Entry Level Machine Operator

Jerry Wallace’s Employment Application

Application Date: 3/22/2023

Job Title: Entry Level Machine Operator (ALL SHIFTS) Job Location: Lebanon

Personal Information

First Name: Jerry

Preferred Name: Jerry

Last Name: Wallace

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

Contact Information

Mobile: 513-***-****

Alt. Phone: n/a

Country: US

Address: 3936 Turtlecreek Rd,N/A

City: Lebanon

State: OH

Zip Code: 45036

General Information

Are you 18 years of age or older? Yes

Work Authorization: I am authorized to work in this country for any employer. Will you now or in the future require sponsorship for employment VISA status? No Have you previously filled out an application at this company? Yes If yes, please give date(s) and position(s): 3 23 adjuster Have you ever worked for this company before? No

If yes, please give dates and position: 3 23 adjuster How did you hear about this opportunity? Employee

If 'Employee Referral', please give employee name: Jake Driscoll If 'Other', please tell us how you heard about JBM: n/a Are you related to any person currently employed at this company? Yes If yes, please explain: Jake Driscoll nephew John Wallace cousin Are you applying for: Full-Time

Desired Compensation: Negotiable

Available Start Date: 2023-03-22

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? Yes

Employer Name: Tru by hillton

City and State: Mason ohio

Title: Night auditor

From: 12 21

To: Current

Reason for Leaving: Currently Employed

Explanation: Looking for something else

Rate of Pay: 12.00

Direct Supervisor: Megan meyers

Company Phone: 513-***-****

OK to contact? n/a

Responsibilities and Duties: Night audit and front desk 2nd Previous Employer

Employer Name: Quantum metals

City and State: Lebanon ohio

Title: Mobile maintenance

From: 5 17

To: 10 19

Reason for Leaving: Laid Off

Explanation: n/a

Rate of Pay: 20.00

Direct Supervisor: Tom ludwig

Company Phone: 513-***-****

OK to contact? Yes

Responsibilities and Duties: Maintain all mobile equipment 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

Rate of Pay: n/a

Direct Supervisor: n/a

Company Phone: n/a

OK to contact? n/a

Responsibilities and Duties: n/a

Education/Training

High School

Name of School: Kings hiģh

City and State: Kings mills ohio

Grade Completed: 12

Graduate or GED? Yes

College or University

Name of School: n/a

City and State: n/a

Course or Major: n/a

Years Completed: n/a

Degree: n/a

Graduate? n/a

Graduate School

Name of School: n/a

City and State: n/a

Course or Major: n/a

Years Completed: n/a

Degree: n/a

Graduate? n/a

Other School

Name of School: n/a

City and State: n/a

Course or Major: n/a

Years Completed: n/a

Degree: n/a

Graduate? n/a

Please list any languages that you are proficient or fluent in: n/a List professional, trade, business, or civic activities and offices held. (You may exclude memberships that would reveal race, color, religion, gender, age, ancestry, national origin, disability, or other protected status): n/a References

Please list three professional references.

1st Reference

Name: Gary wells

Company: n/a

Relationship: Friend

Phone: 937-***-****

Email: n/a

Years Known: 6

2nd Reference

Name: Josh elam

Company: n/a

Relationship: Friend

Phone: 513-***-****

Email: n/a

Years Known: 4

3rd Reference

Name: n/a

Company: n/a

Relationship: n/a

Phone: n/a

Email: n/a

Years Known: n/a

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 have read and agree to this disclaimer. Yes

Applicant Signature: Jerry W Wallace

Date: 2023-03-22

Privacy Policy Acknowledgement

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 JBM Packaging. 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.

Acceptance: I have read and agree to this statement

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