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If selected for employment, the following prescribed conditions must be met before such employment offer is considered final.
All persons hired by the 6RXWKHDVW0LFKLJDQ&RXQFLORI*RYHUQPHQWVKHUHLQDIWHU6(0&2*PXVWXQGHUJRDEDFNJURXQG
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I understand that by completing this application there is no guarantee of a job interview or a job offer. No promises regarding employment
have been made to me and I understand that no such promise or guarantee is binding upon SEMCOG. I also understand that nothing
in this employment application, in SEMCOG’s statements, policies, or Employee Handbook, or in my communications with any official or
representative is intended to create an employment contract between SEMCOG and me. I also understand that if an employment rela-
tionship is established, I have a right to terminate my employment at any time. I also understand that SEMCOG retains the right to
terminate my employment at any time, as applicable under law. Further, I understand that SEMCOG has the right to modify its policies
without giving me any notice of the change(s).
I hereby authorize SEMCOG to verify all the information I have provided on my application. I also agree to execute, as a condition of
employment or continued employment, any additional written authorizations necessary for SEMCOG to obtain access to and copies of
records pertaining to this information. I expressly authorize SEMCOG to contact any of my current or prior employers, educational
institutions, and other references I have provided, and release all of those employers, educational institutions, references and SEMCOG
from any and all liability arising from their giving information about my employment, academic, and/or military experience. I also hereby
waive any right under the Bullard-Plawecki Right to Know Act, 1978 PA 397, to receive written notice from SEMCOG or any former or
current employer, that a disciplinary report, letter of reprimand, or other disciplinary action taken against me while employed, will be or
has been disclosed to a third person or entity.
I agree not to commence any action or suit relating to my employment with SEMCOG more than 180 days after the occurrence of the facts
giving rise to the claim, or more than 180 days of the date of my termination of such employment, whichever is earlier, and to waive any
statute of limitations to the contrary.
If I am employed, I understand that additional personal data will be required for determination of benefit eligibility and for statistical
purposes.
I will abide by all policies, rules and regulations of the Southeast Michigan Council of Governments.
SEMCOG is an equal opportunity employer and complies with all applicable federal, state, and local fair employment practices and laws.
SEMCOG prohibits discrimination and harassment of any type and affords equal employment opportunities to employees, applicants, or
any other covered persons without regard to race, color, religion, sex, sexual orientation, gender identity or expression, height, weight,
marital status, pregnancy, age, national origin, disability status, genetic information, protected veteran status, or any other characteristic
protected by law. This statement applies to all terms and condition of employment, including but not limited to, recruiting, hiring, place-
ment promotion, termination, layoff, recall, transfer, leaves of absence, compensation, benefits, and training.
I certify that I can and will, upon request, substantiate all statements made by me on this application; that such statements are true,
complete and correct to the best of my knowledge. I understand that a false statement, dishonest answer, misrepresentation or omission
to any question will be sufficient for rejection of my application, removal of my name from eligibility or my immediate discharge should
such falsifications or misrepresentations be discovered after I am employed.
APPLICANT PRINTED NAME:
Applicant’s Signature _______________________________________________________________ Date ________________________________
(Your legal signature; do not print)
FORWARD COMPLETED AND SIGNED APPLICATION TO:
Southeast Michigan Council of Governments • Human Resources Department
Email: YTAYLOR@semcog.org
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