United States Cell Phone

Brian Green’s Employment Application

Application Date: 10/14/2024

Job Title: Custodial Trainer

Job Location: Waterford

Personal Information

First Name: Brian

Last Name: Green

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

Contact Information

Cell Phone: 313-***-****

Home Phone: n/a

Country: United States

State: MI

Address: 12161 northlawn

City: Detroit

Postal Code: 48204

General Information

Are you 18 years of age or older? Yes

Do you have reliable transportation? Yes

Work Authorization: I am authorized to work in this country for any employer.

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Have you previously worked for DM Burr or any of its subsidiaries? No If yes, please give date(s) and position(s): n/a

Have you previously filled out an application with DM Burr or any of its subsidiaries? No If yes, please give date(s) and position(s): n/a

After reviewing the job description, are you able to perform the essential functions of the position? Yes Are any members of your direct family currently employed by DM Burr or any of its subsidiaries? No If yes, please provide name(s): n/a

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How did you hear about this position? Company Website If you selected Job Board or Employee Referral above, please specify the website or the employee's name: n/a Please indicate any other positions/locations you would also like to be considered for: n/a Availability

Are you applying for: Full-Time

Please list the days and times that you are available to work: n/a Available Start Date: 10/15/2024

Desired Compensation: ASAP

Employment History

Are you currently employed? No

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

Company Name: n/a

City and State: n/a

Title: n/a

From (MM/YY): n/a

To (MM/YY): n/a

Reason for Leaving: n/a

Explanation: n/a

Rate of Pay: n/a

Direct Supervisor: n/a

Company Phone: n/a

OK to contact? n/a

Responsibilities and Duties: n/a

2nd Previous Employer

Company Name: n/a

City and State: n/a

Title: n/a

From (MM/YY): n/a

To (MM/YY): n/a

Reason for Leaving: n/a

Explanation: n/a

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 Schools Attended: n/a

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Please list any languages that you are proficient or fluent in: n/a List professional, trade, business, or civic activities and offices held. (You may exclude memberships that would reveal race, color, religion, gender, age, ancestry, national origin, disability, or other protected status): n/a

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Have you ever been convicted of a crime? (You do not have to disclose arrests that did not involve a guilty plea or conviction, or guilty pleas or convictions that have been sealed or expunged by a court): No If yes, provide information regarding the conviction(s) (offense, date, and sentence): n/a

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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 DM Burr Group. 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. I have read and agree to this statement

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