| Personal | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Last Name | brooks | ||||||||||||||||
| First Name | courtland | ||||||||||||||||
| Middle Name | richard | ||||||||||||||||
| Cell Phone | (217) 218-9519 | ||||||||||||||||
| Email hidden; Javascript is required. | |||||||||||||||||
| Permanent Address | 9339 N Co Rd 1840E Charleston, Illinois 61920 United States Map It | ||||||||||||||||
| Drivers License State | b62011696292 | ||||||||||||||||
| 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? | Employee | ||||||||||||||||
| Name of Referral Source: | daylea ethridge | ||||||||||||||||
| Employment Interests | |||||||||||||||||
| Date Available | 10/14/2024 | ||||||||||||||||
| Position(s) Applying For | general laborer | ||||||||||||||||
| Type of Employment You Are Seeking: |
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| What is your desired hourly wage? | 50,000 | ||||||||||||||||
| 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) |
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| Have you ever served in the U.S. Armed Services? | Yes | ||||||||||||||||
| US Military Duties and special training | team leader riflemen | ||||||||||||||||
| Rank held at discharge | E4 | ||||||||||||||||
| Employment History | |||||||||||||||||
| Company Name (Most Recent) | Sarah Bush health center | ||||||||||||||||
| Address | 1000 health center dr mattoon, Illinois 61938 Map It | ||||||||||||||||
| Phone | (217) 238-3451 | ||||||||||||||||
| Dates Employed |
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| Job Title | patient care tech | ||||||||||||||||
| Supervisors Name & Title | Tyler winkleback | ||||||||||||||||
| Type of Business | hospital | ||||||||||||||||
| Description of duties | I assist patients in the activities of daily living, helping with showers. feeding and critical care of the patient with the nurses when necessary. | ||||||||||||||||
| Reason for Leaving? | needing more active 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 | ||||||||||||||||
| 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: | Courtland R Brooks | ||||||||||||||||
| Date | 09/09/2024 |
