Production Associate Full Time

Application Information

Name Batchlor, Billie J Primary Phone 574-***-**** [Cell]

Secondary Phone (n/a) Date of Application 07-20-2023 Application ID 683188 Applied to GOODWILL INDUSTRIES OF MICHIANA INC

Email Address ***************@*****.*** Address 218 Towles Avenue, City, State, Zip Code,

Country

McMinnville, IN, 46545, USA County (n/a)

Referral Source Other Referral Name Myself

Driver's License

Number

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

License Expiration Date (n/a)

Education

Institution High school,High School,Niles, MI,

USA, (n/a)

Dates Attended (n/a)

Attended As (n/a) Major/Minor (n/a)

Degree (n/a) GPA (n/a)

Graduated No

Employment

Employer Buger king, 218 Towles Avenue,

Mishawaka. In, IN, 46545, USA, (574)

277-4343

Dates of Employment 07/20/2023 To 07/20/2023

Job Title Cashier Job Duties Backcash

Can Contact? No

(Ruby)

Reason for Leaving More hrs

Current Employer No

References

Name Marvetta Mead Company Mother-law

Title Stay home Relationship Mother_law

Email Address (n/a) Time Known 5 years months

Phone 574-***-****

Questions

GOODWILL INDUSTRIES OF

MICHIANA INC

Payroll Profile: 0XM61

Application for Sales Production Associate - Grape - FT - 683188

Generated: (7/20/2023 7:37 AM) Page: 1 of 3

Question Group 1

Are you 18 years of age or older? Yes

If under age 18, please provide your current age.

Type of employment desired? Full-Time

Date available for employment? 07-31-2023

Please indicate education or training which you believe qualifies you for the position you are applying.

Have you ever been employed with Goodwill Industries of Michiana, Inc., or Excel Centers?

No

Do you have any family members who are currently employed/have been employed by this company?

No

Have you ever been discharged or forced to resign from any previous place of employment?

No

Were you referred to Goodwill by a current employee? No If yes, please list the first and last name of the employee who referred you. Statement

Submitting this application certifies that the facts contained in this application are true and complete to the best of my knowledge. I understand that if employed, falsified statements on this application (including false verbal statements made during the employment interview), as well as any other employment-related documents, will be grounds for dismissal and/or rescinding of any oer of employment.

Also, by submitting this application, Goodwill Industries of Michiana, Inc. (Goodwill) discloses to you that a consumer report containing information as to your character, general reputation, personal characteristics and mode of living, may be obtained for employment purposes as part of the pre-employment background investigation and at any time during your employment. Should a consumer report be requested, you will have the right to request a complete copy of this report and a written summary of your rights under the Fair Credit Reporting Act.

It is the policy of Goodwill to provide equal employment opportunities to all employees and applicants without regard to race, color, religion, sex, sexual orientation, religion, physical or mental disability, height, weight, national origin, ancestry, age, military or veteran status, gender identity or expression, genetic information, association with a member of a protected class, or any other protected status of an individual or that individual’s employees or relatives. Goodwill is thus committed to providing a work environment that is free from unlawful discrimination, including harassment that is based on any legally protected status. Goodwill will not tolerate any form of harassment that violates this policy.

I further authorize Goodwill to provide any/all legally required work-related notices (i.e. including but not limited to PPACA, ACA, ERISA, IRS, payroll, etc.) to me via electronic e-mail and I understand that it is my responsibility to keep Goodwill apprised of my current e-mail address. I understand that I may revoke this electronic notification option in exchange for notices through U.S. mail. I understand my employment by Goodwill would be “at will”, and terminable by either party, at any time, without either notice or cause. Acknowledged

Yes

GOODWILL INDUSTRIES OF

MICHIANA INC

Payroll Profile: 0XM61

Application for Sales Production Associate - Grape - FT - 683188

Generated: (7/20/2023 7:37 AM) Page: 2 of 3

Signature

Billie Batchlor [07/20/2023]

Billie Batchlor [07/20/2023]

GOODWILL INDUSTRIES OF

MICHIANA INC

Payroll Profile: 0XM61

Application for Sales Production Associate - Grape - FT - 683188

Generated: (7/20/2023 7:37 AM) Page: 3 of 3

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