Applicant Information

Contact Information

Name Personal Email Cell Phone

Antoine Perry advaw5@r.postjobfree.com +1-229-***-**** Home Phone Primary National ID Social Security Number

+1-229-***-**** Social Security Number ***-**-****

Address

Country Street Zip Code

United States 1308 hobson st apt 19 31705

City State

Albany Georgia

Additional Information

Have you ever worked for any Sanderson Farms facility before? No, I have not worked for any Sanderson Farms facility Have you worked for any Sanderson Farms facility under any other name? If NO, type "NO". no

Does any member of your household work for a poultry processor? Please indicate what company. No, no member of my household works for another poultry processor Have you ever been convicted of, pled guilty to, or pled no contest to any crime? This question requires disclosure of all felony, misdemeanor, and petty crime convictions, regardless of where, when, or in what court the conviction or plea occurred. Yes

The only crimes which need not be disclosed are: 1) speeding tickets which did not/will not result in suspension or loss of driving privileges, 2) tickets for an expired vehicle tag, and 3) tickets for an expired vehicle inspection sticker.

-

If YES, give the date, specific nature, place of crime and conviction (guilty plea or no contest plea). NOTE: Conviction of, guilty plea to or no contest plea to a Application for Employment Full Apply

LINE OPERATOR PROCESSING- ENTRY LEVEL SANDERSON FARMS, INC.- PROCESSING DIVISION 127 Flynt Road, PO Box 988, Laurel, MS, USA

39443-9062

1 of 5

crime may not automatically disqualify an applicant from employment. If NO, type "N/A". endorsing a fictitious document

June 17,2015

no lo plea

Do you or a member of your household have contact with any species of live birds on a regular basis? Including but not limited to chickens, turkeys, ducks, geese, peacocks, emus, wild birds, parakeets, etc. No

Do you possess a valid driver's license?

Yes

Can you perform any or all job functions, with or without reasonable accommodations? Yes

Do you need a reasonable accommodation for the application process? No

Name of person assisting with reasonable accommodation. If NONE, type "N/A" Antoine Adonis Perry

What shift can you work?

Any Shift

Can you work Weekends and Holidays when required?

Yes

Can you work Overtime when required?

Yes

Your hourly rate of pay at current/previous employer?

$15.80

Resume

Referral Information

Referral Source

Sanderson Farms Website

Application for Employment Full Apply

LINE OPERATOR PROCESSING- ENTRY LEVEL SANDERSON FARMS, INC.- PROCESSING DIVISION 127 Flynt Road, PO Box 988, Laurel, MS, USA

39443-9062

2 of 5

If referred by an employee, please give the employee's name. If NONE, type "N/A". n/a

Work Experience

Have you ever been disciplined (including but not limited to termination) for workplace violence? No

Have you ever been disciplined (including but not limited to termination) for harassment of any kind? No

Company 1

Company Name City State

therma/ manpower (temp service) Albany Georgia

How many job titles held with the company?

1

Reason For Leaving

currently working there

Job Title From To

production worker 12/01/2021 -

Present

Yes

Description

load material onto role holders

with dalmec

keep production by tending to heat pack maker

Company 2

Company Name City State

Tyson's foods Vienna ga Georgia

How many job titles held with the company?

Application for Employment Full Apply

LINE OPERATOR PROCESSING- ENTRY LEVEL SANDERSON FARMS, INC.- PROCESSING DIVISION 127 Flynt Road, PO Box 988, Laurel, MS, USA

39443-9062

3 of 5

1

Reason For Leaving

terminated

Job Title From To

live hanger 07/01/2021 11/01/2021

Description

hang live chickens on production line

Education

Highest Education Completed

High School Diploma/GED

School 1

School Name Type Status

Terrell high High School Graduated

General Information

Organizations, Activities, Honors, Class Offices, etc. (Organizations that reveal race, religious preference, or ethnic status need not be listed.) If NONE, type "N/A" n/a

List any special schooling, training, etc., that you have had. If NONE, type "N/A". live hang training at Tyson's foods

dalmec use training at thermacare

EEO Information

Gender Ethnicity Primary Language

Male Black or African American (not Hispanic or Latin English Consent/Acknowledgement

Application for Employment Full Apply

LINE OPERATOR PROCESSING- ENTRY LEVEL SANDERSON FARMS, INC.- PROCESSING DIVISION 127 Flynt Road, PO Box 988, Laurel, MS, USA

39443-9062

4 of 5

Signature of Applicant Date

Antoine Perry 02/09/2023

Application for Employment Full Apply

LINE OPERATOR PROCESSING- ENTRY LEVEL SANDERSON FARMS, INC.- PROCESSING DIVISION 127 Flynt Road, PO Box 988, Laurel, MS, USA

39443-9062

5 of 5

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