Parts Delivery Driver

Candidate

Profile

Addis David - PAR-**-***** - Parts Delivery Driver - Hartford 03

AB: 12481 Date Created: 4/1/2022 10:11 AM Page 1 of 3 EOE Statement

We are an Equal Opportunity Employer. We will consider applicants for this position without regard to any category protected by applicable federal, state or local law, including but not limited to: race, color, religion, sex, national origin, age, physical or mental disability, genetic information, veteran status or uniformed servicemember status.

If hired, I understand my employment is at-will as permitted under applicable state law. I understand this means that either the company or I may terminate the employment relationship at any time, for any reason, with or without notice or cause.

Personal Information

Candidate: Addis, David Date Created: 04/01/2022 10:11:49 AM Social Security: 0000 Date of Application: 04/01/2022 10:11:23 AM Position: PAR-22-00049 - Parts Delivery Driver Application Method: Web Location: Hartford Referral Source: Internet/Job Board, My Job Helper Main Phone: 860-***-**** Alternate Phone: 860-***-**** Address: 109 Whittington Avenue, Norwich, CT 06360 Email Address: ****************@*****.***

Core Questions

Please enter the name of the specific source where you learned about this position: My Job Helper

Do you have a valid drivers license?

Yes

Are you eligibile to work in the United States?

Yes

How many years of experience do you have in the role you are applying for? 3-5 years

Education

Institution: Norwich Free Academy Institution Type: High School Location: Norwich, CT US

Degree:

Major:

Notes: General subjects

Employment History

Employer: Fleetpride Diesel Parts, Norwich - CT US Job Title: Driver

Duties:

Parts route, inventory, handling of goods

Reason for Leaving: Left

Dates of Employment: From: 04/01/1987 To: 06/01/1999 Candidate

Profile

Addis David - PAR-22-00049 - Parts Delivery Driver - Hartford 03 AB: 12481 Date Created: 4/1/2022 10:11 AM Page 2 of 3 Employment History continued...

Supervisor: Earl (forgot last name)

May we contact? No

Employer:

Phone:

Job Title:

Duties:

Reason for Leaving:

Dates of Employment: From: To:

Supervisor:

May we contact?

Employer:

Phone:

Job Title:

Duties:

Reason for Leaving:

Dates of Employment: From: To:

Supervisor:

May we contact?

US Military Experience

Branch of Service:

Rank at Discharge: Years in Service:

Highest Rank Attained: Are you currently

in the reserves?

Additional Information:

Work Schedule

Day Hours Available for Work

Sunday not available

Monday yes, 9-5

Tuesday yes 9-5

Wednesday yes 9-5

Thursday yes 9-5

Friday yes 9-5

Saturday not available

Candidate

Profile

Addis David - PAR-22-00049 - Parts Delivery Driver - Hartford 03 AB: 12481 Date Created: 4/1/2022 10:11 AM Page 3 of 3 Please read carefully before signing

Allegiance Trucks retains the right to verify all information provided by me. In the process of such verification, I fully authorize Allegiance Trucks to contact any person, school, organization, or employer listed to disclose all information necessary to verify information or statements. I release all persons who disclose such information from any liability or damages to me or anyone acting in my name. I waive any written notice of the release of such information that may be required by any state or federal law. Any falsification, misrepresentation, or omission, whenever discovered, shall be considered legitimate and sufficient grounds for dismissal. If hired, my employment with Allegiance Trucks is at-will. This means that I may terminate my employment at any time. Similarly, the company may terminate my employment at any time, with or without cause. Print Name: David Addis

eSignature: Date: 04/01/2022

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