Job Application - MOD - Columbus South Logo
  • Employment Application

    An Equal Opportunity Employer
  • APPLICANT IDENTIFICATION

  •  -
  • Upload a File
    Cancelof
  • TYPE OF EMPLOYMENT DESIRED

  •  - -
  • EDUCATION

    Your educational record will be considered only to the extent that it is relevant to the job sought.
  • Proficiencies

    If you are applying for a position in which prototype shop skills, computer skills or secretarial/clerical skills are relevant, please answer the following (if you have questions about whether such skills are relevant, ask a Faurecia Human Resources representative.)
  • EMPLOYMENT BACKGROUND

  •  - -
  •  - -
  •  - -
  •  - -
  •  - -
  •  - -
  • ACKNOWLEDGEMENTS, RELEASE OF CLAIMS AND OTHER IMPORTANT INFORMATION

    I certify that information given herein and or other information I furnish you is true and complete to the best of my knowledge.  I understand that the Company may investigate my work and personal history and verify all data given on this application, on related papers, and in interviews, but that it is not required to do so.  I authorize all individuals,schools and employers named herein and all financial institutions, law enforcement agencies, and other persons, except as specifically limited on this application, to provide information requested about me, and I release them from liability for damages in providing this information. I understand and acknowledge that any misrepresentation or omission of facts by me can result in immediate discharge.  I consent to random drug testing and searches of my personal property on Company’s premises, at the Company’s expense.  I understand a refusal to take a test on request may result in a proper termination of the application process or my employment. All applicants being considered for employment may be tested for the following and other drugs or their metabolites: AMPHETAMINE (Uppers/Speed),  COCAINE (Crack/Cocaine), BARBITURATES (Sleeping Pills), METHAQUALONE (Qualudes/SleepingPills), BENZODIAZ (Valium), PHECYP-PCP (Animal Tranquilizer), OPIATE (Heroine/Codeine), PROPAXYPHENE (Darvon), METHADONE (Heroin Addicts), CANNABINOID-THC (Marijuana). I authorize the medical clinic/testing laboratory to release any test results to the Company and the Company to use them as determining factor in the selection and retention of employees. Applicants offered positions may be required to pass a job-related physical examination before beginning work. I authorize release of examination results to the Company. Under the Michigan Persons With Disabilities Civil Rights Act and the Federal Americans with Disabilities Act, the Company has a legal obligation to accommodate an employee’s or job applicant’s handicap unless the accommodation would impose an undue hardship on the employer.  A disabled individual may allege a violation against and employer regarding a failure to accommodate his or her disability under the Michigan Law only if the disabled individual notifies the employer in writing of the need for accommodations within 182 days after the date the disabled person knew or reasonably should have known that an accommodation was needed. I agree that, if employed, my employment and compensation shall be at the will of the Company and can be terminated, with or without cause, and with or without notice, at any time at the option of either the Company or me.  No representations concerning the Company or my possible employment have been made to me. I agree that no Company manager, agent or employee, other than its President, has now or has had in the past, any authority to enter into any agreement for employment for any specified period of time or to make any representation or agreement which is contrary to, in addition to, or a modification of the above described at will employment relationship, or which would obligate the Company or affect my employment, and that any such agreement or representation must be in writing and signed by me and the President of the Company to be effective.  If I become employed by the Company, I agree that in consideration of my employment I will not commence any action or suit which relates in any way to my employment and/or termination of my employment which would otherwise be timely, more than six (6)months after the date of the event giving me a right to relief, regardless of the circumstances of the event or termination, and I waive any longer statute of limitations to the contrary.  All rights reserved by or granted to the Company in this Application shall not adversely affect other rights of the Company. This Application will only be considered for a 90-day period from its receipt by the Company.  I may reapply. Faurecia is an equal opportunity employer and complies with the laws prohibiting discrimination on the basis of race, color, age, sex, national origin,religion, citizenship, disability, height, weight, marital or veteran status,or any other legally protected status.
  • Clear
  • DISCLOSURE AND RELEASE

    In connection with my application for employment with you, I understand that consumer reports may be requested by Faurecia Clean Mobility.  These reports may include the following types of information: Names and dates of previous employers, Reason for termination of employment, Job performances, Work experience, Accidents, etc. I further understand that such reports may contain information concerning my driving record, credit, criminal records,school records, social security number and date of birth verification from the social security administration: etc., from Federal, State, other agencies and former employers which maintain such records. All those contacted will be held harmless and free of any legal liability. I authorize without reservation, any party or agency contacted by Faurecia Clean Mobility to furnish the above-mentioned information. I have the right to make a request to Faurecia Clean Mobility, upon proper identification, to request the nature and substance of all information in its files on me at the time of the request. I hereby authorize procurement of consumer report(s).  This authorization shall remain on file and shall serve as ongoing authorization for you to procure consumer reports at any time during my employment (or contract) period.
  • Clear
  • Should be Empty: