Personal Information
Section One

Section two

L.A.D.D. Inc. performs background checks including but not limited to  Criminal History, MVR, OIG etc.on all employees after a Conditional Job Offer has been completed. Please answer all questions completely and honestly.  L.A.D.D. Inc. will verify this information using available resources  (Note: Affirmative answers to these questions may not automatically bar you for consideration from employment. Factors such as age at the time of the offense, type of offense remoteness of the offense in time, and rehabilitation will be taken into account in determining effect on, suitability for employment.


LADD is required to have 3 references on file and is audited by the agencies we contract with to ensure this. Please list 3 references that LADD will call who can speak to your good morale character.

Reference #1

Reference #2

Reference #3

Work Experience - List your present or most recent job first:



I understand and agree that:
  1. Any material misrepresentation or deliberate ommission of a fact in my application may be justification for refusal of or if employed, termination from employment. I understand that by signing this application I am certifying that the information I have given is true and that if it is discovered at any time during my employment that I have made false statements including verbally and written my employment will be terminated.
  2. It is my understanding that L.A.D.D. Inc. will make a thorough investigation of my entire work and personal history and may verify all data given in my application for employment, related papers, or oral interviews. I authorize such investigation and the giving and receiving of any information requested by L.A.D.D. Inc. and I release from liability any person giving or receiving any such information. I understand that falsification of data so given or other derogatory information discovered as a result of this investigation may prevent my being hired or if hired may subject me to immediate dismissal. I have read and understand the information posted in L.A.D.D., Inc. offices in relation to background checks that will be completed as a part of my employment. Information regarding the FCRA will be provided to me if background checks adversely impact my employment.
  3. I agree that my employment may be terminated by this company at any time without liability for wages or salary except such as may have been earned at the date of such termination.
  4. Although management makes every effort to accommodate individual preferences, business needs may at times make the following conditions mandatory: overtime, a rotating work schedule, changes in work schedule, staying on shift until replaced by another worker, transfer of job location. I understand and accept these as conditions of my continuing employment.
  5. I authorize any physician or hospital to release any information which may be necessary to determine my ability to perform the duties of a job I am being considered for prior to employment or in the future during my employment with L.A.D.D. Inc.
  6. I understand that if offered a position, I will be required to submit to a pre-employment drug screen. Also, that I must have a medical examination performed by a qualified health professional, I understand that unsatisfactory results from, refusal to cooperate with, or any attempt to affect the results of a drug screen or medical examination will result in the withdrawal of any employment offer or termination of employment if already employed.
  7. I understand that if I am employed, I must provide proof of my legal ability to work in the U.S. I understand that if I am unable to provide proof L.A.D.D. Inc. will withdraw any offer of employment. I also understand that I must continue to have a legal ability to work in the U.S. during the entire term of my employment. Loss of this status will result in termination of employment.
  8. I understand that if I am employed, such employment is an indefinite period of time and that L.A.D.D. Inc. can change wages, benefits and conditions at any time.
  9. I further understand that this is an application for employment and that no employment or contract is being offered.
  10. I do not know of any physical or mental conditions(s) that would prevent me from performing my job duties and responsibilities.
  11. I understand that L.A.D.D. Inc. is an "at-will" employer. I understand that if I am employed my employment will be "at-will", i.e., that is terminable with or without cause, with or without notice, at any time.
  12. I understand that under the Michigan Handicapper's Civil Rights Act, If I am employed, I must advise L.A.D.D. Inc. of any need for accommodation within 182 days after I know or should have known of the need.


L.A.D.D., Inc.is located in Berrien, Cass,Calhoun,Oakland,and Van Buren Counties. We provide services 24 hours per day, 7 days per week, 365 days per year; and therefore, you may be required to work weekends and holidays. Please also note the greater your flexibility in work hours and locations; the greater likelihood that L.A.D.D. Inc. will have a position available for you.

Shift Availability

Below are examples of shifts we run 7 days per week, please type all days and shifts you are available to work below:

First Shift
Second Shift
Third Shift
Last Section

L.A.D.D., Inc. may not be able to accommodate specific shift requests. By completing and submitting this application you are indicating your availability and willingness to work.