Personal
Last NameChampagne
First NameChristina
Middle NameMichelle
Cell Phone(217) 690-7953
EmailEmail hidden; Javascript is required.
Permanent Address1812 Walnut Ave
Mattoon, Illinois 61938
United States
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Drivers License StateC51211377619
Have you ever applied for a job at Drake Homes in the past?No
Have you ever been employed by Drake Homes in the past?No
How were you referred to Drake Homes?Employment Service
Name of Referral Source:Tommy Drum

Employment Interests
Date Available03/21/2022
Position(s) Applying ForPainting
Type of Employment You Are Seeking:
  • Full Time
What is your desired hourly wage?Neg
Can you travel if the job requires it?No
Do you have a CDL?No
Do you have at least 1 year of relevant work experience?Yes

Education/U.S. Military Service
Where did you attend high school & college? (Click the + button to add a new row)
School Name & Address Major Years Completed GPA Degree/Diploma
Villa Grove IL Villa Grove High School Rt 130 General 12
Have you ever served in the U.S. Armed Services?No

Employment History
Company Name (Most Recent)Dave Hayworth
AddressCharleston, Illinois 61938
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Phone(217) 232-8913
Dates Employed
From To
Mar 2022 Mar 2022
Job TitlePainter/cleaner/drywall/mud
Supervisors Name & TitleDave Hayworth/Owner
Type of BusinessRental properties
Description of duties

Painter/drywall/cleaner/

Reason for Leaving?Currently out of vacant units
May we contact this employer?Yes
Did you have another job before this one?Yes

Company Name (Second Most Recent)Palm terrace
AddressMattoon, Illinois 61938
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Phone(217) 234-7523
Dates Employed
From To
2021 2021
Job TitleCNA
Supervisors Name & TitleLisa
Type of BusinessNursing home
Description of duties

Elderly care

Reason for Leaving?Let license expire
May we contact this employer?Yes
Would you like to list another previous job?Yes

Company Name (Third Most Recent)Storm Hawk Construction
AddressHomer, Illinois
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Dates Employed
From To
12 years
Job TitleConstruction/Roofing/Drywall/Lead Painter
Supervisors Name & TitleGentry Hawkins
Type of BusinessConstruction Xompany
Reason for Leaving?Owner retired
May we contact this employer?Yes
Would you like to list a 4th job?No


References
List 3-5 people we may contact who are qualified to evaluate your capabilities. Do not include relatives. (Click the + button to add a new row)
Name Address Occupation Years Known
Mark Kramer Mattoon IL Retired yrs known 15 217-690-7041
James Mckormick Leena IL Retired yrs known 15 217-294-4334

Background
I agree to a drug screening at the company's expense.Yes
Do you have the legal right to live and work in the U.S.?Yes
I agree/disagree to authorization for Motor Vehicle Report (MVR) at company's expense.Agree
I understand that this position requires a valid driver's license and proof will be required after hire.
  • I understand
I agree to a Criminal Background Check at the company's expense.Yes

Acknowledgement
Digital Signature:Christina Michelle Champagne
Date03/13/2022
Would you like to add a cover letter?No