Supervisor Driver
Resume:
Employment Application
THIS APPLICATION IS NOT AN EMPLOYMENT CONTRACT but merely is intended to evaluate suitability for employment. It is the policy to have the option of conducting pre-employment screening before a job offer is made. If a job offer is made, employment may be contingent upon the successful completion of a pre-employment drug screening and/or medical examination.
Personal Information
First Name:Frank
Middle Name:Leon
Last Name:Barrow
Home Phone:586-***-****
Work Phone:
Cell Phone:586-***-****
Email Address:*************@*****.***
Current Address
Street:22629 Maxine
City:St. Clair shores
State:Michigan
Zip Code:48080
Since (Mo/Yr:10/2009
Prior Address (1)
Street:4890 Courville
City:Detroit
State:Michigan
Zip Code:48224
Since (Mo/Yr):07/2006
To (Mo/Yr):10/2009
Prior Address (2)
Street:663 Philip
City:Detroit
State:Michigan
Zip Code:48224
Since (Mo/Yr):03/2001
To (Mo/Yr):07/2006
High School
City:Detroit
State:Michigan
Diploma: -Yes
Undergrad School
School:W.C.C.C
City:Detroit
State:Michigan
Diploma: No
Deg/Cert/Dip:n/a
Area of Study:engineering
Grad School
School:Everest Institute
City:Detroit
State: Michigan
Diploma: Yes
Deg/Cert/Dip: Cert/ Diploma
Area of Study:Medical Assistance
Other School
School:
City:
State
Diploma: No-Yes
Deg/Cert/Dip:
Area of Study:
Employment Information
Position Applied For: Personal Assistant
Date You Can Start:6/8/2015
Desired Salary :11.00
Can you work:
Weekends
Days
Evenings
Holidays
Available:
M
Tu
W
Th
F
Sa
Su
Not Available:
Employer:
City:
State:
Zip Code:
Phone:
Position Held:
From (m/yyyy):
Reason for Leaving:
Job-related Skills
Please answer the following questions if the position you are applying for requires driving a motor vehicle:
1. Do you have a valid driver's license?
Yes
If yes, Driver's License Number:B600261507640
Date of Issue:2001
If yes, are you insured?
Insurance Company and Policy # State Farm
2. Have you been convicted of or pled guilty to any traffic-related offense within the past five years?
No
3. Have you had your driver's license suspended or revoked or had your driving privileges modified by a court of law?
Yes
4. Please list all states from which you hold or held a driver's license:Michigan
Skills /Professional Designation
Reference (1)
Name:Chuki Jackson
Address:22629 Maxine
Telephone:586-***-****
Relationship:Wife
Years Acquainted:15
Reference (2)
Name:Wendy Gatewell
Address:14134 Cedargrove
Telephone:313-***-****
Relationship:friend
Years Acquainted:13.5
Reference (3)
Name:Walter Lockett
Address:2903 Burt Rd
Telephone:313-***-****
Relationship: Coordinator
Years Acquainted:26
Reference (4)
Name:
Address:
Telephone:
Relationship:
Years Acquainted:
Applicant’s Certification Agreement
1. I authorize the investigation of all statements contained in this application and release
To (m/yyyy):
Pay Upon Leaving:
Supervisor:
Duties:
Reason for Leaving:
Prior Employer (l)
Employer:
City:
State:
Zip Code:
Phone:
Position Held:
From (M/yyyy):
To (M/yyyy):
Pay Upon Leaving:
Supervisor:
Duties:
Reason for Leaving:
Prior Employer (2)
Employer:
City:
State:
Zip Code:
Phone:
Position Held:
From (M/yyyy):
To (M/yyyy):
Pay Upon Leaving:
Supervisor:
Duties:
Reason for Leaving:
Prior Employer ( 3)
Employer:
City:
State:
Zip Code:
Phone:
Position Held:
From (m/yyyy):
To (m/yyyy):
Pay Upon Leaving:
Supervisor:
Duties:
1. I release from all liability any persons or employers supplying such information, and I also release the company from all liability that might result from making the investigation.
2. I certify that the facts and information set forth in this application are true and complete to the best of my knowledge. I understand that any falsification, misrepresentation, or omission of facts on this application (or on any required (documents) will be cause for denial of employment or immediate termination of employment, regardless of when or how discovered.
3. I agree, if I am offered and accept a position, to conform to all existing and future company rules and regulations and I understand that the Company reserves the right to change wages, hours and working conditions as deemed necessary. I ALSO UNDERSTAND THAT, IF HIRED, MY EMPLOYMENT WILL BE AT-Will, MEANING THAT EITHER PARTY CAN END THE EMPLOYMENT RELATIONSHIP AT ANY TIME AND FOR ANY OR NO REASON.
4. I understand that any employment offer is contingent upon my providing, within three
(3) working days of employment, valid proof of identity and eligibility to work in order to comply with the Immigration Reform and Control Act of 1986.
5. I have read and reviewed the information provided in this application and the above statements. By signing this application for employment I certify that I understand all parts of it and have answered all questions completely and fully.
Signature: Frank Barrow
Today's Date:06/07/2015 #
Contact this candidate