Truck Driver

Justin Coates’ Employment Application

Application Date: 2/19/2022

Job Title: Transformer Assembler - Nights

Job Location: Lynchburg

Personal Information

First Name: Justin

Last Name: Coates

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

Contact Information

Cell Phone: 434-***-****

Address: 28 Cattle Lane

City: Evington

State: VA

Postal Code: 24550

Employment History

Job Title: Truck Driver

Employer Name: United Parcel Service

Country: United States

State: n/a

City: Lynchburg

Currently Employed? n/a

Start Date: 6-7-2004

End Date: 1-7-2022

What is the reason for leaving your employment? Personal reasons

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Job Title: n/a

Employer Name: n/a

Currently Employed? n/a

Start Date: n/a

End Date: n/a

What is the reason for leaving your employment? n/a

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Job Title: n/a

Employer Name: n/a

Currently Employed? n/a

Start Date: n/a

End Date: n/a

What is your availability date to start a new position? 2-19-2022

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Have you already been employed with Delta Star Inc. ? No. 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. Desired Compensation: $20 hourly

How Did You Hear About This Position? Indeed

Name of Referring Employee: n/a

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. Acceptance: Yes

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 Delta Star, Inc.. 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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