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Title Production and Warehouse work, Forklift
Target Location US-IN-Kokomo
Email Available with paid plan
Phone Available with paid plan
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Candidate's Name  Employment ApplicationApplication Date: Street Address /19/2021Job Title: 3rd shift General AssemblyJob Location: SharpsvillePersonal InformationFirst Name: ChristopherLast Name: CottinghamEmail: EMAIL AVAILABLEContact InformationMobile: PHONE NUMBER AVAILABLEAlt. Phone: PHONE NUMBER AVAILABLECountry: USAddress: 5107 Wea DriveCity: KokomoState: INZip Code: 46902General InformationAre you 18 years of age or older? YesAre you legally authorized to work in the United States? Yes Desired Compensation: 15.00Weekly Availability: n/aDaily Availability: Sunday, Monday, Tuesday, Wednesday, Thursday, Friday, Saturday Available Start Date: 11/20/2021How did you hear about this opportunity? FriendIf referred by a current employee, please give employee name: Aaron Smith Employment HistoryPlease provide the following requested information regarding your employment history: Include military service assignments and volunteer activities. You may exclude organization names that include race, color, religion, gender, national origin, ancestry, age, disability or other protected status. Current or Most Recent EmployerAre you currently employed? NoEmployer Name: Warehouse WorkerBorg WarnerCity and State: Kokomo,INTitle: n/aStart Date: 2020-11-01End Date: 2021-08-01Reason for Leaving: Laid OffExplanation: no hours,partsRate of Pay: 14.75Direct Supervisor: BruceCompany Phone: Borg WarnerOK to contact? YesResponsibilities and Duties: Pack out products ready to ship. 2nd Previous EmployerEmployer Name: GrinderBottcher AmericaCity and State: Tipton,INTitle: n/aStart Date: 2019-04-01End Date: 2020-01-01Reason for Leaving: Laid OffExplanation: not enough hours/ covidRate of Pay: 14.09Direct Supervisor: KerryCompany Phone: Bottcher AmericaOK to contact? YesResponsibilities and Duties: grinder3rd Previous EmployerEmployer Name: Cardinal Metal FinishingCity and State: Kokomo, INTitle: n/aStart Date: 08/15/2015End Date: 10/20/2019Reason for Leaving: Laid OffExplanation: Factory closed downRate of Pay: 18.00Direct Supervisor: MikeCompany Phone: N/aOK to contact? n/aResponsibilities and Duties: First shift supervisor, broke down machine, impregnate line, checked transmission parts. Education/TrainingHigh SchoolName of School: Kokomo High SchoolLocation: Kokomo, InLast Grade Completed: 12Graduate or GED? YesCollege or UniversityName of School: n/aLocation: n/aYears Completed: n/aGraduate? n/aCourse or Major: n/aDegree: n/aGraduate SchoolName of School: n/aLocation: n/aYears Completed: n/aGraduate? n/aCourse or Major: n/aDegree: n/aTrade/ Other SchoolName of School: n/aLocation: n/aYears Completed: n/aGraduate? n/aCourse or Major: n/aDegree or Certification: n/aPlease list any languages that you are proficient or fluent in. N/a List professional, trade, business, or civic activities and offices held. (You may exclude memberships that would reveal race, color, religion, gender, age, ancestry, national origin, disability, or other protected status): Fortklift ReferencesReference 1Name: Simon PonderCompany: Computer TechRelationship: FriendPhone: PHONE NUMBER AVAILABLEEmail: N/AYears Known: 30Reference 2Name: Shawna SmithCompany: ManagerRelationship: friendPhone: PHONE NUMBER AVAILABLEEmail: EMAIL AVAILABLEYears Known: 22Reference 3Name: Jason SmithCompany: Bottcher AmericaRelationship: FriendPhone: PHONE NUMBER AVAILABLEEmail: N/AYears Known: 22Applicant's StatementI certify that my answers to all questions are true and correct without any consequential omissions of any kind whatsoever. I understand that if I am employed, any false, misleading or otherwise incorrect statements made on this application or during the pre-employment process may be grounds for my immediate termination. I have read and agree to this disclaimer. YesApplicant Signature: Christopher CottinghamDate: 2021-11-19Privacy Policy AcknowledgementBy checking this box, you acknowledge and consent to terms of the privacy policy which applies to the applicant tracking service being offered by Paycor on behalf of Functional Devices Inc. The privacy policy offers an explanation of how and why your data will be collected, how it will be used and disclosed, how it will be retained and secured, and what legal rights are associated with that data (including the rights of access, correction, and deletion). The policy also describes legal and contractual limitations on these rights. The specific rights and obligations of individuals living and working in different areas may vary by jurisdiction.Acceptance: I have read and agree to this statement

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