Application for Employment

Come join the Accuform team and help keep people safe!

Equal Opportunity

We adhere to policies in business and employment that are conducted without discrimination based on race, color, genetics, religion, gender, national origin, age, marital status, veteran status, disability or any other protected class. Your consideration for employment will be based solely upon the qualifications you possess and your perceived ability to perform, with or without reasonable accommodation, the essential job functions of the position for which you are applying. Accuform also makes accommodation for religious observances, which Accuform determines reasonable.

Completing the Application

This online application consists of several different sections of questions about you and your history. Please fill out all required fields honestly and completely. The more information you provide, the easier it becomes for us to match you to positions suited to your skill set, knowledge and experience.


If you answered other or internet, please explain.

Contact Information


What position you were interviewed for? Or, if hired, what was your title?
If you worked with Accuform, why did you leave?
How are you related to this person? Is it your father? Cousin? Neighbor? Friend?
Include any and all instances even if adjudication was withheld.
Responding 'yes' does not automatically disqualify you for employment. Please explain the circumstances.
Controlled substances such as cocaine, marijuana, hallucinogens, etc?
Please explain the circumstances.
Please explain the circumstances.
Please explain the circumstances.

Military History - Complete this section if you served in the U.S. Armed Forces.


e.g. Lapeer East High School, Lapeer, MI
e.g. High School Diploma, GED, etc.
e.g. Manatee Technical Institute
e.g. Associate Degree
e.g. Florida State University
e.g. Bachelor of Fine Art

Employment History

Business-Related Reference

Pre-Employment Household Income Certification

Required Documentation

As part of Accuform's participation in the Small Cities Community Development Block Grant Program, all applicants are required to complete a copy of the Pre-Employment Household Income Certification Form. This information is for data-collection purposes only. It is strictly confidential and reported directly to the Department of Economic Opportunity. Although required, the data collected is not used in any way in the consideration of an applicant for employment. We are committed to helping our community grow!
How many people live in your household?

For households of more than 8 persons, contact Accuform for more information with which to complete this seciton of the income certification.
After completing the Persons in Household question, answers above should be one of the following: Very Low, Low, Moderate, N/A

Household Composition

Indicate how many people in each of the following categories reside in the household. Some household members may need to be counted in more than one category. Enter 0 (zero) in any field where the category does not apply to any household member.

Race and Ethnicity

For your household, please indicate the quantity of each member, regarding their race, and then enter the number of those of Hispanic ethnicity. Enter 0 (zero) if the category does not apply.
Total In Household # of those Hispanic


I, the undersigned, certify that the information stated in this form is true and accurately reflects the household composition and income data.
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Notifications and Confirmations

I hereby certify that all the information contained on this application is true and complete. I authorize Accuform Mfg. to contact any sources necessary and to do a complete background check in order to verify the information I have given. I hereby release from liability those individuals or corporations who provide such information. I understand that any misstatement or omission is cause for immediate dismissal should I be employed. I also understand that my offer or an acceptance of an offer of employment with Accuform does not create a contract of employment and that any relationship created by my acceptance of any offer of employment may be terminated at the will of the Company. I understand that I must be lawfully authorized to work in the United States and provide acceptable documentation to substantiate this fact.
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Many of our jobs require employees to occasionally work overtime, weekends and holidays. Are you agreeable, as a condition of employment, to work whatever schedule is necessary to help us meet our obligations to our customers including a change of shift time?
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General Information

We are an equal opportunity employer. We adhere to a policy of making employment decisions without regard to race, color, sex, religion, national origin, age, disability, handicap, marital status, or any other basis protected by law. The opportunity for employment will be based solely upon your qualifications and ability to perform the job for which you are being considered. We also reasonably accommodate individuals with disabilities, handicaps, and bona fide religious beliefs.

We comply with the Americans With Disabilities Act of 1990. During the interview process, you may be asked questions concerning your ability to perform job-related functions. You may also be required to complete a post-job offer medical history questionnaire and/or undergo a medical examination. Upon request, all entering employees in the same job category will be required to complete the same medical questionnaire and/or examination. All medical information will be kept confidential.

We also maintain a Drug-Free Workplace in accordance with all applicable State and Federal regulations; copies of which, together with the employee's Drug-Free Workplace Policy, are available for inspection at all reasonable times by applicants or employees upon request.

Please read and sign the statements below.

I understand that, if hired, I will be in an introductory status. I further understand that if I am terminated for unsatisfactory work performance within this introductory period, the employer may seek to deny any unemployment benefits I might attempt to obtain as a result of my termination.
Initial here to agree
I understand that as a condition of my employment, I must take and pass a pre-employment drug test for authorized threshold levels for any or all of the drugs or alcohol listed by the employer's Drug-Free Workplace Policy. Copies will be provided to me and a copy, executed by me, returned to the employer.
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I further understand, subject to confidentiality constraints and rights of appeal granted by State and Federal law, if the results of my pre-employment drug and/or alcohol tests are POSITIVE (indicating substance abuse) and are received by the employer prior to or within the introductory employment period, notwithstanding any other disciplinary provisions contained in the employer's Drug-Free Workspace Policy statement, I will be terminated for cause and the employer may seek to deny any unemployment benefits I might attempt to obtain.
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I understand and agree that all policies and procedures (whether written, published, or orally communicated by the employer) may be modified, amended, or deleted by the employer with or without notice to me of such change(s); that the employer's policies and procedures are not intended to be a contract of employment nor do they give me a right of continued employment; and if hired, my employment may be terminated at my option or at the option of my employer with or without prior notice to either party. I also agree there are no other written or oral arrangements, agreements, or understandings regarding the terms of my employment and that any amendments or exceptions to this statement must be in writing and signed by a person(s) duly authorized by the employer.
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I certify that all information given to the employer by me in the form of an employment application, resume, or related papers, or answers given by me during oral interviews, are true and correct. I understand the employer will conduct a thorough investigation of my past work and personal history. I authorize the giving and receiving of any such information requested by the employer in the course of such investigation and hereby release from liability all persons who provide such information to the employer. I understand that falsification or any derogatory information discovered as a result of investigation may subject me to immediate dismissal for cause and the employer may seek to deny any unemployment benefits I might attempt to obtain as a result of my termination.
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You may upload a resume or cover letter here. Files may be in MS Word format or PDF (.doc, .docx or .pdf).
Enter your name here to digitally sign this document. By signing this document, you are attesting to the certification and all confirmations listed above.