We are an Equal Opportunity Employer. We consider applications for all positions without regard to race, color, religion, creed, sex, national origin, disability, sexual orientation, citizenship status or any other legally protected status. If applicable to Company, reasonable accommodation under the Americans with Disabilities Act will be provided as required by law.
Employment Application Page 1 of 4
Application for Employment
All applicants will receive consideration without regard to age, race, color, religion, sex, sexual orientation, gender identity, national origin, disability, ethnicity, or place of birth. Equal access to programs, services and employment is available to all persons. Those applicants requiring reasonable accommodation to the application and/or interview process should notify a representative of the Human Resource Department
PERSONAL INFORMATION Application Date
Name (Last, First, Middle) Position Applying For:
Street Address City State Zip Code
Email Address Primary Telephone Alternate Telephone How did you hear about us?
If other:
Date available to start work:
Please select the type of work desired. Check all that apply: Full Time Part time Desired hourly rate of pay: Please select the shifts you are interested in. Check all that apply: Midnight – 8am 8am - 4pm 4pm - 12am Are you at least 18 years of age? YES NO Are you legally eligible for employment in the US? YES NO Are you willing to take a drug test? YES NO
Are you currently employed? YES NO If yes, please provide the current hours and times per day you work in the appropriate fields below: Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Have you previously applied with this Company before? YES NO If yes, please list the dates of application and position title applied for: Have you ever been employed by this Company? YES NO If yes, please list the dates of employment, position title and reason for leaving. Describe any job-related training you received in the military: 07104
X
X
X
X
NJ
Security guard
18
Newark
X
Friend
X
MYERS, JOHNSON A
Detective in Ghana Police Service
Weapon handler
212 highland Ave 201
***********@*****.***
X
09/20/2022
X
We are an Equal Opportunity Employer. We consider applications for all positions without regard to race, color, religion, creed, sex, national origin, disability, sexual orientation, citizenship status or any other legally protected status. If applicable to Company, reasonable accommodation under the Americans with Disabilities Act will be provided as required by law.
Employment Application Page 2 of 4
Summarize special job-related skills and qualifications acquired from past employment or any other experience that you feel may be helpful when considering your application.
EDUCATION
Name of School
City, State Enrolled Attended Graduated Major Degree GPA REFERENCES – Give the names of two (2) work references, not related to you, whom you have known for at least six (6) months. You must provide information for at least one (1) reference. Name of reference Relationship Years Known Telephone number and/or email EMPLOYMENT HISTORY
Employer City, State Dates
to
Job title Supervisor Phone Final rate of pay
Duties
Please give your reason for leaving
Can we contact this employer? YES NO
If no, why:
Saturday
Wednesday Thursday
Tuesday
If you are available to work any day or any time please indicate in the appropriate field. AVAILABILITY Are you able to provide the times you are available to work for each day of the week? Rita Adubaah
12/12/2022
Patrick Osei Effah
21.75
8am
8am
03/01/2022
Traveled outside the country
8am
Intelligence gathering,writing reports,investigating cases, weapon handling and servicing 43
Columbus, OH
,
10
Sarah
8am
8am
Picking orders from the receiving dock and putting them at designated areas Auntie
Partners personel
Brother
Putawy
Adonten Secondary School
8am
X
8am
X
We are an Equal Opportunity Employer. We consider applications for all positions without regard to race, color, religion, creed, sex, national origin, disability, sexual orientation, citizenship status or any other legally protected status. If applicable to Company, reasonable accommodation under the Americans with Disabilities Act will be provided as required by law.
Employment Application Page 3 of 4
Employer City, State Dates
to
Job title Supervisor Phone Final rate of pay
Duties
Please give your reason for leaving:
Can we contact this employer?
If no, why:
YES
NO
Employer City, State Dates
to
Job title Supervisor Phone Final rate of pay
Duties
Please give your reason for leaving:
Can we contact this employer?
If no, why:
YES
NO
19.50
03/15/2021
Company had new management so it was down sized
09/15/2020
Groveport, OH
John
Packing orders picked into right boxes for shipment PDS HONEYWELL
Packer
X
We are an Equal Opportunity Employer. We consider applications for all positions without regard to race, color, religion, creed, sex, national origin, disability, sexual orientation, citizenship status or any other legally protected status. If applicable to Company, reasonable accommodation under the Americans with Disabilities Act will be provided as required by law.
Employment Application Page 4 of 4
Employer City, State Dates
to
Job title Supervisor Phone Final rate of pay
Duties
Please give your reason for leaving:
Can we contact this employer?
If no, why:
YES
NO
Applicant Statement
I certify that the facts contained in this application are true and complete to the best of my knowledge and understand that, if employed, falsified statements of this application shall be grounds for dismissal. I authorize investigation of all statements contained herein and the references previously listed to give you any and all information concerning my previous employment and any pertinent information they may have personal or otherwise, an release all parties from all liability for any damage that may result from furnishing them to you. I authorize and request my former employers, references, education institutions, and credit agencies or reporting services which have information about me, to give The Company, any and all information and opinions about me in their possession and I release them from any liability or claim relating to such release of information and opinions. I also authorize and request federal, state and local governmental agencies, including probation officers, to release to The Company any information requested concerning any criminal convictions on my record. A photocopy or fax of this signed authorization and waiver shall be valid as an original. I understand that employment with this employer is at will and understand and agree that, if hired, my employment is for no definite period and may, regardless of the date of payment of my wages and salary, be terminated at any time without prior notice. I have read, understand and agree to the above statement. YES NO Applicant printed name: _
Date of electronic acknowledgement:
JOHNSON A MYERS