Application Information

Name Jacobson, Douglas Michael Primary Phone +1-317-***-**** [Cell]

Secondary Phone (n/a) Date of Application 02-07-2024 Application ID 771182 Applied to AAA Hoosier Motor Club Email Address ad3x07@r.postjobfree.com Address 8816 Wallstreet Dr City, State/Province,

Zip/Postal Code,

Country

Indianapolis, IN, 46234, USA County Marion

Referral Source AAA Website Referral Name (n/a)

Driver's License

Number

(n/a) Driver's License State

Driver's License

Country

(n/a) License Expiration Date (n/a)

Education

Institution Indiana University - Purdue University Indianapoli,University,Indianapolis, IN,

USA

Institution Phone

Number

(n/a)

Dates Attended (n/a) Attended As (n/a)

Major/Minor (n/a) Degree High School Diploma

GPA (n/a) Graduated Yes

Institution Indiana University - Purdue University Indianapoli,University,Indianapolis, IN,

USA

Institution Phone

Number

(n/a)

Dates Attended (n/a) Attended As (n/a)

Major/Minor (n/a) Degree Restaurant Management

GPA (n/a) Graduated Yes

Employment

Employer Allied Universal Protection Services,

8777 Purdue, Indianapolis, IN, 46268,

USA

Employer Phone

Number

+1-317-***-****

Dates of Employment 10/01/2016 To Present

7 Years 4 Months 6 Days

Job Title Security Supervisor

Job Duties Running employees, payroll Can Contact? Yes

(David Dubow)

Reason for Leaving (n/a) Current Employer Yes

AAA Hoosier Motor Club

Payroll Profile: 0LH36 Application for Contact Center Representative - 771182 Generated: (2/7/2024 1:40 PM) Page: 1 of 4

Employer Allied Universal Protection Services,

8777 Perdue rd, Indianapolis, IN,

46268, USA

Employer Phone

Number

+1-317-***-****

Dates of Employment 10/01/2016 To Present

7 Years 4 Months 6 Days

Job Title Security Supervisor

Job Duties Loss prevention Can Contact? No

(Jeremy Greene)

Reason for Leaving (n/a) Current Employer Yes

Employer Guardsmark, 307 elm st. 317-***-****,

Indianapolis, IN, 46268, USA

Employer Phone

Number

+1-317-***-****

Dates of Employment 12/01/2003 To 02/07/2023

19 Years 2 Months 6 Days

Job Title Security Officer and supervisor

Job Duties Loss prevention Can Contact? No

(David DuBow )

Reason for Leaving Still there Current Employer No References

Name David Dubow Company Allied Universal

Title (n/a) Relationship Friend

Email Address ad3x07@r.postjobfree.com Time Known (n/a) Phone +1-317-***-****

Questions

Question Group 1

Are you 18 years of age or older? Yes

Will you now, or in the future, require sponsorship for employment visa status (e.g. H-1B visa status)?

No

AAA Hoosier Motor Club hereby discloses to you that a consumer report may be obtained by it, its affiliates, representatives, or agents for employment purposes. The undersigned hereby authorizes the procurement of the consumer report. Do you agree to these terms?

Yes

Question Group 2

Type of employment desired? Full-Time

Have you ever been employed by this or any other AAA Club? No AAA Hoosier Motor Club

Payroll Profile: 0LH36 Application for Contact Center Representative - 771182 Generated: (2/7/2024 1:40 PM) Page: 2 of 4

Can you provide the necessary documentation to prove that you are a U.S. citizen, permanent resident, or a foreign national with authorization to work in the United States?

Yes

If extended a job offer, are you willing to submit to a detailed background check? Yes Desired Salary? 35000

In a brief statement, in your own words, please describe why you are an ideal candidate for this position.

I am very loyal. I was hired by AAA before

but was offered a better position by my

current company. Been with this company

over 20 years but getting older and desire sit

down work

Statement

I understand that the organization will rely, in part, on the information I provide in this Employment Application in considering whether to hire me. I understand that it is important that I provide complete and accurate information and certify that I have done so. If the organization discovers at any time that I failed to completely and honestly provide any information requested of me in this Employment Application or during the interview process, I understand that my application will no longer be considered or, if I am working for the organization, that I will be subject to disciplinary action, up to and including termination of employment. The organization is committed to compliance with the provisions of this nation’s immigration laws regarding verification of employment eligibility. Any offer of employment will be contingent upon your ability to provide legally sufficient documentation showing your eligibility to be employed by this organization. Applicants or employees that present fraudulent documents for employment verification purposes will be terminated.

I authorize the organization to contact anyone that it deems appropriate to verify the information I have provided or to further investigate my background, past performance and suitability for employment. I consent to being discussed by any person contacted by the organization and waive all rights to bring any action for defamation, invasion of privacy or any similar claim against anyone that provides information to the organization with a good faith belief that the information provided is true. I understand that the organization may choose to obtain background information about me from a consumer reporting agency. Before requesting a report from a consumer reporting agency, the organization will ask for my authorization. I understand that if I refuse to provide such authorization, my application for employment will not be considered.

I understand that this Employment Application is not an offer of employment. I understand that nothing contained in this Employment Application creates a contract between the organization and me for employment or any other benefit. No promises regarding employment have been made and I understand that no such promise or guarantee is binding upon the organization. I understand that if I am hired, I will be an employee "at will," meaning I am not hired for any definite length of time and either I or the organization can terminate my employment at any time for any or no reason. If employed, I understand and agree that the organization retains the sole right in its business judgment to modify, suspend, interpret, or cancel, in whole or in part, at any time, with or without any notice, any published or unpublished policy, practice, procedure, process, or benefit.

If employed, I understand that I may be required to comply with federal and/or state Drug Free Workplace Laws and regulations. I understand and agree to comply with such laws.

If employed, I understand that as a condition of employment that I may be required to agree to and sign the organization’s confidentiality, non-compete, and/or other similar agreements. I also agree to notify the organization during the pre-employment process of any confidentiality, non-compete, and/or other similar agreements that I may have already signed with current and/or former employers. The above statements are intended to describe the general nature, level and work being performed by people assigned to this position. They are not intended to be an exhaustive list of all responsibilities, duties, skills, or working conditions. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. This job description is not an employment contract, implied or otherwise. The employment relationship remains “at-will”. Acknowledged

AAA Hoosier Motor Club

Payroll Profile: 0LH36 Application for Contact Center Representative - 771182 Generated: (2/7/2024 1:40 PM) Page: 3 of 4

Yes

Signature

Douglas JACOBSON [02/07/2024]

AAA Hoosier Motor Club

Payroll Profile: 0LH36 Application for Contact Center Representative - 771182 Generated: (2/7/2024 1:40 PM) Page: 4 of 4

Contact this candidate