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Embarking on a career with the Michigan Department of Transportation (MDOT) welcomes you into an environment dedicated to public service and innovation. The cornerstone of initiating this potential career path is navigating the Michigan 0999D form, a comprehensive employment application designed to collect a wide array of personal and professional information from candidates. This form serves as a candidate’s first introduction to the hiring process, underscoring the importance of accuracy and completeness in its submission. Not merely a formality, the 0999D thoroughly evaluates an applicant’s employment history, educational background, licensure, and other critical elements that could influence hiring decisions. It emphasizes the department's commitment to equal opportunity employment, encouraging resumes alongside the application while clearly stating that it is not a substitute. Moreover, it addresses the needs of applicants with disabilities under the Michigan Persons with Disabilities Civil Rights Act, offering accommodations as required. The application delves into detailed work experience, eliciting insights into past roles, responsibilities, and reasons for leaving, paired with an honesty clause regarding the veracity of provided information. This document, integral to the hiring process within MDOT, not only aids in selecting the most qualified candidates but also reflects the department's adherence to transparent and inclusive hiring practices.

Preview - 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 Characteristics

Fact Name Description
Form Identifier Michigan Department of Transportation Employment Application 0999D
Version Date January 2007 (01/07)
Equal Opportunity Employer Statement The form includes a statement affirming the Michigan Department of Transportation's commitment to being an Equal Opportunity Employer.
Governing Law Under the Michigan Persons with Disabilities Civil Rights Act, applicants with disabilities are entitled to reasonable accommodation.

Guidelines on Utilizing Michigan 0999D

Completing the Michigan 0999D form is an essential step for those applying for a position within the Michigan Department of Transportation. This form is quite detailed and requires careful attention to ensure that all information is accurately and thoroughly provided. It's not just a formality but a critical component of your application package, serving as a comprehensive overview of your professional and personal background. Follow these steps closely to ensure that your application is complete and properly submitted. After filling out the form, you will need to prepare for the possibility of an interview, gather any additional documents that might strengthen your application, and keep an eye on your email or phone for any follow-up communications from the Department.

  1. Start by downloading or obtaining a physical copy of the Michigan 0999D form.
  2. Enter the Position for which you are applying at the top of the form, including the Posting Code, Bureau/Region/Office/Division, and Position Location.
  3. Fill in the Job Title section.
  4. Indicate whether you have been a State of Michigan employee by marking either 'Yes' or 'No'. If yes, provide your Employee ID #.
  5. Under PERSONAL INFORMATION, enter your Name, Mailing Address, City, State, Zip Code, Email Address, Driver's License Number, and both Day Time and Home Telephone Numbers.
  6. Answer the question regarding previous dismissal or resignation from employment. If applicable, provide details.
  7. Detail your educational background, including the name/location of high school, type of diploma or certificate, and any college, university, trade school, or special training you've completed, along with transcripts.
  8. Enter any relevant licensure or registration information, such as CDL, PE, CPA, etc., including the number, date received, expiration date, and state licensing agency.
  9. Identify your veteran status and if applicable, your registration with Civil Service for veterans’ preference.
  10. Confirm your citizenship status. If you are not a U.S. Citizen, indicate if you are eligible to work in the U.S. without sponsorship. Also, provide details of any Western Hemisphere Travel Initiative Document you possess.
  11. In the PERIODS OF EMPLOYMENT section, detail your employment history starting with your most recent job. Include name of employer, address, phone number, your job title, supervisor’s name, employment dates, hours per week, and your duties and responsibilities. Repeat this step for up to three previous employers.
  12. Once all sections are complete, review your answers carefully for accuracy and completeness.
  13. Sign and date the certification at the bottom of the form to verify that all information provided is true and complete to the best of your knowledge.
  14. Lastly, if you wish to provide the optional EEO Survey information, fill out the section following the certification. Remember, this section is not mandatory and will not affect your employment status or opportunities.

After completing and reviewing the form to ensure that all entries are accurate and complete, submit it to the Office of Human Resources at the address provided on the form, along with any encouraged but not required resumes. Promptly submitting your application is crucial, as it allows the hiring committee to consider your application without delay.

Crucial Points on This Form

What is the purpose of the Michigan 0999D form?

The Michigan 0999D form is an employment application used by the Michigan Department of Transportation (MDOT) to collect pertinent information from candidates applying for various positions. Its purpose is to ensure that all applicants provide consistent and detailed information about their personal background, educational qualifications, employment history, and other relevant data to assess their suitability for the job.

Is attaching a resume to the 0999D form necessary?

While attaching a resume is encouraged to provide additional information, it is not a substitute for the application form itself. The 0999D form must be filled out in detail as required documentation for the employment process with MDOT.

Where should applicants submit their completed 0999D form?

Completed forms should be submitted to the Office of Human Resources at 934 Bridge Plaza, Sault Ste. Marie, Michigan 48783. Applicants can also fax their application to (906) 635-0540.

What information is required for veterans on the 0999D form?

Veterans, surviving spouses, or spouses of a disabled veteran who has been discharged within the last five years need to indicate their status on the form. Additionally, they should specify if they are registered with Civil Service for veterans' preference.

Can assistance be provided if an applicant has a disability?

Yes, individuals with a disability, as defined by the Michigan Persons with Disabilities Civil Rights Act, can receive reasonable accommodation to complete the application. The form specifies that applicants with disabilities should notify the department to arrange for the necessary assistance.

What happens if false information is provided on the application?

Providing false information, omissions, or misrepresentations on the application may lead to forfeiture of consideration for employment. If an applicant is hired based on false information, it could result in dismissal from employment with MDOT.

Is a criminal history and background check part of the employment process?

Yes, by submitting the application, candidates authorize MDOT to conduct criminal history and background checks, verify references from past employers, and inspect motor vehicle operator license records as a part of the pre-employment process.

How does MDOT use the Equal Employment Opportunity (EEO) Survey on the last page?

The EEO Survey found on the last page is for statistical purposes to comply with Federal Highway Administration (FHWA) requirements. This information is collected to monitor compliance with EEO regulations and is not part of the hiring decision process. It is removed and kept separate from the application.

Is U.S. citizenship required for employment?

Applicants do not necessarily need to be U.S. citizens, but they must be eligible to work in the U.S. without sponsorship. Additionally, they must specify if they possess a valid Western Hemisphere Travel Initiative Document, such as a Passport or Passport Card, among others.

Are transcripts required for educational qualifications?

Yes, transcripts are required to verify college, university, trade school, or special training listed on the 0999D form. This documentation supports the educational qualifications the applicant provides on the employment application.

Common mistakes

Filling out employment applications can often feel like an overwhelming task, with the Michigan Department of Transportation (MDOT) 0999D form being no exception. Applicants tend to make several common mistakes when completing this form, which could affect their chances of securing employment. Understanding these errors can help ensure that your application is as strong as possible.

One significant mistake is not providing a complete work history. The form requires detailed descriptions of responsibilities and duties for each position listed. However, applicants sometimes only provide brief summaries or, worse, leave this section incomplete. This oversight can give the impression that you're either not detail-oriented or lack substantial work experience. It's crucial to describe each job role comprehensively, focusing on responsibilities that align with the position you're applying for at MDOT.

Another common error is neglecting to attach required documents. The MDOT 0999D form stipulates that transcripts are required for any education claims, such as degrees or certifications. Yet, applicants frequently submit their application without these essential documents, thereby potentially disqualifying themselves from further consideration. Always double-check the application's requirements and ensure that all necessary attachments are included.

Applicants also make the mistake of overlooking the certification section at the end of the form. This section requires a signature to certify that all information provided is true and complete to the best of one's knowledge. Failing to sign or date this section can automatically render the application incomplete, as it raises questions about the authenticity of the provided information. This simple yet crucial step is often missed, so pay close attention to all sections requiring personal verification.

Last but not least, the mistake of relying solely on a resume instead of thoroughly filling out the form can be detrimental to an application. While the 0999D form does state that resumes are encouraged, it explicitly mentions that they are not a substitute for the application itself. Applicants often fill in sections incompletely with a note referring to their resume for more details. This practice can be seen as ignoring instructions and might not provide the evaluators with all the information in the structured manner they require for comparison among candidates. Always fill out each section of the form as completely and accurately as possible, even if the information is also included in your resume.

In summary, when applying for a position with the Michigan Department of Transportation using the 0999D form, it is imperative to avoid these common mistakes. Providing detailed employment histories, attaching all required documents, properly completing the certification section, and not relying solely on a resume will help ensure your application is reviewed favorably. Attention to detail and careful compliance with the application instructions reflect your professionalism and increase your chances of securing an interview.

Documents used along the form

When applying for a position with the Michigan Department of Transportation, using form 0999D, applicants might need to prepare several other documents to support their application. These documents are essential for providing a comprehensive view of the applicant's qualifications, work history, and legal eligibility for employment. Here’s a list of other forms and documents that often accompany the Michigan 0999D form.

  • Resume: Although not a replacement for the application form, a resume can provide additional details about the applicant's work experience, education, skills, and accomplishments.
  • Cover Letter: This document allows the applicant to introduce themselves and explain why they are the best fit for the job, highlighting specific qualifications and experiences that align with the job requirements.
  • Transcripts: Official or unofficial transcripts may be required to verify educational achievements, degrees obtained, and the relevance of the coursework completed to the position being applied for.
  • References: A list of professional references, including contact information, can help the hiring committee understand the applicant's work ethic and professional background better.
  • Certifications: Copies of professional certifications relevant to the position, such as CDL, PE, CPA, etc., can be crucial for positions that require specific qualifications.
  • DD-214 Form: Veterans or eligible spouses might need to provide this document to claim veterans’ preference, showcasing the applicant's military service and discharge status.
  • Proof of Eligibility to Work: Documents such as a U.S. passport, birth certificate, or green card may be necessary to prove the applicant’s eligibility to work in the United States without sponsorship.
  • Background Check Authorization Form: Some positions may require a pre-employment background check. An authorization form might need to be completed and submitted with the application to initiate the process.

Compiling these documents alongside the Michigan 0999D form is a crucial step in the application process. It ensures that the hiring team has all the necessary information to evaluate the candidate's suitability for the position accurately. Applicants should ensure that all information provided is accurate and up-to-date to avoid any potential delays or issues in the hiring process.

Similar forms

  • The Federal Employment Application Form is similar to Michigan's 0999D form due to both requiring detailed personal information, employment history, education background, and citizenship status to assess eligibility for employment.

  • State of California Employment Application (STD 678) shares similarities with the 0999D form by asking candidates to list job experiences, educational qualifications, licenses, and certifications, making it comprehensive for evaluating a candidate's suitability for a position.

  • The Texas Application for Employment matches the 0999D form in structure, seeking detailed employment history, education, and personal information, alongside questions on veteran status and the necessity for any accommodations.

  • New York State Application for Examination or Employment (Form NYS-APP) is comparable as it also collects comprehensive information on an applicant’s educational background, employment history, certifications, and licensure details to determine qualifications for employment.

  • The Florida State Employment Application aligns with the Michigan 0999D form by asking for extensive details related to previous employment, specific skills or certifications, educational background, and eligibility for work, including questions regarding the legal right to work in the U.S.

  • Commonwealth of Virginia Application for Employment parallels Michigan’s form by including sections on personal information, employment background, educational achievements, and veteran status, with an emphasis on equal opportunity and non-discrimination.

  • Ohio Civil Service Application for State and County Agencies has similarities in requiring detailed employment history, asking about educational background, licenses or certifications, veteran status, and the need for any special accommodations, reflecting a comprehensive approach to gathering applicant information.

Dos and Don'ts

When completing the Michigan 0999D form, it's important to give yourself the best chance at employment with the Michigan Department of Transportation. Here are some do's and don'ts to consider:

Do:
  • Read instructions carefully before filling out the form to ensure all required sections are completed accurately.
  • Use a black or blue pen if filling out the form by hand to ensure clarity and legibility.
  • Be honest about your past employment and educational background. Misrepresentation can lead to disqualification.
  • Provide specific examples of relevant experiences and achievements that match the job requirements.
  • Double-check for spelling and grammar mistakes. This helps present a professional application.
  • Attach all required documents, such as resumes, transcripts, and certificates to support your application.
  • Sign and date the application. An unsigned application may not be processed.
  • Keep a copy of the completed form and attached documents for your records.
  • Contact MDOT if you require accommodation for completing the application due to a disability.
  • Submit the application before the deadline to ensure it is considered.
Don't:
  • Leave sections blank. If a section does not apply, write "N/A" to indicate this.
  • Use informal language or slang. Maintain a professional tone throughout the application.
  • Forget to list your current contact information, including a valid email address and telephone number.
  • Omit your employment history details. Include accurate dates, job titles, and responsibilities.
  • Ignore the requirement for attaching additional sheets in the same format for extensive employment history.
  • Overlook the certification section at the end of the application. Your signature is required to validate the application.
  • Assume resumes will substitute for the completion of any section within the form.
  • Forget to indicate if you are a veteran or eligible for veteran's preference, if applicable.
  • Dismiss the opportunity to request reasonable accommodation for the application process if you have a disability.
  • Send the application to the wrong department or address, which can delay or prevent consideration.

Misconceptions

When it comes to filling out job applications, the Michigan Department of Transportation's (MDOT) Form 0999D has its share of myths that can confuse applicants. It's crucial to dispel these misconceptions to ensure the application process is as smooth as possible for candidates. Below are four common misunderstandings about the application form and explanations to clear up any confusion.

  • Resumes Replace the Need for a Complete Application: A prevalent misconception is that attaching a resume to the MDOT Form 0999D exempts applicants from filling out the form in detail. While resumes are encouraged and can provide additional information, they do not substitute the need for a fully completed application. This form is designed to standardize the information provided by all applicants, ensuring a fair and comprehensive review process.

  • Personal Information Is Optional: Some applicants believe that providing personal information is not mandatory. However, the personal information section, including contact details and eligibility questions, is essential for the application process. This information is critical for MDOT's Human Resources to contact candidates and determine their suitability for state employment, particularly in verifying citizenship and work eligibility.

  • Educational Details Are Only Necessary for Recent Graduates: Another common misconception is that the education section of the form only applies to recent graduates or those with relevant degrees or certifications. In truth, MDOT requires a complete educational history from all applicants, regardless of when they completed their schooling. This comprehensive approach helps the department to better understand the candidate's background and qualifications.

  • Employment History Should Only Include Relevant Positions: Candidates often assume they should only list employment history related to the position they’re applying for. This is not the case with the MDOT Form 0999D. Applicants are expected to detail their entire employment history, including job titles, roles, responsibilities, and durations. Providing a full picture of one’s work experience, regardless of the industry, allows the hiring team to assess skills and experiences that might be beneficial to the role in unique ways.

Understanding these intricacies of the MDOT 0999D Application Form not only clarifies the application process but also helps applicants present their information accurately and completely. By debunking these myths, candidates can improve their chances of moving forward in the recruitment process and securing employment with the Michigan Department of Transportation.

Key takeaways

Filling out and using the Michigan 0999D form, an employment application for the Michigan Department of Transportation, is essential for those seeking employment within this sector. Here are five key takeaways to consider:

  • Completion of the Michigan 0999D form is mandatory for all applicants, and while resumes are encouraged to provide additional information, they cannot substitute the requirement for the form itself. This ensures consistency in the information gathered from all candidates.
  • Applications must be directed to the Office of Human Resources in Sault Ste. Marie, Michigan, either by mail or fax. This centralized submission process helps streamline the application review and ensures that all applications are received and processed in an organized manner.
  • The form provides space for extensive employment history, including volunteer work and roles that involved supervising other employees. This detailed employment section allows applicants to showcase the breadth and depth of their work experience relevant to the position they are applying for.
  • Applicants who have served in the military or are spouses of veterans are required to indicate their status, as this may qualify them for veterans' preference. This emphasizes the department's commitment to supporting veterans in their job search.
  • The certification section at the end of the employment application requires applicants to attest to the truthfulness and accuracy of the information provided. This section warns of the consequences of providing false information, such as forfeiting consideration for employment or dismissal if inaccuracies are discovered after hiring. Additionally, consent is given for conducting background checks and contacting references as part of the pre-employment process.

Approaching the Michigan 0999D form attentively and providing detailed, accurate information can significantly impact an applicant's chance of progressing through the hiring process. This form is not just a bureaucratic necessity but a key element in the Michigan Department of Transportation's efforts to ensure fair and thorough consideration of all candidates.

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