Quintrevia Johnson’s Employment Application
Application Date: 6/23/2022
Job Title: Wireless Retail Sales Associate - Bossier Job Location: Bossier City
Personal Information
First Name: Quintrevia
Preferred Name: Quinn
Last Name: Johnson
Email: *************@*****.***
Contact Information
Mobile: 318-***-****
Alt. Phone: n/a
Country: US
Address: 3040 louise st,n/a
City: Shreveport
State: LA
Zip Code: 71108
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General Information
Please provide your Middle Name or Middle Initial for identification purpose in the event of hire: R Although we have many stores in the surrounding area, you are only required to fill out one online application. What other areas, if any, are you willing to be considered for hiring? n/a Desired Annual Salary: n/a
Referred by: n/a
Date available for work: n/a
Are you legally eligible for employment in this country? Yes Employment History
Please provide information of your past three (3) employers or assignments, starting with the most recent. Employer: Teleperformance
Employed From (MM/DD/YY): 12/05/2021
Employed To (MM/DD/YY): 04/15/2022
Starting Salary (Annual): $13
Ending Salary (Annual): $13
Starting Job Title: Insurance Agent
Ending Job Title: Insurance Agent
Immediate Supervisor/Title: james christopher
Telephone #: 318-***-****
May we Contact for Reference: Yes
Reason for Leaving: Layed off
Please summarize the nature of work performed and job Responsibilities: Working from home Previous Employer
Employer: Omni
Employed From (MM/DD/YY): 08/12/2020
Employed To (MM/DD/YY): 05/23/2021
Starting Salary (Annual): $10
Ending Salary (Annual): $10
Starting Job Title: Package handler
Ending Job Title: Package handler
Immediate Supervisor/Title: Gloria pitney
Telephone #: 318-***-****
May we Contact for Reference: Yes
Reason for Leaving: Covid
Please summarize the nature of work performed and job Responsibilities: Working the floor doing other jobs including packing and handling
Previous Employer
Employer: Teleperformance
Employed From (MM/DD/YY): 2021-10-01
Employed To (MM/DD/YY): 2022-02-01
Starting Salary (Annual): n/a
Ending Salary (Annual): n/a
Starting Job Title: n/a
Ending Job Title: n/a
Immediate Supervisor/Title: n/a
Telephone #: n/a
May we Contact for Reference: n/a
Reason for Leaving: n/a
Please summarize the nature of work performed and job Responsibilities: n/a Education/Training
Name and Location of High School: n/a
# of Years Completed: n/a
Graduate? n/a
Course of Study: n/a
Name and Location of College: n/a
# of Years Completed: n/a
Graduate? n/a
Course of Study: n/a
Name and Location of Other: n/a
# of Years Completed: n/a
Graduate? n/a
Course of Study: n/a
References
Names of three persons not related to you, whom you have known at least 1 year Reference 1:
Name: n/a
Telephone: n/a
Years Known: n/a
Reference 2:
Name: n/a
Telephone: n/a
Years Known: n/a
Reference 3:
Name: n/a
Telephone: n/a
Years Known: n/a
Applicant's Statement
I certify that the facts contained in this application are true and complete to the best of my knowledge and understand that, if employed, falsified statements on this application shall be grounds for dismissal. I authorize investigation of all statements contained herein and the references and employers listed above to give you any and all information concerning my previous employment and any pertinent information they may have personal or otherwise, and release the company from all liability for any damage that may result from utilization of such information. I also understand and agree that no representative of the company has any authority to enter into any agreement for employment for any specified period of time, or to make any agreement contrary to the foregoing, unless it is in writing and signed by authorized company representative.
This waiver does not permit the release or use of disability - related or medical information in a manner prohibited by the Americans with Disabilities Act (ADA) and other relevant federal and state laws. I have read and agree to this disclaimer. Yes
Applicant Signature: Quintrevia Johnson
Date: 2022-06-23
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