1St Shift Assembly Tech

Cariton Dorzema’s Employment Application

Application Date: 6/4/2024

Job Title: Assembly Tech - 1st Shift - Grassland

Job Location: Louisville, KY

Personal Information

First Name: Cariton

Last Name: Dorzema

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

Contact Information

Cell Phone: 502-***-****

Address: 119 hartwell ct

City: Louisville

State: KY

Postal Code: 40214

Application Questions

How did you learn about our company? Please enter a name if you were referred by a current employee. : No Have you ever been employed by KCC Companies? I have NEVER been employed by KCC Companies. Are you authorized to work indefinitely in the United States without sponsorship? Yes Desired Compensation - Currency: USD

Amount: n/a

Frequency: yearly

Shift requested: Day night

Date available for work: 06/04/2024

Describe your skills and qualifications: Is good for work Have you been convicted of a felony? No

If yes, please explain: No

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Education

School Name: IMGPH

Years attended: No

Degree Earned: Secundary

Did you graduate? No

School Name: IMGPH

Years attended: No

Degree Earned: Segundary

Did you graduate? No

School Name: n/a

Years attended: n/a

Degree Earned: n/a

Did you graduate? n/a

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Employment History

Are you currently employed? Yes

Current/Previous Employer

Job Title: Package

Employer Name: Cariton Dorzema

Currently Employed? Yes

Start Date: 06/04/2024

End Date: 03/10/2023

May we contact? Yes

Describe duties: n/a

Reason for Leaving: n/a

May we contact? n/a

Describe duties: n/a

Reason for Leaving: n/a

May we contact? Yes

Describe duties: n/a

Reason for Leaving: n/a

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Additional Work Information

Are you 18 or over? Yes

Are you authorized to work in the US? Yes

Please provide any additional information that would assist us in our hiring decision: n/a If offered a position, are you willing to immediately submit to a 10 Panel Drug Screen, per KCC Companies Drug Free Workplace Policy? No

You are applying for a position in manufacturing. With this in mind, are you able to perform the following manual activities? Please respond with yes or no answers. If you are able to perform, but only with reasonable accommodation, please list in detail the specific accommodations required. If none are listed, we assume that no accommodations are required.

Lifting and carrying objects weighing up to fifty (50) pounds? Yes Lifting for and/or pushing and pulling materials and equipment? Yes Climbing ladders and stairs? Yes

Traversing rough and uneven surfaces? Yes

Standing (Up to eight (8) hrs), balancing, walking, kneeling, crawling, stooping, twisting and squatting to access areas to complete job related tasks? : Yes

Standing (Up to eight (8) hrs), balancing, walking, Responding to audio/visual warnings and alarms?kneeling, crawling, stooping, twisting and squatting to access areas to complete job related tasks? : Yes Responding to verbal warnings and instructions? No Communicating verbal warnings and instructions? No Please list in detail the specific accommodations required. n/a

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Management retains the discretion to add, change or assign other work-related or responsibilities of this position at any time. By clicking the submit button below I swear that the information contained in this application for employment is true, and I authorize the Company to seek references from my former employers. I further agree that, if hired, either The Company or I may terminate our relationship at will, without notice, and for any reason. Moreover, I understand that only the President of the company may enter into any agreement concerning the length of my employment.

Acceptance: Yes

Signature: Cariton Dorzema

Check the box below if you would like to receive text messages from the company regarding your status in the hiring process. Data rates may apply. I am happy to receive text messages from KCC Manufacturing. 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 KCC Manufacturing. 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. I have read and agree to this statement

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