Ramon Santiago’s Employment Application
Application Date: 3/22/2022
Job Title: Terminal Operator - Railcar, Loader/Unloader Job Location: Winston Salem
Personal Information
First Name: Ramon
Last Name: Santiago
Email: adypao@r.postjobfree.com
Contact Information
Mobile: 336-***-****
Alt. Phone: n/a
Country: US
Address: 2324 Konnoak View Dr,n/a
City: Winsto-Salem
State: NC
Zip Code: 27127
General Information
Desired Compensation: 20 an hour
Available Start Date: 2022-03-28
Can you, at the time of your employment, submit verification of your legal right to work in the United States? Yes Have you ever worked for this company? No
If yes, when? Never
How did you hear about this opportunity? Indeed
If referred by a current employee, please give employee name: n/a Education/Training
High School
Name of School: PPF
Location: Mayagüez, Puerto Rico
From: 1980-08-22
To: 1984-08-22
Graduate or GED? Yes
College or University
Name of School: n/a
Location: n/a
From: n/a
To: n/a
Graduate? n/a
Degree: n/a
Other
Name of School: n/a
Location: n/a
Graduate? n/a
From: n/a
To: n/a
Degree: n/a
References
Please list three professional references. Do not include relatives. 1st Reference
Name: Mark Allen
Company: Allen industrial
Relationship: Owner
Phone: 919-***-****
Email: n/a
2nd Reference
Name: Eduardo Fonceca
Company: IPDcompany
Relationship: Owner
Phone: 704-***-****
Email: n/a
3rd Reference
Name: Edgar Denizard
Company: JD material
Relationship: Owner
Phone: 704-***-****
Email: n/a
Employment History
Current or Most Recent Employer
Are you currently employed? No
Employer Name: IPDcompany
City and State: NC
Title: Forman
Start Date: 2020-05-05
End Date: 2022-02-22
Reason for Leaving: Laid Off
Explanation: n/a
Starting Rate of Pay: 22.00
Ending Rate of Pay: 22.00
Direct Supervisor: Eduardo Fonceca
Company Phone: n/a
OK to contact? Yes
Responsibilities: n/a
2nd Previous Employer
Employer Name: Allen industrial
City and State: NC
Title: Forman
Start Date: 2010-03-22
End Date: 2022-03-22
Reason for Leaving: Laid Off
Explanation: Covid-19 pandemic
Starting Rate of Pay: 18.00
Ending Rate of Pay: 222.00
Direct Supervisor: Mark Allen
Company Phone: n/a
OK to contact? Yes
Responsibilities: n/a
3rd Previous Employer
Employer Name: n/a
City and State: NC
Title: n/a
Start Date: n/a
End Date: n/a
Reason for Leaving: n/a
Explanation: n/a
Starting Rate of Pay: n/a
Ending Rate of Pay: n/a
Direct Supervisor: n/a
Company Phone: n/a
OK to contact? n/a
Responsibilities: n/a
APPLICANT’S AUTHORIZATION AND ACKNOWLEDGEMENT OF CONDITIONS I certify that the information given in the application and any attachments is true and correct. I understand any deliberate omission or misrepresentation of information herein, regardless of time of discovery, may result in disqualification for, or termination of employment. I understand that all information and any attachments are subject to verification, and I authorize RSI Leasing, Inc. to verify any and all information concerning me at any time requested. I hereby release all individuals, companies and/or institutions from any claim for damages whatsoever incurred in furnishing such information. I further authorize the company to rely upon and use as it sees fit any information received from such contacts. In consideration for the Company’s review of my employment application, I agree that any claim against the Company arising out of my application for employment, the hiring process, my employment with the Company, or the termination of my employment from the Company must be filed: (i) not more than one hundred eighty (180) calendar days after the event giving rise to the claim, complaint, suit or action; or (ii) not later than the applicable limitations period established by law, whichever is less. Claims covered by this agreement include, but are not limited to, employment and discrimination claims arising under State or Federal statutes. I understand the statute of limitations for an employment related claim may be longer than one hundred eighty (180) calendar days. However, I agree to be bound by the one hundred eighty (180) calendar day limitation set forth herein and I voluntarily WAIVE ANY STATUTE OF LIMITATIONS TO THE CONTRARY. In connection with my application for employment, I understand that investigative inquires on my background, in accordance with state and federal laws, are to be made on me, including the following: (1) a credit report, when applicable; (2) a background check; (3) a drug screening and (4) a physical examination. I acknowledge that my employment is contingent upon the findings of these inquiries. According to the Fair Credit Reporting Act, I am entitled to know if employment is denied because of the information obtained by my prospective employer from a consumer reporting agency. If so, I will be advised and given the name of the agency or source of information. I waive my right to prior written notice of disclosure of my personnel record information, including disciplinary reports, letters of reprimand or other disciplinary action, by current and former employers to the Company and by the Company at some time in the future.
ACCOMMODATION OF DISABILITIES: I understand that if I have a disability that affects my ability to do the job that I seek, I may ask the Company to attempt to make reasonable accommodation. I will make my request in writing to the Human Resource Department within 182 days after the need for accommodation is known. EXPIRATATION OF APPLICATION: This application will become null and void six months post submission. AT-WILL EMPLOYMENT: If employed, I agree to comply with all company rules and regulations. I understand that my employment is “at-will”, is entered into voluntarily, and that I may resign at any time. Similarly, my employment may be terminated for any reason at any time with or without previous notice or cause. I understand that no manager or representative of the Company, other than its President/CEO or his/her designee, has authority to enter into any agreement for employment for any specified period of time, or to make any agreement contrary to the foregoing either now, in the past, or in the future. I further understand that such agreement must be in writing, addressed to me individually, and signed by the President/CEO for it to be binding on either myself or the Company. I understand that this application remains current for only 60 days. At the conclusion of that time, if I have not heard from the Company and still wish to be considered for employment, it will be necessary to reapply and complete a new application. LIMITATIONS ON LITIGATION
In consideration of my employment, if hired, I agree: 1. To waive trial by jury of any claims under any Michigan or federal statutes or under the common law that I may have against RSI Leasing, Inc. 2. Any award in any civil action against RSI Leasing, Inc. alleging that it discharged me in violation of any Michigan or federal statute or any common law obligation will be limited to reinstatement, if available under the applicable statute, and backpay, minus any interim earnings. 3. Not to commence any lawsuit relating to my employment or the termination of my employment with RSI Leasing, Inc. more than twelve months after the date of termination of my employment and to waive any statute of limitation contrary to this twelve- month period.
DOCUMENTATION AND CERTIFICATION OF AUTHORIZATION TO WORK IN USA: I certify that I am legally authorized to work in the United States. I understand that any offer of employment is conditional upon my ability to provide documents required by the Immigration Reform and Control Act of 1986 proving both my identity and authorization to work in the United States, and that failure to produce the documents will result in revocation of the offer or the termination of employment. I have read and agree to this disclaimer. Yes
Applicant Signature: Ramon Santiago
Date: 2022-03-22
Privacy Policy Acknowledgement
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 RSI Leasing, Inc.. 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.
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