| Personal | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Last Name | Riggleman | ||||||||||||||||
| First Name | Quentin | ||||||||||||||||
| Middle Name | Eugene | ||||||||||||||||
| Cell Phone | (217) 609-1272 | ||||||||||||||||
| Email hidden; Javascript is required. | |||||||||||||||||
| Permanent Address | 950 Edgar Dr #17 Charleston, Illinois 61920 United States Map It | ||||||||||||||||
| Drivers License State | IL | ||||||||||||||||
| Social Security Number (voluntary) | 334-06-1021 | ||||||||||||||||
| Have you ever applied for a job at Drake Homes in the past? | Yes | ||||||||||||||||
| If Yes, give date and position applied for | Painter 2021 2022 | ||||||||||||||||
| Have you ever been employed by Drake Homes in the past? | Yes | ||||||||||||||||
| If yes, list dates of employment | 2021 2022 | ||||||||||||||||
| How were you referred to Drake Homes? | Other Company | ||||||||||||||||
| Employment Interests | |||||||||||||||||
| Date Available | 07/29/2024 | ||||||||||||||||
| Position(s) Applying For | Painting , cleaning , help at shop if needed | ||||||||||||||||
| Type of Employment You Are Seeking: |
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| What is your desired hourly wage? | 16 | ||||||||||||||||
| 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) |
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| Have you ever served in the U.S. Armed Services? | No | ||||||||||||||||
| Employment History | |||||||||||||||||
| Company Name (Most Recent) | JJ Collins | ||||||||||||||||
| Address | 2351 Madison Ave Charleston, Illinois 61920 Map It | ||||||||||||||||
| Phone | (217) 345-7606 | ||||||||||||||||
| Dates Employed |
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| Job Title | Machine Adjuster | ||||||||||||||||
| Supervisors Name & Title | John Holmes | ||||||||||||||||
| Type of Business | Notepad/Envelope company | ||||||||||||||||
| Description of duties | Starting up envelope machine. Cleaning , computer work , inventory | ||||||||||||||||
| Reason for Leaving? | Wanting a 1st shift job | ||||||||||||||||
| 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) |
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| 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 | ||||||||||||||||
| Other name(s) under which you have been previously employed | JJcollins | ||||||||||||||||
| 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. |
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| I agree to a Criminal Background Check at the company's expense. | Yes | ||||||||||||||||
| Acknowledgement | |||||||||||||||||
| Digital Signature: | Quentin E Riggleman | ||||||||||||||||
| Date | 07/18/2024 |
