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6/1/24, 12:55 PM Job#: AF-010101-000; Name: Johnson, Jalene; EasyID: JOH-69-9347; Date: 1/1/1930 - Department of Administrative Services https://www.jobapscloud.com/CT/applicationprint.asp?PrintOne=Y&scram=820040220467557559257 1/6 Department of Administrative ServicesAn Equal Opportunity/Affirmative Action EmployerStatewide Human Resources ManagementStreet Address
PHONE NUMBER AVAILABLE,Job Title: Master ApplicationJob Number: AF-010101-000EasyID: JOH-69-9347Personal and Contact I n f o rmationFirst Name JaleneLast Name JohnsonMiddle Initial AList other namesyou have usedAddress Number,Street, Apt.30 MercerCity New LondonState CTZip Code 06320Email Address EMAIL AVAILABLEPrimary Phone PHONE NUMBER AVAILABLEOK to leave msg? Yes NoAlternate Phone OK to leave msg? Yes No6/1/24, 12:55 PM Job#: AF-010101-000; Name: Johnson, Jalene; EasyID: JOH-69-9347; Date: 1/1/1930 - Department of Administrative Services https://www.jobapscloud.com/CT/applicationprint.asp?PrintOne=Y&scram=820040220467557559257 2/6 Employment PreferencesYou are requiredto select one ofthe followingI am a current employee of the State of Connecticut I am a former employee of the State of Connecticut I have never been employed by the State of Connecticut If you are a currentState of CTemployee, pleaseenter your 6 digitemployee IDnumberAre you lawfullypermitted to workin the UnitedStates?YesNoIn which locationswill you acceptemploymentGrotonLedyardMadisonMontvilleNew LondonNorwichOld LymeOld SaybrookPlainfieldStoningtonWaterfordAre you availableforcheck all that areapplicableFull-TimePart-TimeDurationalSeasonalTemporaryPer DiemInternshipAvailable for ShiftPreferencescheck all that areapplicableFirstSecondThirdWeekendsLanguage F l uencyAre you fluent in alanguage otherthan English?If required for thejob for which youare applying6/1/24, 12:55 PM Job#: AF-010101-000; Name: Johnson, Jalene; EasyID: JOH-69-9347; Date: 1/1/1930 - Department of Administrative Services https://www.jobapscloud.com/CT/applicationprint.asp?PrintOne=Y&scram=820040220467557559257 3/6 Job SourceHow did you firsthear about this jobopening?State of CT website*Please identify specific newspaper, publication, website, TV or radio station, community group, etc.6/1/24, 12:55 PM Job#: AF-010101-000; Name: Johnson, Jalene; EasyID: JOH-69-9347; Date: 1/1/1930 - Department of Administrative Services https://www.jobapscloud.com/CT/applicationprint.asp?PrintOne=Y&scram=820040220467557559257 4/6 H i gh School EducationDid you graduatefrom high schoolor receive a highschoolequivalencydiploma (GED)?Yes NoCollege and Graduate School EducationName, Location Major/Minor Degree Type Degree Earned Three riverscommunitycollege574 New LondonTurnpike, Norwich,CT 06360New Londonpyschology - Associate YesNoAttending24Job-Related Academic, Technical o r Vocational Training Organization, Course, Title Address, City, State Expiration Date Credits, Diploma Earned No Specialized Training or Classes Relevant to Job records to display L i censes and Professional CertificationsType Issuing Agency License Number Expiration Date No Licenses and Professional Certifications records to display Work Experience6/1/24, 12:55 PM Job#: AF-010101-000; Name: Johnson, Jalene; EasyID: JOH-69-9347; Date: 1/1/1930 - Department of Administrative Services https://www.jobapscloud.com/CT/applicationprint.asp?PrintOne=Y&scram=820040220467557559257 5/6 Job 1From (Mo/Yr) To (Mo/Yr)10/2023 PresentJob TitleDietary aideEmployer's Name Employer's AddressApple Rehab 28 Broadway Ave, Mystic, CT 06, Mystic, Connecticut,06355 Supervisor's Name Supervisor's Title Supervisor's Phone Polyn Sewell Kitchen manager (860) 575-3518Weekly Hours Supervise Others, Number, Titles May We Contact Employer Full-time Yes No Yes NoJob DutiesI set up 2 drink carts for the residents consisting of hot water, coffee soda, juice, etc, roll silverware, pass out food (if needed), serve breakfast, lunch, and dinner, cleaning dishes, taking the trash out. Reason for LeavingStill work hereJob 2From (Mo/Yr) To (Mo/Yr)07/2023 09/2023Job Titledunkin crew memberEmployer's Name Employer's AddressDunkin Donuts 75 Poquonnock Rd, Groton, CT 0, Groton, Connecticut, 06340 Supervisor's Name Supervisor's Title Supervisor's Phone Erica Dunkin manager (860) 890-9323Weekly Hours Supervise Others, Number, Titles May We Contact Employer 25 Yes No Yes NoJob DutiesTook orders over the cashier and through the mics for drive thru, made coffees, cleaned tables, took the trash out, counted my drawer every night, closed up the establishment by myself. Reason for LeavingFound a better job opportunity6/1/24, 12:55 PM Job#: AF-010101-000; Name: Johnson, Jalene; EasyID: JOH-69-9347; Date: 1/1/1930 - Department of Administrative Services https://www.jobapscloud.com/CT/applicationprint.asp?PrintOne=Y&scram=820040220467557559257 6/6 Job 3From (Mo/Yr) To (Mo/Yr)03/2023 08/2023Job TitleDietary aideEmployer's Name Employer's AddressBridebrook 23 Liberty Way, Niantic, CT 06, Niantic,Conecticut,06357 Supervisor's Name Supervisor's Title Supervisor's Phone Tom Kitchen manager (000) 000-0000Weekly Hours Supervise Others, Number, Titles May We Contact Employer Full-time Yes No Yes NoJob DutiesSet up breakfast, lunch, and dinner trays for residents, set up breakfast trays for the shifts in the morning, rolled silverware, washed dishes, sweep and mop floors. Reason for Leavingfound a better job opportunityJob 4From (Mo/Yr) To (Mo/Yr)01/2022 07/2022Job TitleServerEmployer's Name Employer's AddressAtria 1 Beechwood Dr, Waterford, CT, Waterford, Connecticut, 06385 Supervisor's Name Supervisor's Title Supervisor's Phone Michael Kitchen manager (000) 000-0000Weekly Hours Supervise Others, Number, Titles May We Contact Employer 25 Yes No Yes NoJob DutiesRolled silverware, took verbal and and over the phone orders, wrote orders down to give to the chef, serve the residents their food, clean off their area, vaccum. Reason for LeavingFound a better job opportunityE-mail Phone: PHONE NUMBER AVAILABLE 8am - 4:30pm M-F Powered by