The Michigan 0999D form is an employment application used by the Michigan Department of Transportation. This form collects essential information about applicants, including their work history, personal details, and qualifications. Completing this form is a crucial step in applying for a position within the department.
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The Michigan 0999D form is a critical document for individuals seeking employment with the Michigan Department of Transportation (MDOT). This application is essential for anyone applying for a position within the department, as it collects vital information regarding the applicant's personal details, work history, and qualifications. The form requires applicants to provide their name, contact information, and job title for which they are applying, along with details about previous employment and education. It also includes sections for applicants to disclose their veteran status, citizenship, and any disabilities, ensuring compliance with equal opportunity employment laws. Additionally, the form emphasizes the importance of truthfulness, as any inaccuracies may affect employment considerations. Completing this application accurately is crucial for candidates looking to join MDOT, as it serves as the first step in the hiring process.
of Transportation
EMPLOYMENT APPLICATION
Page 1 of 3
Michigan Department
0999D (01/07)
Equal Opportunity Employer
A MDOT APPLICATION IS REQUIRED, resumes are encouraged, but are not a substitute for the application. Submit application to Office of Human Resources, 934 Bridge Plaza, Sault Ste. Marie, Michigan 48783. Fax Number: (906) 635-0540.
POSITION FOR WHICH YOU ARE APPLYING
Posting Code: _______________________________________________ Bureau/Region/Office/Division: __________________________________
Position Location: _____________________________________________ JOB TITLE: _______________________________________________
Are you or have you ever been a State of Michigan employee?
Yes
No If Yes, Employee ID # required: _________________
If you have a disability, as defined by the Michigan Persons with Disabilities Civil Rights Act, and require assistance to complete this application, a reasonable accommodation may be provided.
PERSONAL INFORMATION
Name: __________________________________________________________________________________________________________________
Mailing Address: _________________________________________________________________________________________________________
City: _________________________________________________________________ State: _________________ Zip Code: __________________
Email Address: _______________________________________________
Drivers License Number: ______________________________________
Day Time Telephone Number: (_______) __________________________
Home Telephone Number: (_______) _____________________________
Previous name(s) if different than current name: _________________________________________________________________________________
Have you ever been dismissed from employment or resigned your employment in lieu of dismissal?
No
If Yes, when and please explain: _____________________________________________________________________________________________
NAME/LOCATION OF HIGH SCHOOL:
DIPLOMA:
Other (Specify) ______________
COLLEGE, UNIVERSITY, TRADE SCHOOL OR SPECIAL TRAINING: (TRANSCRIPTS ARE REQUIRED)
NAME OF SCHOOL
LOCATION
CREDIT HOURS EARNED
QTR SEM
COURSE OF STUDY
DEGREE OR CERTIFICATE RECEIVED
TRADE SCHOOL/SPECIAL TRAINING
YOUR NAME, IF DIFFERENT WHILE ATTENDING SCHOOL: _____________________________________________________________________
LICENSURE OR REGISTRATION EXAMPLES: CDL, PE, CPA, ETC.
LICENSURE OR REGISTRATION
NUMBER
DATE RECEIVED
EXPIRATION DATE
STATE LICENSING AGENCY
VETERAN:
Are you a veteran, surviving spouse or a spouse of a disabled veteran who has been discharged within the last five years?
If yes, are you registered with Civil Service for veterans’ preference?
CITIZENSHIP:
Are you a U.S. Citizen?
If No, are you eligible to work in the U.S. without sponsorship?
Do you possess a valid Western Hemisphere Travel Initiative Document: ______Passport
______ Passport Card ______NEXUS ______ Other
If "Other", please specify: ______________________________________
MDOT 0999D (01/07)
Page 2 of 3
PERIODS OF EMPLOYMENT
Describe your work experience in detail, beginning with your current or most recent job. Include job related voluteer work, if applicable, and indicate number of employees supervised. Use a separate block to describe each position. If needed, attach additional sheets, using the same format as the application. Resumes may be attached to provide additional information.
1Name of Present or Last Employer: _______________________________________________________________________________________
Address: ___________________________________________________________________ Phone No.: (________)__________________________
Your Job Title: ________________________________________________
Supervisor’s Name: __________________________________________
FROM: _______/_______/_______ TO: _______/_______/_______
HOURS PER WEEK: _______ (________________________________)
MONTH DAY
YEAR
YOUR NAME IF DIFFERENT DURING EMPLOYMENT
Duties and Responsibilities: _______________________________________________________________________________________________________________
_________________________________________________________________________________________________________________________________________
Reason for Leaving: ______________________________________________________________________________________________________________________
2Name of Present or Last Employer: _______________________________________________________________________________________
Address: ___________________________________________________________________ Phone No.: (_______)___________________________
3Name of Present or Last Employer: _______________________________________________________________________________________
CERTIFICATION
I certify that all information contained in this application is true, and made in good faith. I agree and understand any falsifications, omissions, misstate- ments, or misrepresentations above will result in my forfeiting any rights of consideration for employment with the Michigan Department of Transportation or, if hired, could lead to my dismissal. Under the Michigan Persons with Disabilities Civil Rights Act, a person with a disability may allege a violation of the Act regarding the failure to accommodate only if the person with a disability notifies the employer in writing of the need for accommodation within 182 days after the date the person with a disability knew or reasonably should have known an accommodation was needed. This does not preclude my rights under federal law which establishes a 300 day status of limitation.
By submission of this application, I am authorizing the Michigan Department of Transportation to conduct a criminal history and background check, contact past employers regarding references and to check my motor vehicle operator license record as part of the pre-employment process.
SIGNATURE: ___________________________________________________________________________ DATE: _________________________
MDOT 0999D (01/07)Page 3 of 3
_EEO SURVEY
_
Although the following information is not mandatory, it is requested to comply with Federal Highway Administration (FHWA) require-
ments. This information is for statistical purposes only. It will in no way affect your employment status or opportunities, nor will it be
used as part of the selection process (hiring managers will not receive this information).
___Posting Code: _______________________________________________
Bureau/Region/Office/Division: __________________________________
__Position: ___________________________________________________
Location of Position___________________________________________
____
MALE
FEMALE
GENDER:
DISABLED:
NO
YES
__
process._ __
__ selection_ __
the__ to__
prior_ __ section_ __
this__
remove__ __
Employer,__
__ _ _
RACE/ETHNICITY (Please select all that apply to you):
American Indian or Alaska Native: A person having origins in any of the original peoples of North and South America (including Central America).
Asian: A person having origins in any of the original peoples of the Far East, Southeast Asia, or the Indian subcontinent including for example, Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the Philippine Islands, Thailand, and Vietnam.
Black: (not of HISpanic origin): A person having origins in any of the black racial groups.
Hispanic or Latino: A person of Mexican, Puerto Rican, Cuban, Central or South American, or other Spanish origin.
Native Hawaiian or Other Pacific Islander: A person having origins in any of the original peoples of Hawaii, Guam, Samoa, or other Pacific Islands.
White (not of Hispanic origin): A person having origins in any of the original peoples of Europe, North Africa, or Middle East.
Multiracial: A person having origins in more than one racial group.
Filling out the Michigan 0999D form is a straightforward process. This application is essential for those seeking employment with the Michigan Department of Transportation. Make sure you have all necessary information at hand before you begin. Follow these steps carefully to ensure your application is complete and accurate.
Once you have filled out the form, review it for any errors or missing information. Submit your completed application to the Office of Human Resources at the address provided. You can also fax it to the number listed. Ensure you keep a copy for your records.
The Michigan 0999D form is an employment application used by the Michigan Department of Transportation (MDOT). It is designed for individuals applying for positions within the department. While resumes are encouraged, they cannot replace the completed application form. This ensures that all candidates provide consistent and comprehensive information for review.
To submit the Michigan 0999D form, you need to send it to the Office of Human Resources located at 934 Bridge Plaza, Sault Ste. Marie, Michigan 48783. You can also fax the completed application to (906) 635-0540. Make sure to include any required attachments, such as transcripts or additional sheets if necessary.
The form requires a variety of personal information, including:
Providing accurate and thorough information is crucial, as any false statements can impact your eligibility for employment.
If you have a disability as defined by the Michigan Persons with Disabilities Civil Rights Act, you may request reasonable accommodations to assist you in completing the application. It is important to notify the employer in writing about your need for accommodation within 182 days of when you become aware of the requirement.
Once you submit the Michigan 0999D form, the Michigan Department of Transportation will review your application. They may conduct a criminal history and background check, as well as contact your previous employers for references. If your application meets their criteria, you may be invited for an interview or further assessment.
Yes, the information you provide on the Michigan 0999D form is treated with confidentiality. However, some demographic information collected for statistical purposes may be shared, but it will not affect your employment status or opportunities. Hiring managers will not have access to this information during the selection process.
Incomplete Personal Information: Many applicants forget to fill out all sections of the personal information part of the form. Missing details like an email address or phone number can hinder communication.
Incorrect Job Titles or Dates: Some people mistakenly provide incorrect job titles or employment dates. This can lead to confusion and may raise red flags during the review process.
Neglecting to Mention Previous Employment: Failing to include all relevant work experience is a common mistake. Every job, including volunteer work, can provide valuable context about your skills and background.
Ignoring the Certification Section: Some applicants overlook the certification statement at the end of the form. Not signing or dating this section can result in the application being considered incomplete.
Omitting Required Documentation: Transcripts and other supporting documents are often necessary. Forgetting to attach these can delay the application process or lead to disqualification.
Failure to Review for Errors: Many applicants submit their forms without a final review. Typos and grammatical errors can create an impression of carelessness and may affect the overall evaluation.
The Michigan 0999D form is a crucial part of the employment application process for positions within the Michigan Department of Transportation (MDOT). Alongside this form, there are several other documents that applicants may need to submit or be aware of during their job application journey. Here’s a list of commonly used forms and documents that often accompany the Michigan 0999D form.
Being prepared with these documents can streamline the application process and enhance the chances of securing a position with MDOT. Ensure all information is accurate and complete to present the best possible application.
The Michigan 0999D form is similar to the Federal Employment Application form (Standard Form 171). Both documents serve as official applications for employment and require candidates to provide personal information, work history, and education details. The Federal Employment Application emphasizes the importance of accuracy in the information provided, similar to the Michigan 0999D, which includes a certification statement confirming the truthfulness of the information submitted. Both forms also allow for additional sheets to be attached if more space is needed to detail work experience.
Another document akin to the Michigan 0999D is the State of Michigan Employment Application (Form MDOC 0999). This form is specifically designed for positions within the Michigan Department of Corrections. Like the 0999D, it requires applicants to disclose their personal information, work history, and education. The structure of both forms is similar, ensuring that applicants provide comprehensive details about their qualifications and experiences relevant to the job they are seeking.
The Job Application Form used by the U.S. Postal Service is another comparable document. This form collects information on applicants’ work history, education, and other relevant details. Both the Postal Service application and the Michigan 0999D require applicants to affirm the accuracy of their information, underscoring the importance of honesty in the application process. Additionally, both forms allow candidates to indicate their veteran status, which can influence hiring preferences.
The Application for Employment used by the City of Detroit shares similarities with the Michigan 0999D form. Both documents require candidates to provide detailed employment history and personal information. They also include sections for applicants to disclose any previous names and to certify that the information provided is accurate. This consistency in structure helps streamline the hiring process across various departments and agencies.
The California State Employment Application is another document that mirrors the Michigan 0999D. Both forms require candidates to detail their work experience, education, and any relevant licenses or certifications. Additionally, they both include a section for applicants to indicate their veteran status and provide information on any accommodations needed due to disabilities, ensuring inclusivity in the hiring process.
Similar to the Michigan 0999D is the Application for Employment form used by the Federal Bureau of Prisons. This form collects personal information, work history, and educational background from applicants. Both documents emphasize the need for accuracy and include a certification statement to confirm that the information provided is truthful. They also allow for the attachment of additional sheets if necessary to provide a full account of qualifications.
The Application for Employment used by the Michigan Department of Health and Human Services is another comparable form. Like the Michigan 0999D, it gathers personal information, work history, and educational background. Both forms require candidates to certify the accuracy of their information and include sections for applicants to indicate their veteran status and any disabilities that may require accommodations during the application process.
The Application for State Employment in New York is similar to the Michigan 0999D in that it collects comprehensive information about applicants’ work history, education, and personal details. Both forms emphasize the importance of providing accurate information and include a certification statement to that effect. This similarity helps maintain a standard approach to employment applications across state lines.
The Application for Employment form used by the U.S. Army is another document that shares characteristics with the Michigan 0999D. Both forms require detailed information about work experience, education, and personal background. They also feature sections for candidates to disclose their veteran status and any accommodations needed for disabilities, highlighting a commitment to inclusivity and equal opportunity in hiring.
Finally, the Application for Employment used by the Michigan Department of Natural Resources is akin to the Michigan 0999D. Both forms require applicants to provide detailed personal and employment information. They emphasize the need for accuracy and include sections for disclosing any disabilities or veteran status, ensuring that all candidates have an equitable opportunity to apply for positions within the state’s departments.
When filling out the Michigan 0999D form, there are some important dos and don'ts to keep in mind. Here’s a helpful list:
Following these guidelines can help ensure your application is processed smoothly.
There are several misconceptions surrounding the Michigan 0999D form, which is used for employment applications within the Michigan Department of Transportation. Understanding these can help applicants navigate the process more effectively.
Here are some key takeaways about filling out and using the Michigan 0999D form: