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Outline

The Michigan 0999D form is a crucial document for individuals seeking employment with the Michigan Department of Transportation (MDOT). It serves as an official application that must be completed and submitted, regardless of whether a resume is provided. This form collects essential personal information, including the applicant's name, contact details, and employment history. Applicants must specify the position they are applying for, including the posting code and the relevant bureau or division. The form also inquires about prior employment with the State of Michigan, educational background, and any relevant licenses or registrations. Special attention is given to veterans and individuals with disabilities, ensuring that appropriate accommodations can be made during the application process. Furthermore, the form includes a certification section where applicants affirm the truthfulness of their provided information, while also authorizing background checks as part of the hiring process. The 0999D form not only facilitates the collection of vital data but also aligns with equal opportunity employment practices, reflecting MDOT's commitment to diversity and inclusion in its workforce.

Sample - Michigan 0999D Form

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.

Form Information

Fact Name Details
Form Number The Michigan 0999D form is designated as the Employment Application for the Michigan Department of Transportation (MDOT).
Submission Location Applications must be submitted to the Office of Human Resources located at 934 Bridge Plaza, Sault Ste. Marie, Michigan 48783.
Fax Information Applicants can also submit their applications via fax at (906) 635-0540.
Equal Opportunity Employer MDOT is committed to being an Equal Opportunity Employer, ensuring fair treatment in hiring practices.
Required Documentation While resumes are encouraged, they do not substitute for the completed application form.
Disability Accommodations Individuals with disabilities may request reasonable accommodations to complete the application process, as per the Michigan Persons with Disabilities Civil Rights Act.
Criminal Background Check By submitting the application, candidates authorize MDOT to conduct a criminal history and background check.
Governing Law The application process is governed by the Michigan Persons with Disabilities Civil Rights Act and relevant federal laws.

Detailed Guide for Filling Out Michigan 0999D

Filling out the Michigan 0999D form is an important step in the application process for employment with the Michigan Department of Transportation. After completing the form, you will submit it to the Office of Human Resources for consideration. Make sure to include all necessary information and any required documentation to support your application.

  1. Start with the Position for Which You Are Applying section. Fill in the Posting Code, Bureau/Region/Office/Division, and Position Location.
  2. Provide the Job Title you are applying for.
  3. Indicate if you are or have ever been a State of Michigan employee. If yes, include your Employee ID number.
  4. If applicable, state whether you have a disability and need assistance completing the application.
  5. Complete the Personal Information section with your name, mailing address, city, state, zip code, email address, driver's license number, daytime telephone number, and home telephone number.
  6. If your name has changed, list any previous names.
  7. Answer whether you have ever been dismissed from employment or resigned in lieu of dismissal. If yes, provide details.
  8. Fill in the Education section. Provide the name and location of your high school, indicate if you received a diploma, and list any college, university, trade school, or special training attended. Include credit hours earned and degrees or certificates received.
  9. List any Licensure or Registration you hold, including the license number, date received, expiration date, and the state licensing agency.
  10. Indicate your veteran status and if you are registered with Civil Service for veterans’ preference.
  11. Answer the citizenship question and provide information on your eligibility to work in the U.S.
  12. In the Periods of Employment section, describe your work experience. Start with your most recent job and include the employer's name, address, phone number, job title, supervisor’s name, employment dates, hours worked per week, and your duties and responsibilities. Repeat this for up to three employers.
  13. In the Certification section, read the statement carefully, then sign and date the application to certify that all information is true.
  14. Finally, complete the optional EEO Survey at the end of the form, if you choose to provide this information.

Obtain Answers on Michigan 0999D

  1. What is the Michigan 0999D form?

    The Michigan 0999D form is an employment application used by the Michigan Department of Transportation (MDOT). It is designed to collect essential information from applicants seeking employment within the department. While submitting a resume is encouraged, it cannot replace the completion of this application form.

  2. Who should fill out the Michigan 0999D form?

    Anyone interested in applying for a position with MDOT must complete the Michigan 0999D form. This includes individuals who have previously worked for the state of Michigan as well as new applicants. The form gathers important personal and employment information that will be used in the hiring process.

  3. What information is required on the application?

    The application requires various details, including:

    • Your personal information, such as name, address, and contact details.
    • Your employment history, including job titles, responsibilities, and reasons for leaving previous jobs.
    • Educational background, including schools attended and degrees earned.
    • Licenses or registrations relevant to the position.
    • Veteran status and citizenship information.
  4. How do I submit the Michigan 0999D form?

    To submit the Michigan 0999D form, you should send it to the Office of Human Resources at MDOT. The mailing address is 934 Bridge Plaza, Sault Ste. Marie, Michigan 48783. Alternatively, you can fax the completed application to (906) 635-0540.

  5. Is there a deadline for submitting the application?

    Each job posting may have its own specific deadline for applications. It is crucial to check the job listing for any stated deadlines and ensure that your application is submitted on time to be considered for the position.

  6. What if I need assistance completing the form?

    If you have a disability as defined by the Michigan Persons with Disabilities Civil Rights Act and require assistance with the application, you may request a reasonable accommodation. This can help ensure that you can complete the application process effectively.

  7. What happens after I submit my application?

    After submission, your application will be reviewed by hiring managers. They may contact you for additional information or to schedule an interview. It’s important to note that submitting a complete and accurate application can significantly impact your chances of being considered for the position.

  8. What are the consequences of providing false information?

    Providing false information on the Michigan 0999D form can have serious consequences. If any inaccuracies, omissions, or misrepresentations are discovered, it could result in disqualification from consideration for employment or even termination if you are already hired.

  9. Can I attach additional documents to my application?

    Yes, you are encouraged to attach a resume or any other relevant documents that can provide additional information about your qualifications. However, remember that the Michigan 0999D form itself must still be completed in full.

Common mistakes

Completing the Michigan 0999D form can be a straightforward process, but many applicants make common mistakes that can hinder their chances of securing a position. Here are ten frequent errors to avoid.

First, failing to provide a complete mailing address is a common oversight. It is essential to include your full address, including city, state, and zip code. Incomplete information can lead to delays in communication regarding your application.

Second, many applicants neglect to fill in their email address. In today’s digital age, employers often rely on email for communication. Without this information, you may miss important updates about your application status.

Another mistake involves the Driver's License Number. Applicants sometimes forget to include this number or provide an incorrect one. Ensure that the number is accurate, as it may be used for background checks.

Fourth, some individuals do not indicate whether they have ever been a state employee. This section is crucial, as it helps the employer understand your background. If you have been an employee, be sure to include your Employee ID number.

Fifth, many people overlook the importance of detailing their work experience. Simply listing job titles is insufficient. Applicants should describe their duties and responsibilities in each position to give a clear picture of their qualifications.

Additionally, failing to specify reasons for leaving previous jobs can be problematic. Employers often want to know why you left past positions to gauge your reliability and work history. Be honest and concise in your explanations.

Seventh, applicants sometimes forget to sign and date the application. This step is critical, as an unsigned application may be deemed incomplete and could result in disqualification from consideration.

Another common error is not checking for grammatical and spelling errors. A well-written application reflects professionalism and attention to detail. Take the time to proofread your application before submission.

Ninth, some individuals fail to provide transcripts for educational qualifications. The form specifically requests transcripts for college, university, or trade school. Omitting this documentation can lead to delays or rejection of your application.

Lastly, many applicants neglect to complete the EEO survey. While this section is optional, providing this information can help the organization meet federal requirements. It does not affect your employment status but can contribute to diversity and inclusion efforts.

By avoiding these common mistakes, applicants can enhance their chances of making a positive impression on the hiring committee. Thoroughness and attention to detail are key when filling out the Michigan 0999D form.

Documents used along the form

When applying for a position with the Michigan Department of Transportation (MDOT), several forms and documents may be required or recommended alongside the Michigan 0999D form. These documents help provide a comprehensive view of your qualifications and background. Below is a list of commonly associated forms and documents.

  • Resume: While not a substitute for the application, a resume can enhance your application by providing additional details about your work history, skills, and accomplishments.
  • Cover Letter: A cover letter allows you to express your interest in the position and explain why you are a suitable candidate. It can personalize your application and highlight specific experiences.
  • Transcripts: If you have attended college, university, or trade school, providing official transcripts can verify your educational background and any degrees or certificates earned.
  • References List: A list of professional references can support your application. It should include individuals who can speak to your work ethic and qualifications.
  • Veteran Status Documentation: If you are a veteran or a spouse of a veteran, documentation may be required to confirm your status for any applicable preferences in the hiring process.
  • Licensure or Certification Copies: If the position requires specific licenses or certifications (like a CDL or CPA), providing copies of these documents can demonstrate your qualifications.
  • Background Check Authorization: Some employers may require a separate form to authorize a background check. This is often part of the pre-employment process.
  • Disability Accommodation Request: If you need assistance due to a disability, a formal request may be necessary to ensure the employer can provide the appropriate accommodations.
  • EEO Survey Form: This optional form collects demographic information for statistical purposes. It does not affect your application but may be requested for compliance with federal regulations.

Gathering these documents can help streamline your application process and present a well-rounded view of your qualifications. Ensure that each document is complete and accurate to enhance your chances of securing the position you desire.

Similar forms

The Michigan 0999D form is an employment application used by the Michigan Department of Transportation. It shares similarities with several other employment-related documents. Below is a list of eight documents that are comparable to the Michigan 0999D form, along with explanations of how they are similar.

  • Federal Employment Application (Standard Form 171): Like the Michigan 0999D, this form is used for federal job applications. It collects personal information, work history, and educational background, ensuring a standardized approach to assessing candidates.
  • State Job Application Form: Many states have their own job application forms that mirror the Michigan 0999D. They typically request similar information, including employment history and qualifications, to evaluate applicants for state positions.
  • Resume: While not a formal application, a resume often accompanies the Michigan 0999D. Both documents summarize work experience and skills, helping employers gauge a candidate's suitability for a position.
  • Job Application for Private Sector Employment: Private companies often have their own job applications that resemble the Michigan 0999D. They usually ask for personal details, employment history, and education, serving the same purpose of candidate evaluation.
  • Internship Application Form: Similar to the Michigan 0999D, internship applications often require personal information, educational background, and work experience. Both forms aim to assess the qualifications of applicants for specific roles.
  • Volunteer Application Form: Volunteer organizations often use application forms that collect similar information as the Michigan 0999D. These forms ask for personal details and relevant experience to determine the best fit for volunteer positions.
  • College Admission Application: College applications often require extensive personal information, academic history, and extracurricular activities, akin to the Michigan 0999D. Both types of applications aim to evaluate candidates based on their qualifications and experiences.
  • Professional License Application: Applications for professional licenses, such as nursing or teaching, often require detailed information about education and work history. This is similar to the Michigan 0999D, as both forms assess qualifications for specific roles.

Dos and Don'ts

When filling out the Michigan 0999D form, there are several important guidelines to follow. Adhering to these can help ensure your application is processed smoothly.

  • Do read the entire form carefully before starting to fill it out.
  • Do provide accurate and complete information in all sections.
  • Do include your current contact information, including phone numbers and email addresses.
  • Do attach any required documents, such as transcripts, if applicable.
  • Don't leave any sections blank unless instructed to do so.
  • Don't use abbreviations or acronyms that may not be understood.
  • Don't submit your application without proofreading it for errors.

Misconceptions

Understanding the Michigan 0999D form can be challenging, especially with the various misconceptions surrounding it. Here are four common misunderstandings:

  • Resumes are not required. Many believe that submitting a resume is necessary when applying with the Michigan 0999D form. In reality, while resumes are encouraged, they are not a substitute for the application itself.
  • Previous employment history is optional. Some applicants think they can skip detailing their work experience. However, the form explicitly requires you to describe your work history in detail, including volunteer work and the number of employees supervised.
  • Disability accommodations are not available. There is a misconception that individuals with disabilities cannot receive assistance when completing the application. The form states that reasonable accommodations may be provided if requested, ensuring inclusivity for all applicants.
  • Criminal background checks are optional. Some applicants may assume that they can opt out of background checks. However, by submitting the application, you authorize the Michigan Department of Transportation to conduct criminal history and background checks as part of the hiring process.

Key takeaways

When filling out the Michigan 0999D form, there are several important points to keep in mind. Understanding these can help ensure a smooth application process for employment with the Michigan Department of Transportation.

  • Complete the Application Fully: Resumes can complement your application but cannot replace it. Make sure to fill out all sections of the form accurately.
  • Provide Personal Information: Include your name, contact details, and any previous names. This information is crucial for processing your application.
  • Detail Your Employment History: Describe your work experience thoroughly, starting with your most recent job. Include any volunteer work and the number of employees you supervised.
  • Disability Accommodations: If you have a disability and need assistance completing the application, you can request reasonable accommodations.
  • Certification of Information: By signing the application, you confirm that all information is true. Any inaccuracies could impact your employment status.

Being mindful of these key takeaways can enhance your chances of a successful application. Take your time to ensure that every detail is accurate and complete.