N A Start Date

Cory Brown’s Employment Application

Application Date: 1/11/2024

Job Title: Material Handler

Job Location: Thibodaux

Personal Information

First Name: Cory

Last Name: Brown

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

Contact Information

Mobile: 985-***-****

Address: 1300 Ridgefield Ave

City: Thibodaux

State: LA

Zip Code: 70301

Please answer the following questions.

Are you either a U.S. citizen or a legal alien authorized to work in the United States? Yes Do you have a reliable means of transportation: Yes Do you have a valid driver's license/pemit? Yes

Are you willing to undertake a drug test and physical as part of the hiring process? Yes What is your desired hourly or salary wage? Open

Please list all skills, qualifications, and any applicable certifications. n/a Please provide employment history for the past 10 years or last 3 employers. Job Title: Driver

Employer Name: Lafleur dairy

Currently Employed? n/a

Start Date: 2022-03-01

End Date: 2022-11-18

Job Title: Driver

Employer Name: Hogan Transportation

Currently Employed? n/a

Start Date: 2020-01-13

End Date: 2023-01-31

Job Title: Driver

Employer Name: U.s.xpress

Currently Employed? n/a

Start Date: 2018-09-10

End Date: 2021-02-04

Please provide your most recent education history. School Name: Thibodaux high school

Qualification Type: High School Diploma / GED

Major / Area of Study: General

Qualification Status: Completed / Graduated

Currently Attend? n/a

Start Date: 1996-08-05

End Date: 2000-05-25

Please provide three personal and/or professional references. First Name: Brittany

Last Name: Fletcher

Email: n/a

Phone: 985-***-****

Relationship: Friend

First Name: Lloyd

Last Name: Hampton

Email: n/a

Phone: 985-***-****

Relationship: Friend

First Name: Earl

Last Name: Johnson

Email: n/a

Phone: 985-***-****

Relationship: n/a

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By checking this box, you acknowledge and consent to terms of the privacy policy which applies to the applicant tracking service being offered by Paycor on behalf of Dufrene Building Materials. The privacy policy offers an explanation of how and why your data will be collected, how it will be used and disclosed, how it will be retained and secured, and what legal rights are associated with that data (including the rights of access, correction, and deletion). The policy also describes legal and contractual limitations on these rights. The specific rights and obligations of individuals living and working in different areas may vary by jurisdiction.

Acceptance: I have read and agree to this statement

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