Facility Manager Community Action

Lolia McCarty’s Employment Application

Application Date: 10/14/2020

Job Title: Neighborhood Services Coordinator

Job Location: Carrollton

Personal Information

First Name: Lolia

Last Name: McCarty

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

Contact Information

Country: United States

Current Address

Address: 5120 Nell Lee Road

Address #2: n/a

City: Bennington

Zip/Postal Code: 47011

Country: United States

State: IN

Contact Information

Cell Phone: 812-***-****

Home Phone: n/a

General Information

Are you 18 years of age or older? Yes

Have you ever been convicted of a felony? No

If yes, please explain: n/a

Desired Compensation: $16.50/hr

Available Start Date: 2 weeks notice

If referred by a current employee, please give employee name: n/a Education/Training

High School

Name of School: Lawrenceburg High

City and State: Lawrenceburg, Indiana

Grade Completed: 12

Graduate or GED? Yes

College or University

Name of School: Great Oaks

City and State: Sharonville, Ohio

Course or Major: Nursing

Years Completed: 1

Degree: Nursing

Graduate? Yes

Graduate School

Name of School: n/a

City and State: n/a

Course or Major: n/a

Years Completed: n/a

Degree: n/a

Graduate? Yes

Other

Name of School: n/a

City and State: n/a

Course or Major: n/a

Years Completed: n/a

Degree: n/a

Graduate? n/a

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? Yes

Company Name: CMHC

City and State: Lawrenceburg, IN

Title: Residential Technician

From (MM/YY): 08/07/2018

To (MM/YY): current

Reason for Leaving: Currently Employed

Explanation: n/a

Starting Pay: $13.00/hr

Ending Pay: $13.50

Direct Supervisor: Adam Barrett, facility manager

Company Phone: 812-***-****

OK to contact? Yes

Responsibilities and Duties: I assist drug and alcohol addicted individuals with mental diagnosis with their daily living activities and going to AA meetings.

2nd Previous Employer

Company Name: n/a

City and State: n/a

Title: n/a

From (MM/YY): n/a

To (MM/YY): n/a

Reason for Leaving: n/a

Explanation: n/a

Starting Pay: n/a

Ending Pay: n/a

Direct Supervisor: n/a

Company Phone: n/a

OK to contact? n/a

Responsibilities and Duties: n/a

3rd Previous Employer

Company Name: n/a

City and State: n/a

Title: n/a

From (MM/YY): n/a

To (MM/YY): n/a

Reason for Leaving: Currently Employed

Explanation: n/a

Starting Pay: n/a

Ending Pay: n/a

Direct Supervisor: n/a

Company Phone: n/a

OK to contact? n/a

Responsibilities and Duties: n/a

References

Give the names of three persons, not related to you, whom you have known at least one year: Reference Name: Blakeylyn Pearson

Company: CMHC

Phone: 812-***-*****

Years Known: 1 year: co-worker

Reference Name: Carol Perry

Company: homemaker, EMT

Phone: 513-***-****

Years Known: 20+

Reference Name: Katie Doan

Company: CMHC

Phone: 812-***-****

Years Known: 2+ years

Military Service

Branch: n/a

From (MM/YY): n/a

To (MM/YY): n/a

Please describe any military training received relevant to the position to which you are applying: n/a Applicant's Statement

I certify that my answers are true and complete to the best of my knowledge. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.

I authorize investigation of all statements contained herein and the references and employers listed above to give you any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise, and release the company from all liability for any damage that may result from utilization of such information. I also understand that I may be required to submit to pre-employment, random, or for-cause drug tests according to NKCAC policies.

I have read and agree to this disclaimer: Yes

Applicant Signature: Lolia McCarty

Date: 10-14-2020

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 Northern Kentucky Community Action Commission. 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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