Material Handler Team Member

david barrett’s Employment Application

Application Date: 2/4/2021

Job Title: Packaging Production Team Member (Operator) Job Location: Lebanon

Personal Information

First Name: david

Last Name: barrett

Email: ************@****.***

Contact Information

Country: United States

Current Address

Country: United States

State: OH

Address: 382 broadway st

Address #2: n/a

City: maineville

Zip/Postal Code: 45039

Contact Information

Cell Phone: 513-***-****

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? Yes Have you previously filled out an application at this company? No If yes, please give date(s) and position(s): n/a

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? n/a

If 'Employee Referral', please give employee name: n/a If 'Other', please tell us how you heard about JBM: n/a Are you related to any person currently employed at this company? : No If yes, please explain: n/a

Are you applying for: Full-Time, Part-Time

Desired Compensation: to move up with the company

Available Start Date: 2-8-2021

Employment History

Please provide the following requested information regarding your employment history: Include military service assignments and volunteer activities. You may exclude organization names that include race, color, religion, gender, national origin, ancestry, age, disability or other protected status. Current or Most Recent Employer

Are you currently employed? No

Employer Name: fed ex

City and State: ohio

Title: packing handler

From: november 16

To: july 2020

Reason for Leaving: Terminated

Explanation: not enough hours

Rate of Pay: 16.25

Direct Supervisor: andy

Company Phone: 1-513-***-****

OK to contact? Yes

Responsibilities and Duties: unload trailers, load trucks, train people 2nd Previous Employer

Employer Name: n/a

City and State: n/a

Title: material handler

From: 06/2010

To: 7/2013

Reason for Leaving: Laid Off

Explanation: place closed

Rate of Pay: 12.30

Direct Supervisor: phil bird

Company Phone: steel vision

OK to contact? Yes

Responsibilities and Duties: just pick up steel all day 3rd Previous Employer

Employer Name: n/a

City and State: n/a

Title: n/a

From: n/a

To: n/a

Reason for Leaving: n/a

Explanation: n/a

Rate of Pay: n/a

Direct Supervisor: n/a

Company Phone: n/a

OK to contact? n/a

Responsibilities and Duties: n/a

Education/Training

High School

Name of School: little miami

City and State: ohio

Grade Completed: 12

Graduate or GED? 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

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? Yes

Other School

Name of School: little miami

City and State: ohio

Course or Major: none

Years Completed: 4

Degree: highschool

Graduate? Yes

Please list any languages that you are proficient or fluent in: none List professional, trade, business, or civic activities and offices held. (You may exclude memberships that would reveal race, color, religion, gender, age, ancestry, national origin, disability, or other protected status): n/a References

Please list three professional references.

1st Reference

Name: amber hall

Company: bob evens

Relationship: friend

Phone: 1-513-***-****

Email: n/a

Years Known: 10

2nd Reference

Name: phil bird

Company: steel vision

Relationship: manager/boss

Phone: 1-865-***-****

Email: n/a

Years Known: 10

3rd Reference

Name: alex

Company: wal mart

Relationship: friend

Phone: 513-***-****

Email: n/a

Years Known: 6

Applicant's Statement

Please complete the Cultural Index Assessment:

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. I have read and agree to this disclaimer. Yes

Applicant Signature: david adam barrett

Date: 2-4-2021

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 JBM Packaging. 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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