Unloader Football Coach

NYM GROUP OF NY INC Candidate

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Speight Charles - LIT-21-00002 - Litter Driver - New Haven 03 AB: 12563 Date Created: 5/13/2023 9:57 AM Page 1 of 4 EOE Statement

We are an Equal Opportunity Employer. We will consider applicants for this position without regard to any category protected by applicable federal, state or local law, including but not limited to: race, color, religion, sex, national origin, age, physical or mental disability, genetic information, veteran status or uniformed servicemember status.

If hired, I understand my employment is at-will as permitted under applicable state law. I understand this means that either the company or I may terminate the employment relationship at any time, for any reason, with or without notice or cause.

Personal Information

Candidate: Speight, Charles Date Created: 05/13/2023 9:57:39 AM Social Security: 0000 Date of Application: 05/13/2023 9:57:16 AM Position: LIT-21-00002 - Litter Driver Application Method: Mobile Location: New Haven Referral Source: Internet/Job Board, indeed Main Phone: 475-***-**** Alternate Phone: 475-***-**** Address: 19 Laurel St, Waterbury, CT 06702

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

Core Questions

Please enter the name of the specific source where you learned about this position: indeed

Do you have a valid state driver license?

Yes

How many years of relative work experience do you have? 1-3

When are you available to start?

A.s.a.p

Are you willing to submit to a pre-employment background check and drug screen? Yes

Are you legally authorized to work in the Country you are applying? Yes

Employment History

Employer: Macy's, Cheshire - CT US

Job Title: Loader/Unloader/sanitation

Duties:

I started on the dock unloading trucks, from there I went to a location called putaway where I worked running the belts where boxes came the dock,and than I wanted more hours, so I joined a sanitation crew with two other collages and as covid-19 got worst my collages quit and I had to get more volunteers to work with me

Reason for Leaving: Laid off

Dates of Employment: From: 09/01/2019 To: 04/01/2021 NYM GROUP OF NY INC Candidate

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Speight Charles - LIT-21-00002 - Litter Driver - New Haven 03 AB: 12563 Date Created: 5/13/2023 9:57 AM Page 2 of 4 Employment History continued...

Supervisor:

May we contact? Yes

Employer: Macy's, Cheshire - CT US

Job Title: Runner

Duties:

To load boxes.stack pallets.cleaning

Reason for Leaving: Seasonal

Dates of Employment: From: 09/01/2011 To: 12/01/2011 Supervisor:

May we contact? No

Employer: Village at east farms, Waterbury - CT US Job Title: Cook

Duties:

Prep and prepare food

Reason for Leaving: Laid off

Dates of Employment: From: 08/01/2003 To: 10/01/2008 Supervisor:

May we contact? No

Work Schedule

Day Hours Available for Work

Sunday 7p.m. to 4:30 a.m

Monday 7p.m to 4:30 am

Tuesday 7 p.m to 4:30 am

Wednesday 7 pm to 4:30 am

Thursday 7 pm to 4:30 am

Friday 7 pm to 4:30 am

Saturday 7 pm to 4:30 am

References

Name: Ryan Jobe Personal Reference? No

Organization: N/a Title: Youth football coach

Phone: 860-***-**** Email: N/a

Address: N/a, Wtby, Ct 06702, New haven

Name: Personal Reference?

Organization: Title:

Phone: Email:

Address:

Name: Personal Reference?

NYM GROUP OF NY INC Candidate

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Speight Charles - LIT-21-00002 - Litter Driver - New Haven 03 AB: 12563 Date Created: 5/13/2023 9:57 AM Page 3 of 4 References continued...

Organization: Title:

Phone: Email:

Address:

Please read carefully before signing

I certify that all the information on this application, my resume, or any supporting documents I may present during any interview is and will be true, complete and accurate, to the best of my knowledge. I understand that any falsification, misrepresentation, or omission of any information may result in disqualification from further consideration for employment or, if employed, disciplinary action, up to and including immediate dismissal, regardless of when such information is discovered.

The Company considers this Application for Employment to be a part of the personnel record. THIS COMPANY IS AN AT-WILL EMPLOYER WHERE ALLOWED BY APPLICABLE STATE LAW. THIS MEANS THAT REGARDLESS OF ANY PROVISION IN THIS APPLICATION, IF HIRED, THE COMPANY OR I MAY TERMINATE THE EMPLOYMENT RELATIONSHIP AT ANY TIME, FOR ANY REASON, WITH OR WITHOUT CAUSE OR NOTICE. NOTHING IN THIS APPLICATION OR IN ANY DOCUMENT OR STATEMENT, WRITTEN OR ORAL, SHALL LIMIT THE RIGHT TO TERMINATE EMPLOYMENT AT-WILL. I UNDERSTAND THAT NO COMPANY EMPLOYEE OR REPRESENTATIVE HAS THE AUTHORITY TO ENTER INTO A CONTRACT REGARDING DURATION OF TERMS AND CONDITIONS OF EMPLOYMENT OTHER THAN THE PRESIDENT/CEO OF THE COMPANY AND THEN ONLY BY MEANS OF A WRITTEN CONTRACT SIGNED BY THE PRESIDENT/CEO. I authorize the Company and/or its agents to confirm all statements contained in this application and/or resume as it relates to the position I am seeking, to the extent permitted by federal, state, or local law. Federal law and some states require a separate disclosure and consent when obtaining background reports from a consumer reporting agency. I understand I will be asked to complete any requisite consent forms for the background check which may be required by federal, state and/or local law. I agree to sign these forms and understand that my offer of employment may be conditional upon the background check.

I AUTHORIZE AND CONSENT TO, WITHOUT RESERVATION, ANY PARTY OR AGENCY CONTACTED BY THIS EMPLOYER (INCLUDING ANY AND ALL PRIOR EMPLOYERS OF MINE) TO FURNISH INFORMATION REGARDING MY PREVIOUS EMPLOYMENT HISTORY AND/OR ANY OF THE ABOVE-MENTIONED INFORMATION. I hereby release, discharge, and hold harmless, to the extent permitted by federal, state, and local law, any party delivering information to the Company pursuant to this authorization from any liability, claims, charges, or causes of action which I may have as a result of the delivery or disclosure of the above requested information. I hereby release from liability the Company for seeking such information and all other persons, corporations, or organizations furnishing such information.

If hired by the Company, I understand that I will be required to provide genuine documentation establishing my identity and eligibility to be legally employed in the United States by this Company as required by the Immigration Reform and Control Act of 1986. I also understand this Company employs only individuals who are legally eligible to work in the United States.

NYM GROUP OF NY INC Candidate

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Speight Charles - LIT-21-00002 - Litter Driver - New Haven 03 AB: 12563 Date Created: 5/13/2023 9:57 AM Page 4 of 4 continued...

Print Name: Charles Speight

eSignature: Date: 05/13/2023

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