Pallet Jack United States

Adam Mitchell’s Employment Application

Application Date: 10/18/2020

Job Title: Electric Pallet Jack Operator

Job Location: Manteca

Personal Information

First Name: Adam

Last Name: Mitchell

Email: ad5yg5@r.postjobfree.com

Contact Information

Mobile: 209-***-****

Country: US

Address: 5100 north highway 99, #116

City: Stockton

State: CA

Zip Code: 95212

General Instructions

Are you 18 years of age or older? Yes

Are you legally authorized to work in the United States? Yes How did you hear about this opportunity? Other

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. Acceptance: I have read and agree to this statement Signature: Adam J Mitchell

October 18, 2020

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Acceptance: I have read and agree to this statement

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