ࡱ> EGD@ <WbjbjFF ,,K 4,,,8Dp|pPl- 0(H0H0H0)1!22DB< OOOOOO$.RRTPi6)1)166PH0H0|P8886H0H0B86B88::;o; H0q y5,'6; =P0P;. U=6 U; U;23|84dw4222PPt$d 8t$1. Date of Application (Month/Day/Year)2. Job Posting Number (Required) FORMTEXT       FORMTEXT      EMPLOYMENT APPLICATION3. Last Name4. First Name5. Middle NameMichigan Department of Information Technology FORMTEXT       FORMTEXT       FORMTEXT      Completion of this application is required to be considered for employment. PLEASE TYPE OR PRINT - Use additional pages as necessary.6. Previous Last Name(s)7. Previous First Name(s)8. Previous Middle Name(s) FORMTEXT       FORMTEXT       FORMTEXT      9. Employee ID Number (Required For All State Employees)10. VETERAN: Are you a veteran, surviving spouse or a spouse of a disabled veteran who has been discharged within the last five years? EMBED PBrush  FORMCHECKBOX YES FORMCHECKBOX NO FORMTEXT      If yes, are you registered with Civil Service for veterans' preference? EMBED PBrush  FORMCHECKBOX YES FORMCHECKBOX NO11. Have You Ever Been Convicted of a felony?If Yes,12. Date of Offense13. Offense 14. Location 15. Disposition  FORMCHECKBOX YES FORMCHECKBOX NO EMBED PBrush  FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT      16. Do You Have a Valid Driver s License?If Yes,17. Driver s License Number18. State Issued By FORMCHECKBOX YES FORMCHECKBOX NO EMBED PBrush  FORMTEXT       FORMTEXT      PERSONAL INFORMATION:19. Mailing Address (Number and Street, City, State, Zip Code)20. Daytime Telephone No.21. Evening Telephone No. FORMTEXT      ( FORMTEXT    )  FORMTEXT      ( FORMTEXT    )  FORMTEXT      22. CITIZENSHIP: Are you a US Citizen? 23. Are you related (Immediate family member) to anyone who curr|~   2 4 8 N P T n    ¾~ʍsʍj hoUjVhoUh%'jh%'UhO`hVCJhO`hfoCJh_ h@U:hfojfhzUho%jho%UjhUmHnHujh!Ujh!Uhq&h!6 hq&6hq&h!-RYPP -$IfgdAkd$$IflF2,9 t08:    44 la $IfgdA $Ifgd$:*$IfVV 2 N l qkbb\$If $Ifgd$:*$Ifkd $$IflPF2,9 t08:    44 lal n  B `ZTTT-$If'$Ifkd$$Ifl\2S(29! Z  t08:44 la   0 2 4 > @ D R T X      0 2 4 > @ B D X Z \ f h l ſwjhQUhQ5CJaJhlhQ5CJaJhQj2hoUjhoUjhoU hfo@ h_ @ h@U:@h_ h@U:hKJjhUmHnHujhoUh%'jh%'Uhfo.B D R ^PB<<<$If$$Ifa$gdKJ$$Ifa$gdQkdx$$Ifl\2S(29! Z  t08:44 la  B j ^TNNN-$If  & F$Ifkd.$$Ifl4\2S(29`! Z  t08:44 laj l \S@5 <$IfgdQ <$If^ `gdp $Ifgdpkd$$Ifl4\2S(29 ! 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FORMCHECKBOX YES FORMCHECKBOX NO FORMCHECKBOX YES FORMCHECKBOX NOIf Yes, List Employee's Name (Immediate family members only)(If No, are you eligible to work in the U.S. without Sponsorship? FORMCHECKBOX YES FORMCHECKBOX NO FORMTEXT      24. Have You Ever Worked for the State of Michigan? EMBED PBrush If Yes, State Department(s) and Date(s)  FORMCHECKBOX NO FORMCHECKBOX YES FORMTEXT      25. How did you learn about this position? FORMCHECKBOX Civil Service Vacancy Posting FORMCHECKBOX MI Talent Bank FORMCHECKBOX Monster.com FORMCHECKBOX Other EMBED PBrush If Other, specify FORMTEXT      CERTIFICATIONI certify that all information contained in this application is true, and made in good faith. I agree and understand any falsifications, omissions, misstatements, or misrepresentations above will result in my forfeiting any rights of consideration for employment with the Michigan Department of Information Technology or, if hired, could lead to my dismissal. By submission of this application, I am authorizing the Michigan Department of Information Technology to conduct a criminal history background check, contact past employers regarding references and to check my motor vehicle operator license record as part of the pre-employment process.26. Applicant s Signature (Submission of this application via email will be accepted as an originally signed application)Date FORMTEXT       DIT-0163 Rev. 4/08  PAGE 1 of  NUMPAGES 1 (JJJJJJJJJJJJJJJJJ KKKKK8K:KKDKKKKFLjLrLLLL -$IfgdWS d$Ifgd_p -$Ifgdlsp P$Ifgd#Ffh0p$If^pgd<9 $IfgdB $If]gdk2-$$Ifa$gdgU| $If]gd[ LLLLLLLLLLLLLL.M0MNMPMRMTMMMMMMMMMMMMMNNNNN&N(N*N,NŹŪŹŗŹŇ{phhhOJQJj:hpUhpjhpUj9hhU hh5j8hhUj6hhUjtJ hhUVnHtHjhhUhhh hCJjhUmHnHuj4hUhjhUj3hU(LL.MVM8-" <$Ifgdp <$Ifgdpkd5$$Iflֈ : r 9> hh# t08:44 laVMMMMMMMMN*N}rg^U -$Ifgdp $Ifgdp -<$Ifgdp $Ifgdp-$<$Ifa$gdp_kdY8$$IflF9s(8:    4 la $Ifgdp P$Ifgdp *N,NNNNO$O&OypcpZQZ $Ifgdz -$Ifgd" -$If^gd[ $Ifgd"kd;$$IflPr 9mT(8:4 la,N.N0NNNNNNNNOOO.O0OLONOPOjOlOOOOOOOOOOOOOOP P PPP*P,PFPJPPPxRzR^S`S~zvhk4hKJh:h(!h(!5CJaJ hh5jhUmHnHujBhhUjAhhUjtJ hhUVnHtHj0@hhUjJ?hhUjk=hhUj<hhUjhhUhhh.&O(O*O,O.O8/&/ -$Ifgd" $Ifgd"kdQ>$$Iflֈ v q89l v J  t08:44 la.OROjOOOOOPPPPPPPPP P"P$P&P(P*Pd$IfgddzHFfD -$Ifgd" $If]gdz $Ifgd~b $Ifgdz -$Ifgdz*P,PHPJPLPNPPP&SOA$<$Ifa$gd$:JkdK$$Ifl0D%9%8:4 la ,$IfgdBIkdJ$$Ifl 98:  8:4 lap $P$Ifa$gda}FfH&S(SfUhU\VfVhVjVVVK -$IfgdfmBJkdTL$$Ifl0#9H$8:4 la $$Ifa$gdK7kdK$$Ifl98:8:4 la$P$Ifa$gd$: $$Ifa$gdB`ShUlUnUpUUUUUUV2VZV\VjVlVVVVVVVVVVVVVVVVVVVVVVV˻ЬФ읙{n{{ah S0J7aJmHnHuhK0J7aJmHnHuh0ph0J7aJjh0ph0J7UaJh Sh h<h<hfmBh:\jhU\mHnHujLh,ph_pU\ h,p\jh,pU\hq&h:6 hh6 hq&6h:h 8Ihphh(!%VVVVVVVVW(Px€$ P gdSH+ ]^gdq&Lkd7M$$Ifl00#9H$8:4 laVVVVW&(*>@NPRfhvxz€Ā؀ڀ(*468LN\߾߳ߨߝߒ߇|j2Sh*'UjRh*'UjQh*'UjQh*'UjvPh*'UjOh*'UjGOh*'UjNh*'UjMh*'Uh*'jh*'U h<h<hKh h0J701&P0:p$:= /!@"@#`$%$$If!vh555 #v#v#v :V8l t8:555 / D <Enter the 10 digit date of application. 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This is required for all state employees.Dd  b  c $A? ?3"`?bkTYywlt nkTYywlPNG  IHDR[sRGB@}0PLTEUUUU:{N pHYsǢ 0IDATc3 pg0P?9?@~ rH"vIENDB`tD  !"#$%&'()*+,-./0123456789:;=>?@ABCNFI|JKLMmoOPQRSTUVWXYZ[\]^_`abcdefghijklnpuqrstvwxyz{}~Root Entry F0Ǡ5HXData <hWordDocumentObjectPool`l50Ǡ5_1255503125  F55Ole PIC LCompObjM  !"#%&'()*+,-./012345689:;<=>?@ABCDEFGHIJKLMOPQRSTUVWXYZ[\]^_`abcdefghijklmnopqrstuvwxyz{|~Lr FPBrushPBrushPBrush9qBMv(pUUUUObjInfo Ole10Native Ole10ItemName _1255503076 F55 0 0 15 14Lr FPBrushPBrushPBrush9Ole  PIC   LCompObjMObjInfoqBMv(pUUUUOh+'0Ole10Native1Table(SummaryInformation(DocumentSummaryInformation8HeCheck5tDeCheck5$$If!vh555*5555\#v#v#v*#v#v#v#v\:V8l t8:555*5555\/  / / / $$If!vh5 555 5 5 #v #v#v#v #v #v :V8l t8:5 555 5 5 / / / / /  DeNoCheckViolationBCheck if you have never been convicted of a misdemeanor or felony.De<Check if you have been convicted of a misdemeanor or felony.Dd  b  c $A? ?3"`?bkTYywl nkTYywlPNG  IHDR[sRGB@}0PLTEUUUU:{N pHYsǢ 0IDATc3 pg0P?9?@~ rH"vIENDB`D Text14<If you answered yes to number 23, enter the date of offense.D,Offense15If you answered yes to number 23, enter the offense.D,Text43@If you answered yes to number 23, enter the location of offense.D4Text44GIf you answered yes to number 23, enter the disposition of the offense.0$$If!v h5r5r5r5d555 5 5  #vr#vd#v#v#v #v #v  :V8lP t8:5r5d555 5 5  /  / / / / /  kdH$$IflP x N &!-9rrrd   t08:$$$$44 la$$If!vh5L5F55#vL#vF#v#v:V8l t08:5L5F55/ /  / / / DeLicenseNoCheck2Check if you do not have a vaild driver's license.De+Check if you have a vaild driver's license.Dd  b  c $A? ?3"`?bkTYywld nkTYywlPNG  IHDR[sRGB@}0PLTEUUUU:{N pHYsǢ 0IDATc3 pg0P?9?@~ rH"vIENDB`DText59<Enter your driver license number. 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