Application Information

Name Hurtado, Mike Angel Primary Phone 715-***-**** [Cell]

Secondary Phone 715-***-**** [Cell] Date of Application 02-27-2023 Application ID 522137 Applied to MONOGRAM MANAGEMENT SERVICES INC

Email Address advztz@r.postjobfree.com Address 808 6th ave City, State, Zip Code,

Country

Stevens point, WI, 54481, USA County (n/a)

Referral Source Newspaper Ad Referral Name Newspaper Ad Driver's License

Number

(n/a) Driver's License State (n/a)

License Expiration Date (n/a)

Education

Employment

References

Questions

Question Group 1

Are you legally authorized to work in the United States? Yes Will you now or in the future require sponsorship for Employment VISA status? Yes Question Group 2

Date available to begin work?

Are You Currently Employed? If Yes, may we contact your present employer? Have you ever applied for employment by Monogram? If yes, please specify location.

Have you ever been employed by Monogram? If yes, please specify location. Do you have reliable transportation?

Please list all languages you speak.

MONOGRAM MANAGEMENT

SERVICES INC

Payroll Profile: 0V391

Application for 1st shift Line Worker - 522137

Generated (2/27/2023 10:14 AM) Page 1 of 2

Statement

Acknowledged

No

Signature

MONOGRAM MANAGEMENT

SERVICES INC

Payroll Profile: 0V391

Application for 1st shift Line Worker - 522137

Generated (2/27/2023 10:14 AM) Page 2 of 2

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