Personal
Last NameTroby
First NameKelly
Home Phone(217) 867-5309
Cell Phone(217) 867-5309
EmailEmail hidden; Javascript is required.
Permanent Address123 Sesame Street
123 Sesame Street, Illinois Charleston
United States
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Drivers License StateT12345678900
Names of friends or relatives employed by Drake HomesMe, Myself, and I
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?Yes
How were you referred to Drake Homes?Advertisement
Name of Referral Source:Big Bird

Employment Interests
Date Available02/16/2023
Position(s) Applying ForAll of them!
Type of Employment You Are Seeking:
  • Full Time
What is your desired hourly wage?42,000,000
Can you travel if the job requires it?Yes
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
School of life hard knocks 47
Have you ever served in the U.S. Armed Services?No

Employment History
Company Name (Most Recent)Drake Homes
Address1765 Beech Tree
Illinois Charleston
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Phone(217) 345-6302
Dates Employed
From To
1/1/01 1/1/05
Job TitleRay of Sunshine
Supervisors Name & TitleAvery, HBIC
Type of BusinessConstruction
Description of duties

Anything I'm asked to do

Reason for Leaving?Chasing rainbows
May we contact this employer?Yes
Did you have another job before this one?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
Elmo

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:Susie P Smiley
Date02/15/2023
Would you like to add a cover letter?Yes

Just testing this form. I had a call this morning that he couldn't get it to submit so I wanted to try it.