Machine Operator 2nd Shift Candidate

Kossi AMEFIANOU’s Employment Application

Application Date: 8/14/2026

Job Title: Machine Operator - 2nd Shift

Job Location: Davenport

Personal Information

First Name: Kossi

Last Name: AMEFIANOU

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

Contact Information

Mobile: 309-***-****

Address: 904 17th ave

City: Silvis

State: IL

Zip Code: 61282

Please provide at least 5 years of work experience if applicable. Job Title: Machine operator

Employer Name: Tyson fresh meat

Currently Employed? This is my current employer

Start Date: 2025-01-06

End Date: 2026-08-14

Job Title: n/a

Employer Name: n/a

Currently Employed? n/a

Start Date: n/a

End Date: n/a

Job Title: n/a

Employer Name: n/a

Currently Employed? n/a

Start Date: n/a

End Date: n/a

Are you 18 years of age or older? Yes

Upon being hired, can you provide proof of your eligibility to work in the United States? Yes Will you now or will you in the future require employment sponsorship to legally work in the United States? No Have you ever been convicted of felony? "Yes or No" If Yes, specify (Answering yes to this question does not necessarily result in the denial of employment. You are not obligated to disclose sealed or expunged records of convection or arrest): No

Please list all relatives that currently work at Fair Oaks Foods: N/A Were you previously employed by our company? Please respond "Yes or No" If "Yes", when and where: No Do you have reliable transportation to get to and from the job site? Yes Were you referred by a Fair Oaks Foods Employee? If yes, please provide the name of the employee who referred you below: n/a

What Are Your Salary Expectations?

Desired Compensation: USD

: n/a

: yearly

Please Indicate your preferred language. Note: This is for convenience only. All job requirements remain the same regardless of your preferred language.

Preferred language: French

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. Acceptance: I have read and agree to this statement Signature: Kossi Amefianou

August 14, 2026

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 Fair Oaks Foods, LLC. 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.

Acceptance: I have read and agree to this statement

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