| Personal | ||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Last Name | Bertolet | |||||||||||||||
| First Name | Ryan | |||||||||||||||
| Middle Name | Gage | |||||||||||||||
| Home Phone | (217) 246-7064 | |||||||||||||||
| Cell Phone | (217) 246-7064 | |||||||||||||||
| Email hidden; Javascript is required. | ||||||||||||||||
| Permanent Address | 3301 shelby 3301 shelby, Illinois Mattoon United States Map It | |||||||||||||||
| Drivers License State | IL | |||||||||||||||
| Social Security Number (voluntary) | 330-90-6897 | |||||||||||||||
| 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 Interests | ||||||||||||||||
| Date Available | 04/25/2019 | |||||||||||||||
| Type of Employment You Are Seeking: |
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| What is your desired hourly wage? | 12 | |||||||||||||||
| Can you travel if the job requires it? | Yes | |||||||||||||||
| Do you have a CDL? | Yes | |||||||||||||||
| 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) | Rural King | |||||||||||||||
| Address | 700 Broadway Ave E, Suite 15 Illinois Mattoon Map It | |||||||||||||||
| Phone | (217) 294-6677 | |||||||||||||||
| Dates Employed |
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| Job Title | Pallet Stacker | |||||||||||||||
| Supervisors Name & Title | Dolsy | |||||||||||||||
| Type of Business | Farming Store | |||||||||||||||
| Description of duties | Clearing my production line to stack neatly on a palette tell full, wrapping and pulling palette. | |||||||||||||||
| Reason for Leaving? | Broke my hand they let me go. | |||||||||||||||
| May we contact this employer? | Yes | |||||||||||||||
| Did you have another job before this one? | Yes | |||||||||||||||
| Company Name (Second Most Recent) | Staff Quick | |||||||||||||||
| Address | 401 E. Washington Illinois Effingham Map It | |||||||||||||||
| Phone | (217) 342-1100 | |||||||||||||||
| Dates Employed |
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| Job Title | Factory work | |||||||||||||||
| Supervisors Name & Title | staff Quick | |||||||||||||||
| Type of Business | Mail room | |||||||||||||||
| Description of duties | Read mail, fix paper, and stack pallets. | |||||||||||||||
| Reason for Leaving? | still at staff quick | |||||||||||||||
| May we contact this employer? | Yes | |||||||||||||||
| Would you like to list another previous 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) |
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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: | Ryan G Bertolet | |||||||||||||||
| Date | 04/24/2019 | |||||||||||||||
| Would you like to add a cover letter? | No |
