Application Information
Name De Leon, Karina Ann Primary Phone +1-956-***-**** [Cell]
Secondary Phone (n/a) Date of Application 03-25-2023 Application ID 52152 Applied to TEXAS EXCAVATION SAFETY SYSTEM INC
Email Address *****************@*****.*** Address 300 Toledo Ave City, State/Province,
Zip/Postal Code,
Country
Mission, TX, 78572, USA County (n/a)
Referral Source Not Available Referral Name Not Available Driver's License
Number
(n/a) Driver's License State
Driver's License
Country
(n/a) License Expiration Date (n/a)
Education
Institution SHARYLAND HIGH SCHOOL,High
School,Mission, TX, USA
Institution Phone
Number
(n/a)
Dates Attended (n/a) Attended As Karina deleon
Major/Minor (n/a) Degree (n/a)
GPA 3.00 Graduated Yes
Institution Sharyland high school,High
School,Mission, TX, USA
Institution Phone
Number
(n/a)
Dates Attended (n/a) Attended As (n/a)
Major/Minor (n/a) Degree (n/a)
GPA (n/a) Graduated Yes
Employment
Employer Bellos Mementos Homes Care, 2409 e
griffin Pkwy c, Mission, TX, 78572,
USA
Employer Phone
Number
Dates of Employment 08/01/2022 To 12/01/2022
4 Months
Job Title / Pay Rate Provider
$9.50/wk
Job Duties Cook clean toileting Can Contact? No
(Jennifer )
Reason for Leaving Got another job Current Employer No TEXAS EXCAVATION SAFETY
SYSTEM INC
Payroll Profile: 01638
Application for Damage Prevention Agent - 52152
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Employer Family Home Health Service, 606 s
McColl road, Edinburg, TX, 78539,
USA
Employer Phone
Number
Dates of Employment 02/01/2019 To 03/01/2020
1 Year 1 Month
Job Title / Pay Rate general housekeeping duties such as sweeping
$9.50/wk
Job Duties Cooking washing toileting Can Contact? No
(Marylou)
Reason for Leaving Got another job Current Employer No Employer Stripes Store, 1402 e university drive,
Edinburg, TX, 78539, USA
Employer Phone
Number
Dates of Employment 06/01/2016 To 05/01/2017
11 Months
Job Title / Pay Rate Cashier
$9.50/wk
Job Duties Cook clean toileting Can Contact? No
Reason for Leaving Got another job Current Employer No Employer Americ Inn, Grafton North dakota,
Grafton, ND, 78436, USA
Employer Phone
Number
Dates of Employment 01/01/2015 To 10/01/2015
9 Months
Job Title / Pay Rate Housekeeper
$10.50/wk
Job Duties Cleaning Can Contact? No
(John)
Reason for Leaving Came back to Mission tx Current Employer No References
Name Adriana Abrego Company Globos y figuras
Title Owner Relationship Friend
Email Address ***********@*******.*** Time Known 10 years 8 months Phone +1-956-***-****
Questions
Question Group 1
ARE YOU LEGALLY ELIGIBLE TO BE EMPLOYED IN THE UNITED STATES? (PROOF OF IDENTITY AND ELIGIBILITY WILL BE REQUIRED UPON EMPLOYMENT) Yes
Question Group 2
TEXAS EXCAVATION SAFETY
SYSTEM INC
Payroll Profile: 01638
Application for Damage Prevention Agent - 52152
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AVAILABLE START DATE: 03-26-2023
HAVE YOU APPLIED HERE BEFORE? IF YES, GIVE DATE, POSITION, AND LOCATION.
No
HAVE EITHER YOU OR A DIRECT RELATIVE WORKED FOR TEXAS811 BEFORE? IF YES, GIVE DATE, POSITION, AND LOCATION.
No
HAVE YOU EVER BEEN CONVICTED OF OR PLEAD GUILTY TO A FELONY OR MISDEMEANOUR (EXCLUDING MINOR TRAFFIC VIOLATIONS) WHICH HAS NOT BEEN SEALED, EXPUNGED, OR STATUTORILY REMOVED?
No
IF YOU ANSWERED YES ABOUT A PRIOR CONVICTION, PLEASE GIVE ALL THE FACTS, DATES, LOCATIONS, AND DISPOSITIONS. PLEASE NOTE THAT A CONVICTION DOES NOT NECCESSARILY DISQUALIFY YOU FROM EMPLOYMENT. RATHER, SUCH FACTORS AS DATE OF CONVICTION, SERIOUSNESS, NATURE OF CRIME, LENGTH OF TIME ELAPSED SINCE COMPLETION OF SENTENCE, AND REHABILITATION WILL BE CONSIDERED. PLEASE NOTE THAT A NON- DISCLOSURE OF A CRIMINAL CONVICTION IN CONJUNCTION WITH VARIOUS STATE AND FEDERAL LAWS WILL DISQUALIFY YOU FOR ELIGIBILITY. YOUR ANSWER TO THIS QUESTION WILL BE CONSIDERED IN ACCORDANCE WITH APPLICABLE LAW.
HAVE YOU HAD ANY GAPS IN EMPLOYMENT LONGER THAN ONE MONTH? IF SO, PLEASE EXPLAIN.
No
HAVE YOU EVER BEEN TERMINATED OR ASKED TO RESIGN FROM A JOB? IF YES, PLEASE EXPLAIN.
No
LIST ANY ADDITIONAL INFORMATION: PROFESSIONAL, TRADE, OR CIVIC ASSOCIATIONS AND ANY OFFICES HELD OR ANY SPECIAL ACCOMPLISHMENTS OR AWARDS. EXCLUDE MEMBERSHIPS WHICH WOULD REVEAL SEX, RACE, RELIGION, AGE, COLOR, DISABILITY, OR ANY OTHER SIMILARLY PROTECTED STATUS. INCLUDE ORGANIZATION, OFFICES HELD, AND ANY ACCOMPLISHMENTS/AWARDS.
DESCRIBE ANY OTHER SPECIAL QUALIFICATION FOR THIS JOB: Fast learner Can we contact you via text message? Yes
If yes, please provide your cell phone number and phone carrier/provider.If no, please put N/A.
Statement
I hereby certify that the facts set forth in the above employment application are true and complete. I understand that any misrepresentation or material omission made by me on this application shall be considered sufficient basis for non-selection or tennination of employment whenever it is discovered. I understand that, if employed, I will abide by TEXAS811's policies, rules, procedures and regulations as they now exist and may be modified from time to time in the sole discretion of TEXAS811. I also understand that I may be asked to take a medical examination and consent to a personal background screen, which may also include a drug screen.
I understand that all new employees must comply with the employment verification requirements of the Immigration Reform and Control Act. I understand that, if I am hired, I will be required, within three days of starting work, to provide documents proving my identity and authorization to work in the United States. I further understand that I will be required to sign form 1-9 (issued by the Federal Government) verifying, under oath, my employment authorization. TEXAS EXCAVATION SAFETY
SYSTEM INC
Payroll Profile: 01638
Application for Damage Prevention Agent - 52152
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I give the employer the right to contact and obtain information from all references, employers, educational institutes, other reporting agencies and to otherwise verify the accuracy of the information contained in this application. I hereby release from liability the employer and its representatives for seeking, gathering and using such information and all other persons, corporations or organizations for furnishing such information. TEXAS811 is an at-will employer. If I am hired, I understand that I am free to resign at any time, with or without cause or without prior notice, and the employer reserves the same right to terminate my employment at any time, with or without cause and without prior notice, except as may be required by law. This application does not constitute an agreement or contract for employment for any specified period or definite duration. I understand that no representative of the employer, other than an authorized officer, has the authority to make any assurances to the contrary. I further understand that any such assurances must be in writing and signed by an authorized officer. TEXAS811 provides equal opportunity to all employees and applicants for employment without regard to race, color, sex, religion, national origin, age, disability, genetic information, military status or any other prohibited characteristic. Any applicant who, because of disability, needs accommodation or assistance in completing this application or at any time during the application process should contact the Human Resources Department. TEXAS811 also provides reasonable accommodation to employees with disabilities consistent with its obligations under the law. This application is current for only sixty (60) days. At the conclusion of this time, if I have not heard from the employer and still wish to be considered for employment, it will be necessary to fill out a new application. I understand that if I am hired as a Seasonal Employee, the duration of my employment will last no longer than six months and I will not be eligible for company benefits. I represent and warrant that I have read and fully understand the foregoing and seek employment under these conditions.
Acknowledged
Yes
Signature
KARINA DE LEON [03/26/2023]
TEXAS EXCAVATION SAFETY
SYSTEM INC
Payroll Profile: 01638
Application for Damage Prevention Agent - 52152
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