to request it. 9. There will be a $5.00 charge if you lose your W-2 and need a replacement, or if you fail to provide the correct address information and a second W-2 needs to be sent out.10. If you are on direct deposit and your assignment ends (voluntary or involuntary), your direct deposit will no longer be valid after 4 consecutive weeks following your last payroll deposit. You MUST notify SFI in writing (or via email) to reactivate your direct deposit, or you will be issued a pay card.11. If you change your bank/bank account number, you MUST notify SFI immediately. The drop dead time to notify SFI is Monday by the end of business day for the payroll week in question it should be in effect. 12. SFI will not be responsible if funds are deposited into an old account, nor will SFI replace a new direct deposit until the funds are returned. Name Kimberly Grant Signature Kimberly Grant Date 01/05/2024 EMPLOYMENT VERIFICATION AUTHORIZATIONDISCLOSURE AND AUTHORIZATION REGARDING BACKGROUND INVESTIGATION FOR EMPLYOMENT PURPOSES INVESTIGATION FOR EMPLOMYENT PURPOSES DISCLOSURE AND RELEASE FORM As part of the application process for employment at Staff Finders Inc, I understand that they and/or its agents may conduct an investigation for my personal information. The investigation might include but is not limited to names and dates of previous/current employment, work experience, workers' compensation claims, criminal history records (from state, federal and other agencies), motor vehicle records, military records, names and dates of education, credit history, and bankruptcy records. I understand that these records may be used for the eligibility of my employment. I authorize without reservation the full release of these records and for Staff Finders and/or its agents contracted by Staff Finders to obtain information. I understand this document will not become part of my personnel file with the company, if hired. In addition, I release and discharge Staff Finders, and all its agents and associates, and expense, losses, damages, liabilities, or any other charges or complaints for the investigative process. I also authorize the full release of the information described above, without any reservation, throughout any duration of my employment at Staff Finders Inc. ("company/customer name"). I also certify that all information provided is correct on the application and my resume to the best of my knowledge. Any false statements provided will be considered just cause for termination of employment.Upon request, Staff Finders will supply a copy of my report and my rights under the Fair Credit Reporting Act. AuthorizationI hereby authorize Staff Finders Inc to obtain the consumer reports described above about me First Name Kimberly Middle Name Elaine Last Name Grant Signature Kimberly Grant Date of Birth 08/04/1976 Social Security # 366929316 Email EMAIL AVAILABLE Best Phone # PHONE NUMBER AVAILABLE Date 01/05/2024 4MICHIGAN PAID MEDICAL LEAVE ACT (PMLA)Effective March 29, 2019, Michigan's Paid Medical Leave Act (PMLA) requires covered employers to provide paid medical leave to eligible employees.Employees accrue one hour of paid medical leave for every 35 hours worked. Employees use of paid medical leave cannot exceed 40 hours per year. Under the PMLA, Staff Finders is allowing employees to accrue paid medical leave of no more than one hour per calendar week (as long as employee works minimum of 35 hours in week). Employees begin to accrue paid medical leave on March 29, 2019, or upon hire, whichever date is later. Employees do not accrue paid medical leave for hours taken off work for paid leave (including paid vacation days, paid personal days and paid time off). Employees are allowed to carry over unused, accrued paid medical time from year to year, up to a limit of 40 hours per year. Staff Finders employees will be required to wait 90 calendar days after beginning employment to start using accrued paid medical leave. Employees May Use Accrued Medical Leave Due to Any of the Following Reasons: 1. An employees own mental or physical illness, injury or health condition (including the need for medical diagnosis), care or treatment and preventive medical care2. A family members mental or physical illness, injury or health condition (including the family members need for medical diagnosis(, care or treatment and preventive care3. Closure of the employees primary workplace by order of a public official due to a public health emergency or closure of an employees childs school or place of care by order of a public official due to a public health emergency, or when it has been determined by health authorities that the employees (or the employees family members) presence in the community would jeopardize the health of the others due to a communicable disease4. If the employee or an employees family member is a victim of domestic violence or sexual assault, to obtain medical care, psychological or other counseling for physical or psychological injury or disability, or to: Obtain services from a victim services organization Relocate due to a domestic violence or sexual assault Obtain legal services or participate in any civil or criminal proceeding related to or resulting from domestic violence or sexual assaultEMPLOYEE REQUIREMENTSStaff Finders Employee Requirements to qualify for Paid Time Off (PTO) under the Paid Medical Leave Act (PMLA). Employee must provide Staff Finders written (E-Mail) notice prior to normal shift start time on day they wish to use PTO. Request for time off can be emailed to EMAIL AVAILABLE or to your main recruiters email address. Employee who requests PTO may use the accrued hours in no less than half- or full-day increments. Employee must provide authorized documentation to Staff Finders within three calendar days of requested day off. Failure to comply with listed above policies may disqualify employee from PTO under the PMLA. Staff Finders is required by law to maintain the confidentiality of health, domestic violence and sexual assault information about an employee or his or her family member and cannot disclose the information to others without the employees permission. Staff Finders is not required to include overtime pay, holiday pay, bonuses, commissions, supplemental pay, piece-rate pay or gratuities in the calculation of an employees normal hourly wage.If employee stops working or is terminated at an assignment assigned by Staff Finders and is re-hired to another assignment with Staff Finders at any time, any accrued hours under the PMLA are not retained. Employee will start back with zero accrued PTO hours when new assignment beginsI understand and will adhere to all the above-mentioned policies and procedures under the Paid Medical Leave Act. Failure to comply may result in disqualification of paid time-off (PTO) under the PMLA. Name Kimberly Grant Signature Kimberly Grant Date 01/05/2024 NOTICE OF LEAVE AGREEMENTI acknowledge that, if I accept an assignment with Staff Finders, should I decide that I do not wish to return to my assignment, I must give written (email) or verbal (over the phone/in person) notice to Staff Finders of at least two business days prior to ending my assignment. If, for any reason, I do not return to work without notifying Staff Finders directly in any manner (IE Stop showing up for work, No Call No Show, etc.) any time during my assignment, I understand and accept that my pay rate for any and all hours worked on my final paycheck from that assignment will automatically revert to the state of Michigan Minimum Wage (Beginning January 1st, 2023 Min Wage is $10.10/hour). Exceptions are:1. I am asked by Staff Finders not to return to my assignment (IE performance/absenteeism) 2. I am informed in advance by SFI my assignment may only be 1 day in duration Name Kimberly Grant Signature Kimberly Grant Date 01/05/2024 5RULES OF CONDUCTPeople work together best in an atmosphere where they are valued as individuals and recognized as key members of a team. It is important that as a member of that team you understand what is expected of you. If you have any questions at all, discuss it with your immediate supervisor or SFI. Understanding is vital to teamwork. The following are examples of employee conduct that is not permitted and will result in termination of employment and could affect your unemployment claim. Poor attitude and/or insubordination Failure to maintain satisfactory work performance standards Falsification of time records, personnel records or other company records Smoking, gambling, use of drugs or alcohol on company premises Sleeping on the job Conducting ANY illegal activity while on SFI or SFI clients premises (regardless of whether you are on the clock or not) Possession of firearms, explosives or other lethal weapons on the premises including the parking lot Abuse or waste of company tools, equipment, fixtures, property or supplies Creating or contributing to hazardous, unhealthy or unsanitary conditions Failure to cooperate with supervisor or co workers Disorderly conduct, harassment of other employees including sexual harassment or use of abusive language Fighting, encouraging a fight, or threating, attempting or causing injury to another person on or off the premises when engage in a work assignment Dishonesty or the unauthorized possession, removal or use of company or another employees property, including records and confidential information Repeated tardiness or absence without prior notification to Supervisor or without satisfactory reason Quitting an assignment or walking off during shift without approval, regardless of intent to quit Unavailability for work, refusing or ignoring an offer of work Conduct that you have been informed is unacceptable Additional rules of conduct can be found in the Staff Finders, Inc. Employee Manual. Name Kimberly Grant Signature Kimberly Grant Date 01/05/2024 EMPLOYEE CONTACT POLICYIf employed by the Staff Finders, Inc., it is mandatory that you provide us with a phone number and/or address change promptly. Should you leave Staff Finders employment, you must provide any change of phone numbers so that we may contact you for another job. Failure to do so could affect your unemployment claim.Remember, unemployment insurance is meant to help you survive between jobs. If Staff Finders calls, texts, or emails you for a job and you do not respond in a timely fashion, it could affect your unemployment claim. In order to qualify for unemployment you must be ready and available for full time work.Name Kimberly Grant Signature Kimberly Grant Date 01/05/2024 STAFF FINDERS, INC. APPLICATION ACKNOWLEDGEMENTMy signature below confirms that I have read, understand and verify all the statements I have made are accurate and forth-coming to the best of my ability. Falsification of any statements made within this eight-page application (during any time, if I am employed by Staff Finders) can result in immediate termination.Name Kimberly Grant Signature Kimberly Grant Date 01/05/2024 STAFF FINDERS, INC. EMPLOYEE MANUAL ACKNOWLEDGEMENT My signature below confirms that I have read (and received a copy), understand and will adhere to the policies and procedures described in the Staff Finders, Inc. Employee Manual. I understand that it contains guidelines, that it can be revised without notice, and is not a contract or guarantee of employment.Name Kimberly Grant Signature Kimberly Grant Date 01/05/2024 6 |
