High School A U

JUSTICE LOVING CARE.

*****************@*****.***

201-***-****. APPLICATION FORM.

POSITION DESIRED: DATE: 04/12/2024

NAME:MerlangePOTEAU DOB: 05/19/1995

ADDRESS: ****, ******* ***, ********* **111

EMAIL ADDRESS: ***************@*****.***

HOME PHONE: 862-***-**** CELL: 862-***-****

CAR: YES. NO. AVAILABILITY: 7-3 __ 3-11 11-7

MON. TUE. WED THURS. FRI. __ SAT. SUN.__

EMERGENCY CONTACT:

ADDRESS: 1010, Clinton ave, Irvington 07111

TEL: 862-***-**** CELL:

Position Applying For: NA

EDUCATIONAL

BACKGROUND:

HIGH SCHOOL:

YR. GRADUATED:

VOCATIONAL:

YR. GRADUATED:

COLLEGE:

YR. GRADUATED:

MAJOR COURSES:

EMPLOYMENT HISTORY:

FROM: New Jersey TO: Irvington POSITION: NA

COMPANY & PHONE # : 862-***-****

EMERGENCY CONTACT:

Name: videlinePOTEAU Number: 862-***-**** Relationship: Sister

PROFESSIONAL REFERENCES: OCCUPATION: COMPANY: TEL / CELL.

1. Christophane NA

2.

PERSONAL REFERENCES: OCCUPATION: COMPANY: TEL / CELL.

1. Christophane NA

2.

I certify that the facts contained above are True to the best of my knowledge.

Referred by: Christophane. Applicant Signature :merlangePOTEAU JUSTICE LOVING CARE.

APPLICANT AGREEMENT / CONSENT.

JUSTICE LOVING CARE is a Referral/ Recruiting office. Justice refers you to a hiring company and expect you to maintain the job, if there is any reason to leave the job please kindly let Justice know in advance. Applicant agree :

1.That you will abide to the facility policies and will not quit nor commit any offense that can lead to your job termination until you complete at least 3 months at work, if you have any reason to quit please kindly let Justice know, failure to do so may close the opportunities for Justice to get jobs for others at that facility.

2.That you will not take your friends or relatives to be hired directly by any company that Justice referred you to without passing through Justice, that can cause business closure and calls for a fine of $1000.00 payable to Justice Loving Care.

3.That you agree to abide to the Policy of any company that hires you.

4.That this Agreement/ Consent is well acknowledged, signed and dated by both parties as binding policy.

Sign: Merlange POTEAU Date: 04/12/2024. Sign Date:

PRINT NAME:

MERLANGEP O T E A U JUSTICE WOODSON .

Applicant. Title: Manager / Referrer.

Contact this candidate