| Personal | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Last Name | Kaniitz | ||||||||||||||||
| First Name | Clay | ||||||||||||||||
| Middle Name | David | ||||||||||||||||
| Home Phone | (217) 246-8295 | ||||||||||||||||
| Cell Phone | (217) 264-8295 | ||||||||||||||||
| Email hidden; Javascript is required. | |||||||||||||||||
| Permanent Address | 49 county rd. 1250 N Neoga, Illinois 62447 United States Map It | ||||||||||||||||
| Drivers License State | Indiana | ||||||||||||||||
| Social Security Number (voluntary) | 325-82-1099 | ||||||||||||||||
| Names of friends or relatives employed by Drake Homes | Harold Mars | ||||||||||||||||
| Have you ever applied for a job at Drake Homes in the past? | Yes | ||||||||||||||||
| If Yes, give date and position applied for | 1998 | ||||||||||||||||
| Have you ever been employed by Drake Homes in the past? | Yes | ||||||||||||||||
| How were you referred to Drake Homes? | Self | ||||||||||||||||
| Employment Interests | |||||||||||||||||
| Date Available | 01/05/2026 | ||||||||||||||||
| Position(s) Applying For | Skilled laborer | ||||||||||||||||
| Type of Employment You Are Seeking: |
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| What is your desired hourly wage? | $20-30 per hour | ||||||||||||||||
| 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) | Self employed | ||||||||||||||||
| Address | 49 county rd 1250 N. Neoga, Illinois 62447 Map It | ||||||||||||||||
| Phone | (217) 246-8295 | ||||||||||||||||
| Dates Employed |
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| Job Title | General contractor | ||||||||||||||||
| Supervisors Name & Title | Self | ||||||||||||||||
| Type of Business | Varous | ||||||||||||||||
| Description of duties | Handyman work construction transportation varous | ||||||||||||||||
| Reason for Leaving? | X | ||||||||||||||||
| 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: | Clay | ||||||||||||||||
| Date | 12/30/2025 | ||||||||||||||||
| Would you like to add a cover letter? | No |
