Crew Member Production Associate

Avery Gray’s Employment Application

Application Date: 9/3/2023

Job Title: Cook: Crew Member

Job Location: 3131 N. Sachem court, West Lafayette, IN Personal Information

First Name: Avery

Last Name: Gray

Email: ***********@*****.***

Contact Information

Cell Phone: 765-***-****

Address: 1814 Chenango Pl, 1814

City: West Lafayette

State: IN

Postal Code: 47906

Application Questions

Job Title: Production Associate

Employer Name: Heartland

Currently Employed? n/a

Start Date: 04/20/2023

End Date: 07/11/2023

I certify that my answers to all questions are true and correct without any consequential omissions of any kind whatsoever. I understand that if I am employed, any false, misleading or otherwise incorrect statements made on this application or during the pre-employment process may be grounds for my immediate termination. Acceptance: Yes

Signature: Avery Gray Sr

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