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Documents used along the form

The Michigan 0999D form is an essential document for individuals seeking employment with the Michigan Department of Transportation. Along with this application, there are several other forms and documents that may be required or beneficial during the application process. Each of these documents serves a specific purpose and helps ensure a smooth and thorough review of the applicant's qualifications and background.

  • Resume: A resume provides a summary of an applicant's work experience, education, skills, and accomplishments. While it is encouraged to submit a resume alongside the application, it cannot replace the Michigan 0999D form.
  • Transcripts: These documents verify an applicant's educational background, including courses taken and degrees earned. Transcripts are often required from colleges, universities, or trade schools.
  • Recommendation Letter: This document can provide strong support for your application by showcasing your skills and character. For more information on how to create one, visit https://legalpdf.org.
  • Employment Verification Letters: These letters confirm previous employment and typically include details such as job title, dates of employment, and duties performed. They can enhance the credibility of the application.
  • References: A list of professional references can support an applicant’s qualifications. These individuals can provide insight into the applicant’s work ethic and abilities.
  • Veteran Status Documentation: If applicable, documentation proving veteran status may be necessary for those seeking veterans' preference in hiring. This may include discharge papers or other official records.
  • Licenses and Certifications: Copies of relevant licenses or certifications, such as a Commercial Driver's License (CDL) or Professional Engineer (PE) certification, may be required to demonstrate qualifications for specific positions.
  • Criminal History Disclosure: Some positions may require applicants to disclose any criminal history. This document can help facilitate the background check process.
  • Background Check Consent Form: A signed consent form allows the employer to conduct a background check. This is often a standard procedure in the hiring process.
  • Disability Accommodation Request: If an applicant requires accommodations due to a disability, submitting a request form can initiate the process for obtaining necessary support during the application or interview process.
  • Equal Employment Opportunity (EEO) Survey: This voluntary survey collects demographic information for statistical purposes and helps ensure compliance with federal regulations regarding diversity and inclusion.

Having these documents prepared can significantly enhance an applicant's chances of success. It is advisable to review the specific requirements for each position to ensure that all necessary materials are submitted. Proper preparation not only demonstrates professionalism but also shows a commitment to the application process.

Michigan 0999D Preview

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?

Yes

No

If Yes, when and please explain: _____________________________________________________________________________________________

NAME/LOCATION OF HIGH SCHOOL:

DIPLOMA:

Yes

No

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

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?

 

Yes

 

No

If yes, are you registered with Civil Service for veterans’ preference?

 

Yes

 

No

 

 

 

 

CITIZENSHIP:

Are you a U.S. Citizen?

 

Yes

 

No

 

 

 

 

 

If No, are you eligible to work in the U.S. without sponsorship?

 

 

Yes

 

No

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

MONTH DAY

YEAR

YOUR NAME IF DIFFERENT DURING EMPLOYMENT

Duties and Responsibilities: _______________________________________________________________________________________________________________

_________________________________________________________________________________________________________________________________________

_________________________________________________________________________________________________________________________________________

_________________________________________________________________________________________________________________________________________

Reason for Leaving: ______________________________________________________________________________________________________________________

2Name of Present or Last Employer: _______________________________________________________________________________________

Address: ___________________________________________________________________ Phone No.: (_______)___________________________

Your Job Title: ________________________________________________

Supervisor’s Name: __________________________________________

FROM: _______/_______/_______ TO: _______/_______/_______

HOURS PER WEEK: _______ (________________________________)

MONTH DAY

YEAR

MONTH DAY

YEAR

YOUR NAME IF DIFFERENT DURING EMPLOYMENT

Duties and Responsibilities: _______________________________________________________________________________________________________________

_________________________________________________________________________________________________________________________________________

_________________________________________________________________________________________________________________________________________

_________________________________________________________________________________________________________________________________________

Reason for Leaving: ______________________________________________________________________________________________________________________

3Name of Present or Last Employer: _______________________________________________________________________________________

Address: ___________________________________________________________________ Phone No.: (________)__________________________

Your Job Title: ________________________________________________

Supervisor’s Name: __________________________________________

FROM: _______/_______/_______ TO: _______/_______/_______

HOURS PER WEEK: _______ (________________________________)

MONTH DAY

YEAR

MONTH DAY

YEAR

YOUR NAME IF DIFFERENT DURING EMPLOYMENT

Duties and Responsibilities: _______________________________________________________________________________________________________________

_________________________________________________________________________________________________________________________________________

_________________________________________________________________________________________________________________________________________

_________________________________________________________________________________________________________________________________________

Reason for Leaving: ______________________________________________________________________________________________________________________

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.

Similar forms

  • Federal Employment Application Form (SF-171): Similar to the Michigan 0999D form, the Federal Employment Application Form is used to apply for federal jobs. Both forms require personal information, employment history, and educational background. They also emphasize the importance of accuracy in the information provided, as any discrepancies can affect employment eligibility.

  • State Job Application Form: Many states have their own job application forms, which share similarities with the Michigan 0999D form. These forms typically ask for personal details, work experience, and educational qualifications. They often include sections about veteran status and disabilities, reflecting a commitment to equal opportunity employment.

  • Resume: While not a formal application, a resume is often submitted alongside forms like the Michigan 0999D. Both documents serve to showcase a candidate's qualifications and experiences. However, the resume provides a more flexible format for detailing skills and achievements, whereas the application form has a standardized structure.

  • Nevada Promissory Note: This document is essential for outlining the terms of a loan agreement and is crucial for both parties involved in the transaction. More information can be found at https://promissoryform.com/blank-nevada-promissory-note.
  • Job Application for Private Sector Employment: Private companies often have their own job application forms that resemble the Michigan 0999D. These forms typically require similar information, such as personal details, work history, and educational background. They may also include questions about availability and references, which align with the hiring process in both public and private sectors.

  • Equal Employment Opportunity (EEO) Survey: This document is often included with job applications, including the Michigan 0999D form. It collects demographic information for statistical purposes to ensure compliance with equal opportunity laws. While it shares a common goal of promoting diversity, the EEO survey is separate from the application process and does not influence hiring decisions.

Misconceptions

Misconception 1: The Michigan 0999D form is optional for job applicants.

This form is mandatory for applying to positions within the Michigan Department of Transportation. While resumes are encouraged, they cannot replace the application form.

Misconception 2: You cannot apply if you have a disability.

In fact, the form provides an option for individuals with disabilities to request reasonable accommodations to complete the application process.

Misconception 3: You must have a college degree to apply.

The application allows for various educational backgrounds. High school diplomas, trade school certifications, and other forms of education are acceptable.

Misconception 4: Past employment history is not important.

Detailed work experience is crucial. Applicants must describe their job responsibilities and reasons for leaving previous positions.

Misconception 5: Submitting the application online is the only way to apply.

Applicants can submit the form via mail or fax to the specified address. Online submission is not the only option available.

Misconception 6: The EEO survey information affects hiring decisions.

The information collected in the EEO survey is for statistical purposes only. It does not influence employment status or selection processes.

Misconception 7: You can lie on the application without consequences.

Falsifying information can lead to disqualification from consideration or termination if hired. Honesty is crucial when completing the application.

Detailed Instructions for Using Michigan 0999D

Completing the Michigan 0999D form is an important step in applying for a position with the Michigan Department of Transportation. This process requires attention to detail and accuracy to ensure that your application is considered. Below are the steps to guide you through filling out the form correctly.

  1. Obtain the Form: Download or request a copy of the Michigan 0999D form from the Michigan Department of Transportation website or the Office of Human Resources.
  2. Position Information: Fill in the position for which you are applying, including the Posting Code, Bureau/Region/Office/Division, and Position Location.
  3. Job Title: Enter the job title for the position you are seeking.
  4. Employment History: Indicate whether you are or have ever been a State of Michigan employee. If yes, provide your Employee ID number.
  5. Disability Accommodation: If applicable, indicate if you require assistance due to a disability.
  6. Personal Information: Complete your name, mailing address, city, state, zip code, email address, driver’s license number, and phone numbers.
  7. Previous Names: List any previous names if they differ from your current name.
  8. Employment Dismissal: Answer whether you have ever been dismissed from employment or resigned in lieu of dismissal. If yes, provide details.
  9. Education: Fill in the name and location of your high school, whether you received a diploma, and any college or trade school information, including transcripts.
  10. Licensure or Registration: List any relevant licenses or registrations, including numbers, dates received, and expiration dates.
  11. Veteran Status: Indicate if you are a veteran or a spouse of a disabled veteran and whether you are registered for veterans’ preference.
  12. Citizenship: Confirm your U.S. citizenship status and whether you are eligible to work in the U.S. without sponsorship.
  13. Employment History: Describe your work experience in detail, starting with your most recent job. Include duties, responsibilities, and reasons for leaving for each position.
  14. Certification: Sign and date the application, certifying that all information is true and accurate.
  15. Submit the Application: Send your completed application to the Office of Human Resources at the specified address or via fax.

Once you have filled out the form, ensure that all sections are completed accurately. This thoroughness will help facilitate the review process of your application. Keep a copy of the completed form for your records before submitting it, as it may be useful for future reference during the hiring process.

Dos and Don'ts

When filling out the Michigan 0999D form, it's important to ensure accuracy and clarity. Here are seven key things to do and avoid:

  • Do read the entire form carefully before starting. Understanding what is required will save you time and effort.
  • Don't leave any sections blank. If a question doesn't apply to you, indicate that with "N/A" instead.
  • Do provide complete and honest information. Misrepresentations can lead to disqualification.
  • Don't use abbreviations or slang. Clear and professional language is essential.
  • Do double-check your contact information. Ensure your email and phone numbers are accurate for follow-up.
  • Don't forget to sign and date the application. An unsigned form may not be considered.
  • Do submit your application on time. Late submissions may not be accepted, regardless of the reason.