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Personal Information


Position of Interest


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Education


School Name

Years Completed

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Major

Licenses and Certifications


License / Certification Type

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Employment History


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Position / Job Title

Start Date

End Date

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Eligibility and Background


Note: A yes response does not automatically disqualify a job applicant from further consideration. Each applicant is evaluated individually, based on a number of factors including the nature of the crime, how long ago the crime and/or release from incarceration occurred, whether a sufficient or satisfactory work record has been established since the crime and/or release from incarceration, and the criteria of the position applied for.

Note: A yes response does not automatically disqualify a job applicant from further consideration. Each applicant is evaluated individually, based on a number of factors including the nature of the crime, how long ago the crime and/or release from incarceration occurred, whether a sufficient or satisfactory work record has been established since the crime and/or release from incarceration, and the criteria of the position applied for.

References


All information provided within this application will be kept confidential.

Information Summary


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519 South Saginaw Street
Suite 306
Flint, MI 48502-1815
Business: 810-232-2228
Fax: 810-232-3332
E-mail: gfhc@flint.org
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