**** - **********

Apr **, ****

Personal Information

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** = Conditionally Required Field

Personal Information

Legal First Name . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Jake Legal Last Name . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Diggs Legal Middle Name .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Lee Preferred Name . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Email Address . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ad4742@r.postjobfree.com Address 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2901 Frederick Avenue Apartment 19C Address 2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . City . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Saint Joseph Country . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . United States State/Province** . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Missouri Zip/Postal Code . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 64506 Primary Phone . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 816-***-**** Secondary Phone . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 816-***-**** General Information

Are you at least 18 years of age? Yes

AGP Employee Referral

Were you referred by a current Ag Processing employee?

(Check the box if referred by a AGP employee.) No

If yes, provide Referrer's First Name **

Referrer's Last Name **

Referrer's Email Address .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

(If known)

Criminal History

Have you ever been convicted of a felony or misdemeanor? .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Yes If yes, please list date(s) and offense(s)** .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2019 in Kansas possession of a controlled substance Employment History

To add additional employers, click the "Add Employer" button below. The "Remove Last Employer" will delete all entries for the last employer that you have entered. Please enter your most recent employer first.

** = Conditionally Required Field

Employment History

Previous Employer 1

Type . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . NA Employer **

(Required if Current or Previous)

Capri motel

Start Date **

(Required if Current or Previous)

07/01/2022

End Date **

(Required if Previous)

01/01/2024

Start Position/Title **

(Required if Current or Previous)

End Position/Title **

(Required if Current or Previous)

Manager

Job Duties **

(Required if Current or Previous)

Reason for Leaving **

(Required if Current or Previous)

Education History

To add additional education, click the "Add Education" button below. The "Remove Last Education" will delete all entries for the last education that you have entered. Please enter your highest level of COMPLETED education first.

** = Conditionally Required Field

Education History

Education 1

Education Level . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Technical School School/University Name **

(If GED, please enter when/where it was taken)

Excelsior Springs Tech. High School

Major . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Graduated? ** No

Licenses

To add additional professional licenses, click the "Add License" button below. The "Remove Last License" will delete all entries for the last license that you have entered.

** = Conditionally Required Field

Licenses

Licenses 1

License Type . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Invalid License Description** .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . eSignature

ELECTRONIC SIGNATURE: Please type your name as it is listed in the document above: I certify that all answers given by me are true, accurate and complete. I understand that the falsification, misrepresentation or omission of fact on this application (or any other accompanying or required documents) will be cause for denial of employment or immediate termination of employment, regardless of when or how discovered. I understand that the Company requires successful completion of a background check, drug screen and physical as a condition of employment upon an offer of employment. I also understand that the Company has a Policy that endorses a zero tolerance of drug and alcohol abuse in the workplace. I further understand that as a result of submitting this application for employment, a criminal background check will be conducted by the Company or its agents. My signature below acknowledges and certifies that I have read and received a copy of the Company's Substance Abuse Policy, and that I understand all the terms and conditions on this application. My signature also gives permission to the persons and companies named in this application and its attachments to provide any pertinent information to AGP or its duly authorized representatives, except where otherwise noted. I also release said parties from any and all liability for any damages resulting from issuance of such information. I understand that if employed by AGP, my employment is for no fixed term and AGP or I may terminate with or without notice. I understand that no employee, officer or agent of the Company may bind my employment to anything contrary to the below, or by any oral or printed statements, including handbooks, benefit booklets or other forms of communications. If employed, I agree not to engage in any outside activity, which would involve a material conflict of interest or could reflect adversely on AGP. I acknowledge that I have read and understand the above statements and hereby grant permission to confirm the information supplied on this application by me. APPLICATION MUST BE SIGNED IN ORDER TO BE CONSIDERED FOR EMPLOYMENT E-Signature

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Jake diggs Accepted

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