Application Information

Name Clark, Ervin Lawrence Primary Phone 509-***-**** [Cell]

Secondary Phone (n/a) Date of Application 04-24-2023 Application ID 527411 Applied to Burger King

Email Address ad0hxv@r.postjobfree.com Address PO Box 886 City, State, Zip Code,

Country

Bremerton, WA, 98337, USA County Washington'Kitsap Referral Source (n/a) Referral Name (n/a)

Driver's License

Number

(n/a) Driver's License State (n/a)

License Expiration Date (n/a)

Education

Institution Lathrop High School Fairbanks

Ak,High School,Fairbanks, AK, USA,

(n/a)

Dates Attended (n/a)

Attended As (n/a) Major/Minor (n/a)

Degree (n/a) GPA (n/a)

Graduated Yes

Institution ITT Truck Driver,Other,Takwilla, WA,

USA, (n/a)

Dates Attended (n/a)

Attended As (n/a) Major/Minor Class A CDL/

Degree (n/a) GPA (n/a)

Graduated Yes

Employment

Employer Beakins Moving and Storage, (n/a),

USA, (n/a)

Dates of Employment 02/01/1999 To 06/15/1999

4 Months 14 Days

Job Title Mover;Tractor Trailor CDL A Driver;

Leader crew

Job Duties (n/a)

Can Contact? N/A

(Don't recall)

Reason for Leaving All of their Drivers Quit I was the last Driver and wes Training Employies to

get there CDL

Current Employer No

References

Burger King

Payroll Profile: 0GN68 Application for Team Member Warren - 527411 Generated: (4/24/2023 5:22 PM) Page: 1 of 4

Name Arin Harris Company (n/a)

Title (n/a) Relationship Neice Husband

Email Address (n/a) Time Known 10 years 4 months

Phone 360-***-****

Questions

Question Group 1

Are you age 16 or older? Yes

Can you, after employment, submit verification of your legal right to work in the United States?

Yes

Are you willing to do all tasks which may be asked of you, which are described in our job descriptions?

Yes

Are you able to work well in a fast paced environment? Yes Are you able to lift 25 pounds without assistance on a regular basis? Yes The U.S. Secretary of Health and Human Services has determined that certain diseases, including hepatitis A, salmonella, shigella, staphylococcus, giardia, and compylobacter, may prevent you from serving food or handling food equipment in a sanitary or healthy fashion. An essential function of this job involves serving food or handling food equipment in a sanitary and healthy fashion. Can you, with or without reasonable accommodation, perform this essential function of this job? Yes

Question Group 2

Do You Have Reliable Transportation? Yes

How far are you willing to travel to work? 15 miles Are you age 18 or older? Yes

If Offered a Position, What is the Earliest Date You Can Start? Immediately Shift Preference? Days

Select Which Days of the Week You are Available to Work (Check All That Apply) WED; THU; FRI; SAT; SUN; Holidays How many years experience do you have in the position for which you are interested?

At least 1 to 3 years

Do you have a food handlers permit? No

Can you lift 25-50 pounds on a occasional basis? Yes Are you able to communicate effectively in English? Yes Burger King

Payroll Profile: 0GN68 Application for Team Member Warren - 527411 Generated: (4/24/2023 5:22 PM) Page: 2 of 4

Do you have the ability to do all tasks asked of you including cooking, food prep, clean-up and required paperwork?

Yes

Can you perform the essential functions of the job without a reasonable accommodation?

Yes

Question Group 3

How long do you plan on being employed with Ambrosia QSR To retirement Are you interested in advancement within the company? A no answer will not disqualify you from consideration.

Yes

If yes, please check the positions you would be interested in learning more about. Shift Leader Dear Prospective Employee Please ReadIn 2009 the government initiated the American Recovery and Reinvestment act better known as the Stimulus Package. You are being asked for the following information to determine if your potential employer will be eligible for certain tax credit benefits for hiring employees that meet specific eligibility requirements.The company that you are interviewing with may be able to obtain certain valuable tax credits based upon your answers to the questions on the two attached documents. Please take your time and answer the questions carefully, completely, and accurately. This information is requested voluntarily you are not required to complete this questionnaire; however the information is required for your potential employer to receive the federal tax credit.Government Tax Credits have been expanded in recent years. Your answers to these questions will not affect your eligibility for employment or any benefits you or your family may currently be receiving. Your assistance is greatly appreciated.PLEASE FILL OUT THE BELOW PAPERWORK, SAVE IT TO YOUR DESKTOP AND RE UPLOAD THE FORMS TO YOUR APPLICATION.

Statement

Ambrosia QSR is an equal opportunity employer, we do not discriminate on the basis of race, color, religion, national origin or ancestry, sex, age, marital status, disability, veteran status, or any other basis prohibited by local, state or federal law. APPLICANT’S STATEMENTS

Read the following statements carefully before signing this application. Only applications that are signed and dated are considered valid. By signing this application below, I acknowledge the following: The information I am presenting in this application is complete true, and correct to the best of my knowledge. I understand that any falsification, misrepresentation, or omission could result in the denial of my application, withdrawal of any offer of employment, or immediate discharge.

1.

I understand that in connection with the application process, Ambrosia QSR and its representatives may contact my former employers, educational institutions, references, and other relevant third parties to obtain additional information related to the information given by me in this application. I hereby request, release, and consent to the release and disclosure of such information. I further release and hold harmless Ambrosia QSR, their officers, employees and agents, and any other parties inquiring about, investigating, furnishing, communicating, reviewing, or evaluating such information from any and all potential claims, demands, damages, liabilities, and/or actions of any kind arising from such activities, whether known or unknown to me presently, that I may have, now or in the future. 2.

3. If employed, I agree to conform to the rules and regulations of Ambrosia QSR and understand that I will be an employee at Burger King

Payroll Profile: 0GN68 Application for Team Member Warren - 527411 Generated: (4/24/2023 5:22 PM) Page: 3 of 4

will, and my employment may be terminated at any time by me or Ambrosia QSR, with or without notice, for any reason. I understand that only the Managing Member of Ambrosia QSR has the authority to enter into any agreement for employment for any specified period of time, or to make any agreement contrary to the foregoing. Acknowledged

Yes

Signature

Ervin Clark [04/24/2023]

Ervin Clark [04/24/2023]

Burger King

Payroll Profile: 0GN68 Application for Team Member Warren - 527411 Generated: (4/24/2023 5:22 PM) Page: 4 of 4

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