Welder Driver

Application Information

Name Smiley, Keith Allen Primary Phone 502-***-**** [Cell]

Secondary Phone (n/a) Date of Application 01/20/23 Application ID 226676 Email Address *************@*****.*** Address 305 N Main St. Apt C City, State, Zip Code, Country

Cynthiana, KY, 41031, USA

County Harrison Referral Source (n/a)

Referral Name (n/a) Driver's License

Number

S01611440

Driver's License State (n/a) License Expiration Date 05-17-2025 Education

Institution Nashville Auto Diesel

College,Other,Nashville, TN, USA,

(n/a)

Dates Attended 08/21/2009 - 09/26/2010

Attended As (n/a) Major/Minor (n/a)

Degree Certificate GPA (n/a)

Graduated Yes

Institution Harrison Co. Votech

Center,Other,Cynthiana, KY, USA,

(n/a)

Dates Attended 08/16/2002 - 06/18/2003

Attended As (n/a) Major/Minor (n/a)

Degree Welding and blueprinting GPA (n/a)

Graduated Yes

Employment

Employer EZPack, (n/a), (n/a), (n/a) Dates of Employment 06/01/2021 To 08/23/2022 1 Year 2 Months 22 Days

Job Title Welder Job Duties Run welds using orbital table, set track rings per blueprint on tail section of

mixer drum, stack (assemble concrete

mixer drum using overhead crane),

weld inside seams of stacked drum

and install mixing fins to drum. Clean

area. Repair equipment as needed

Can Contact? N/A

(N/A)

Reason for Leaving (n/a)

BIG TEX TRAILER

MANUFACTURING LLC

Client: Application for Welder - 226676

Generated (9/14/2022 5:49 PM) Page 1 of 3

Current Employer No

References

Name TJ Ham Company (n/a)

Title (n/a) Relationship Previous Supervisor

Email Address (n/a) Time Known (n/a)

Phone 859-***-****

Questions

Question Group 1

Are you 18 years of age or older? Yes

Do you have reliable transportation? Yes

Are you legally authorized to work in the United States? Yes Will you now, or in the future, require sponsorship for employment visa status (e.g. H-1B visa status)?

No

Question Group 2

Type of employment desired? Full Time

Have you ever been employed and/or applied for employment by this company? No How did you hear about us? ZipRecruiter

If referred, by which employee?

Desired salary range? $23-$25hr

Statement

ATW and its subsidiaries, all of which are collectively referred to hereinafter as "ATW" or "the Company" are equal opportunity employers and do not discriminate on the basis of race, religion, color, national origin, age, sex, gender, disability or any other characteristic protected by law.

I understand that employment with ATW (the Company) is at-will, as that term is defined under law, which means that either I, as the employee, or ATW, as the employer, can terminate the employment relationship at any time for any reason or no reason at all, consistent with applicable state or federal law. I authorize the Company to verify all data given on this application and during interviews. I hereby release the Company, and its representatives or agents, from any liability that might result from such an investigation. I authorize all individuals, schools, and firms named to provide any requested information and release them from all liability for providing the requested information. I agree to sign all authorizations that may be necessary to verify the information I have provided in this application and during interview. I understand that if an offer of employment is extended to me, I may be required to provide an authorization to permit additional inquiries regarding my background and credit history, and submit to pre-employment drug testing. I understand that the Company's offer of employment may be withdrawn depending upon the results obtained through such additional inquiries. I understand BIG TEX TRAILER

MANUFACTURING LLC

Client: Application for Welder - 226676

Generated (9/14/2022 5:49 PM) Page 2 of 3

that I am not obligated to disclose sealed or expunged records of arrests or convictions at any time. [1] I understand this application will be active for a period of 90 days; after that time, if I wish to be considered for employment, I must submit a new application. I certify that all the statements in this completed application are true and understand that any falsification or willful omission shall be sufficient cause for dismissal or refusal to hire.

[1]Necessary per Illinois law.

Acknowledged

Yes

Signature

Keith Smiley [09/14/2022]

BIG TEX TRAILER

MANUFACTURING LLC

Client: Application for Welder - 226676

Generated (9/14/2022 5:49 PM) Page 3 of 3

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