Joe Brown’s Employment Application
Application Date: 7/21/2022
Job Title: Dock Shipping & Receiving
Job Location: Norwalk
Personal Information
First Name: Joe
Last Name: Brown
Email: **********@*****.***
Contact Information
Cell Phone: 419-***-****
Address: 710 SPRING
City: Toledo
State: OH
Postal Code: 43608
Application Questions
Are you legally eligible to be employed by any employer in the United States? : Yes Are you over the age of 18 years? Yes
Have your ever worked for this company before? If no, state no in the text field. If yes, when, what position, and why did you leave? no
Please check the days and hours you are AVAILABLE to work - Not when you want to work (please note that New Horizons Is a 24/7 operation that includes weekends): 3rd - 11:00PM - 7:30AM Are you Forklift certified? Yes
Job Title: Forklift Operator
Employer Name: Autoneum
Currently Employed? Yes
Start Date: 10-15-2012
End Date: 5-10-2021
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
Signature: Joe Brown
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