Jeri Carnell’s Employment Application

Application Date: 9/15/2022

Job Title: Direct Hire: All Shifts – Machine Operator Assembly Production Job Location: Battle Creek

Personal Information

First Name: Jeri

Last Name: Carnell

Email: adtecb@r.postjobfree.com

Contact Information

Country: United States

Current Address

Country: United States

State: MI

Address: 3204 Parchmount ave.

Address #2: n/a

City: Kalamazoo

Zip/Postal Code: 49004

Contact Information

Cell Phone: 269-***-****

Home Phone: n/a

General Information

Are you 18 years of age or older? Yes

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 Have you ever been convicted of a felony or other serious crime? No If yes, explain briefly and give date of offense: n/a Were you ever discharged by any company? No

If yes, give name of company and reason: n/a

Have you previously filled out an application at this company? Yes If yes, please give date(s) and position(s): I don't remember exactly when it was but it was earlier this year and for the same position

Have you ever worked for this company before? No

If yes, please give dates and position: n/a

How did you hear about this opportunity? Indeed

If you chose 'Employee Referral' please give the employee name: n/a If a contract agency please list below: n/a

If you chose 'Other' please explain below: n/a

Are you related to any person currently employed at this company? : No If yes, who/relation: n/a

Are you applying for: Full-Time

What shifts are you willing to work? 1st Shift, 3rd Shift, 2nd Shift Preferred Shift: 1st shift

Are you willing to work holidays & weekends if needed? : Yes Desired Compensation: 18.00/hour

Available Start Date: 09/16/2022

Employment History

Please provide the following requested information regarding your employment history. All qualified applications will receive equal consideration regardless of race, religion, color, sex, age, disability, national origin or veteran status. Current or Most Recent Employer

Are you currently employed? No

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

Rate of Pay: n/a

Direct Supervisor: n/a

Company Phone: n/a

OK to contact? Yes

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

Rate of Pay: n/a

Direct Supervisor: n/a

Company Phone: n/a

OK to contact? 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: n/a

Rate of Pay: n/a

Direct Supervisor: n/a

Company Phone: n/a

OK to contact? n/a

Education/Training

High School

Name of School: Battle Creek Central

City and State: Battle Creek, Michigan

Graduate? Yes

College or University

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

Trade School

Name of School: n/a

City and State: n/a

Type of Trade: n/a

Certification: n/a

Graduate? n/a

Apprenticeship

Name of School: n/a

City and State: n/a

Company: n/a

Apprenticeship Program: n/a

Graduate? n/a

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? n/a

Other School

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

Please list any languages that you are proficient or fluent in: n/a References

Please list three professional references at least one previous supervisor. 1st Reference

Name: Cody

Company: Meijer

Relationship: Ex supervisor

Phone: n/a

Email: n/a

Years Known: 4 years

2nd Reference

Name: n/a

Company: n/a

Relationship: n/a

Phone: n/a

Email: n/a

Years Known: n/a

3rd Reference

Name: n/a

Company: n/a

Relationship: n/a

Phone: n/a

Email: n/a

Years Known: n/a

Applicant's Statement

The information given by me in this application is true in all aspects, and I agree that if the information given is found to be false in any way, it shall be considered sufficient cause for denial of employment or discharge. I authorize the use of any information in this application to verify my statements, and I authorize the past employers, educations institutions, all references, and any other persons to answer all questions asked concerning my ability, character, reputation, previous employment record and educational transcripts. I release all such person from any liability or damages due to providing such information.

I understand that nothing contained in this employment application or in the granting of an interview is intended to create an employment contract between I I Stanley Co., Inc. and myself for either employment or for the providing of any benefit. No promises regarding employment have been made to me, and I understand that no such promise or guarantee is binding upon I I Stanley Co., Inc. unless made in writing. I understand and agree that any employment with I I Stanley Co., Inc. may be terminated at any time, with or without cause, by me or by I I Stanley Co., Inc. I certify that the information provided by me in this application is correct and I understand that deliberate falsification of this information is grounds for refusal to hire or dismissal from employment. I understand a background investigation may be conducted by I I Stanley Co., Inc. or its agents including but not limited to: credit reports, DMV records and County/State/Federal court records. I understand that if employed, policies and rules which are issues are not conditions of employment and that I I Stanley Co., Inc. may revise policies or procedures, in whole or in part at any time. I understand that this application will be kept on active file for 6 months from the date completed, after which time I would have to reapply in accordance with established company procedures. I have read and agree to this disclaimer. Yes

Applicant Signature: Jeri Carnell

Date: 9-15-2022

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 I I Stanley Co., 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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