Delivery Driver

Robert Woods’ Employment Application

Application Date: 7/12/2022

Job Title: Parts Delivery Driver - Roanoke

Job Location: Roanoke

Personal Information

First Name: Robert

Last Name: Woods

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

Current Address

Country: United States

State: VA

Address: 196 Kingwoods Ln SE

Address #2: n/a

City: Copper Hill

Zip/Postal Code: 24079

Contact Information

Cell Phone: 540-***-****

Home Phone: n/a

General Information

Are you 18 years of age or older? Yes

Are you legally authorized to work in the United States? Yes Desired Compensation: 16/hour

Available Start Date: 7-29-2022

Which location(s) are you applying for? Check all that apply. Bassett, VA, Cloverdale, VA How did you hear about this opportunity? Indeed job search If referred by a current employee, please give employee name. n/a 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: Capital Electric Supply

City and State: n/a

Title: Delivery driver/warehouse helper

From: 5/18/2022

To: 5/25/2022

Reason for Leaving: n/a

Explanation: paperwork for direct deposit was wrong 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

What is your highest level of education completed? High School / GED Name of institution(s): Floyd County high school

Graduate? No

Major(s): n/a

Degree(s) or Certification(s): GED

List any professional licenses: n/a

Applicant's Statement

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: Robert L Woods Jr

Date: 7-12-2022

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