| Personal | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Last Name | Livingston | ||||||||||||||||
| First Name | Samantha | ||||||||||||||||
| Middle Name | Ashley | ||||||||||||||||
| Cell Phone | (618) 553-6315 | ||||||||||||||||
| Email hidden; Javascript is required. | |||||||||||||||||
| Permanent Address | 3501 N 100th St Casey, Illinois 62420 United States Map It | ||||||||||||||||
| Drivers License State | Illinois | ||||||||||||||||
| 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? | Advertisement | ||||||||||||||||
| Name of Referral Source: | |||||||||||||||||
| Employment Interests | |||||||||||||||||
| Date Available | 11/26/2019 | ||||||||||||||||
| Position(s) Applying For | Painter | ||||||||||||||||
| Type of Employment You Are Seeking: |
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| What is your desired hourly wage? | 15.00 | ||||||||||||||||
| 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? | No | ||||||||||||||||
| 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) | Pap R Products | ||||||||||||||||
| Address | York St Martinsville, Illinois Map It | ||||||||||||||||
| Phone | (217) 382-4141 | ||||||||||||||||
| Dates Employed |
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| Job Title | Supervisor | ||||||||||||||||
| Supervisors Name & Title | Dave Shawver | ||||||||||||||||
| Type of Business | Paper Factory | ||||||||||||||||
| Description of duties | Take charge of two departments. Making napkin bands, bill bands and ticket rolls. | ||||||||||||||||
| Reason for Leaving? | More pay | ||||||||||||||||
| May we contact this employer? | Yes | ||||||||||||||||
| Did you have another job before this one? | Yes | ||||||||||||||||
| Company Name (Second Most Recent) | Three Z Printing | ||||||||||||||||
| Address | Teutopolis, Illinois Map It | ||||||||||||||||
| Phone | (217) 857-3153 | ||||||||||||||||
| Dates Employed |
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| Job Title | Plate department | ||||||||||||||||
| Supervisors Name & Title | Mark Austin | ||||||||||||||||
| Type of Business | Made as for magazines | ||||||||||||||||
| Description of duties | Design and make ads put on plates for machine operators to make paper ads for magazines | ||||||||||||||||
| Reason for Leaving? | Needed day shift, went back to Pap R Products, was laid of from PRP in March was only there for 1 month before going to 3Z. | ||||||||||||||||
| May we contact this employer? | Yes | ||||||||||||||||
| Would you like to list another previous job? | Yes | ||||||||||||||||
| Company Name (Third Most Recent) | McDonalds | ||||||||||||||||
| Address | Rt 49 Casey, Illinois 62420 Map It | ||||||||||||||||
| Phone | (217) 932-5999 | ||||||||||||||||
| Dates Employed |
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| Job Title | Shift Manager | ||||||||||||||||
| Supervisors Name & Title | Kathie Beasley | ||||||||||||||||
| Type of Business | Fast Food Restaurant | ||||||||||||||||
| Description of duties | Did direct deposits, took money to the bank, counted down drawers, made sure everyone was there and where they needed to be. | ||||||||||||||||
| Reason for Leaving? | Needed more pay and hours | ||||||||||||||||
| May we contact this employer? | Yes | ||||||||||||||||
| Would you like to list a 4th 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 | ||||||||||||||||
| Other name(s) under which you have been previously employed | Samantha Myers | ||||||||||||||||
| 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: | Samantha A Livingston | ||||||||||||||||
| Date | 11/09/2019 | ||||||||||||||||
| Would you like to add a cover letter? | No |
