Production and Warehouse work, Forklift

Christopher Cottingham’s Employment Application

Application Date: 11/19/2021

Job Title: 3rd shift General Assembly

Job Location: Sharpsville

Personal Information

First Name: Christopher

Last Name: Cottingham

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

Contact Information

Mobile: 765-***-****

Alt. Phone: 765-***-****

Country: US

Address: 5107 Wea Drive

City: Kokomo

State: IN

Zip Code: 46902

General Information

Are you 18 years of age or older? Yes

Are you legally authorized to work in the United States? Yes Desired Compensation: 15.00

Weekly Availability: n/a

Daily Availability: Sunday, Monday, Tuesday, Wednesday, Thursday, Friday, Saturday Available Start Date: 11/20/2021

How did you hear about this opportunity? Friend

If referred by a current employee, please give employee name: Aaron Smith 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? No

Employer Name: Warehouse WorkerBorg Warner

City and State: Kokomo,IN

Title: n/a

Start Date: 2020-11-01

End Date: 2021-08-01

Reason for Leaving: Laid Off

Explanation: no hours,parts

Rate of Pay: 14.75

Direct Supervisor: Bruce

Company Phone: Borg Warner

OK to contact? Yes

Responsibilities and Duties: Pack out products ready to ship. 2nd Previous Employer

Employer Name: GrinderBottcher America

City and State: Tipton,IN

Title: n/a

Start Date: 2019-04-01

End Date: 2020-01-01

Reason for Leaving: Laid Off

Explanation: not enough hours/ covid

Rate of Pay: 14.09

Direct Supervisor: Kerry

Company Phone: Bottcher America

OK to contact? Yes

Responsibilities and Duties: grinder

3rd Previous Employer

Employer Name: Cardinal Metal Finishing

City and State: Kokomo, IN

Title: n/a

Start Date: 08/15/2015

End Date: 10/20/2019

Reason for Leaving: Laid Off

Explanation: Factory closed down

Rate of Pay: 18.00

Direct Supervisor: Mike

Company Phone: N/a

OK to contact? n/a

Responsibilities and Duties: First shift supervisor, broke down machine, impregnate line, checked transmission parts. Education/Training

High School

Name of School: Kokomo High School

Location: Kokomo, In

Last Grade Completed: 12

Graduate or GED? Yes

College or University

Name of School: n/a

Location: n/a

Years Completed: n/a

Graduate? n/a

Course or Major: n/a

Degree: n/a

Graduate School

Name of School: n/a

Location: n/a

Years Completed: n/a

Graduate? n/a

Course or Major: n/a

Degree: n/a

Trade/ Other School

Name of School: n/a

Location: n/a

Years Completed: n/a

Graduate? n/a

Course or Major: n/a

Degree or Certification: 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): Fortklift References

Reference 1

Name: Simon Ponder

Company: Computer Tech

Relationship: Friend

Phone: 317-***-****

Email: N/A

Years Known: 30

Reference 2

Name: Shawna Smith

Company: Manager

Relationship: friend

Phone: 765-***-****

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

Years Known: 22

Reference 3

Name: Jason Smith

Company: Bottcher America

Relationship: Friend

Phone: 765-***-****

Email: N/A

Years Known: 22

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: Christopher Cottingham

Date: 2021-11-19

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 Functional Devices 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.

Acceptance: I have read and agree to this statement

Contact this candidate