United States Warehouse Agent

Antony Samuels’ Employment Application

Application Date: 4/9/2024

Job Title: Warehouse Agent (ORD)

Job Location: Chicago

Personal Information

First Name: Antony

Last Name: Samuels

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

Current Address

Country: United States

State: IL

Address: 9642 South Luella Avenue

Address #2: n/a

City: Chicago

Zip/Postal Code: 60617

Contact Information

Cell Phone: 773-***-****

Home Phone: 773-***-****

General Information

Are you 18 years of age or older? Yes

Are you legally authorized to work in the United States? Yes Available Start Date: 04/24/2024

Have you ever been employed by or applied for a position with Air General? No If yes, which airport and position? n/a

Can you perform the essential job functions of the job you are applying for with or without reasonable accommodation? Yes

Can you work any shift, including weekends and overtime if needed? Yes List all relatives employed with our company: n/a

List languages you speak, read, and write proficiently. n/a If referred by a current employee, please give employee name: n/a Employment History

Please provide the following requested information regarding your employment history: Include military service assignments and volunteer activities. You may exclude organization names that include race, color, religion, gender, national origin, ancestry, age, disability or other protected status. Current or Most Recent Employer

Are you currently employed? No

Employer Name: Summit cold storage

City and State: Chicago

Title: Dock and warehouse ass

From: 10/22

To: 03/24

Reason for Leaving: Resigned

Explanation: Just need a real opportunity to show my talents Direct Supervisor: Mike Dewey

Company Phone: 312-***-****

OK to contact? n/a

Responsibilities and Duties: Forklift operator and warehouse associate 2nd Previous Employer

Employer Name: Lsg

City and State: Chicago Illinois

Title: Driver helper

From: 11 02 2021

To: 10 13 2022

Reason for Leaving: Resigned

Explanation: Went summit cold storage

Direct Supervisor: Joe Ayala

Company Phone: 815-***-****

OK to contact? Yes

Responsibilities and Duties: Loading and uploading etc 3rd Previous Employer

Employer Name: n/a

City and State: n/a

Title: n/a

From: n/a

To: n/a

Reason for Leaving: n/a

Explanation: n/a

Direct Supervisor: n/a

Company Phone: n/a

OK to contact? n/a

Responsibilities and Duties: n/a

4th Previous Employer

Employer Name: n/a

City and State: n/a

Title: n/a

From: n/a

To: n/a

Reason for Leaving: n/a

Explanation: n/a

Direct Supervisor: n/a

Company Phone: n/a

OK to contact? n/a

Responsibilities and Duties: n/a

Education/Training

What is your highest level of education completed? High School / GED Name of institution(s): South shore academy

Graduate? Yes

Major(s): n/a

Degree(s) or Certification(s): n/a

List any professional licenses: n/a

If requested, would you be able to produce a diploma or documentation of your highest completed level of education? Yes

Applicant's Statement

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. I understand this application is not a contract of employment.

I have read and agree to this disclaimer. Yes

Applicant Signature: Antony samuels

Date: 04/24/2024

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