p.Doyle Employment App

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Roskam Baking Company

patricia Doyle's Employment Application

Date Submitted:

1/4/2020

Job Title:

Foreman - 1st Shift

Job Location:

Grand Rapids

Personal Information

First Name:

patricia

Last Name:

Doyle

Email:

[email protected]

General Information

Attachments

Cover Letter: n/a

Contact Information

Cell Phone:

9528856027

Home Phone:

9528856027

Verification

Re-enter email address:

[email protected]

Current Address

Country:

United States

State:

MI

Address:

1000 6th street

Address #2:

Apartment 4

City:

South have Michigan

Zip/Postal Code:

49090

Contact Information

Cell Phone:

9528856027

Home Phone: n/a

General Information

Please list your availability.:

Shift Preference (Mark all that apply):

1st Shift, 2nd Shift

Pay Expectation:

Opeen

Available Start Date:

1-6-2020

Employment Status:

Full-Time

Have you ever been employed by or worked as a temporary employee at Roskam Baking Company, Rothbury Farms,

AFT/Advanced Food Technologies, or any of their facilities?

Yes

If yes, dates:

2013

If yes, department:

Putting ,bread on trays

If yes, position:

Work Assembly line

If yes, reason for leaving:

Laid off

Are you a U.S. Citizen?

Yes

If you are not a U.S. Citizen, do you have a legal right to remain permanently and work in the United States?

Yes

If employed, can you submit verification of your legal right to remain and work in the United States?

Yes

How did you hear about this opportunity?

Indeed

If "Employee Referral" please give employee name:

Patricia hudson

Do you have a telephone at your place of residence?

Yes

Do you have reliable transportation to and from work?

Yes

Do you have any relatives or friends who work here?

No

If yes, who?

No

Military

Did you serve in the military?

No

Branch: n/a

Date From: n/a

Date To: n/a

Were you honorable discharged?

No

Describe any specialized training and duties: n/a

Education/Training

High School:

Name of School:

Ged

City and State:

Vallejo.

Grade Completed:

10

Graduate or GED?

Yes

College or University:

Name of School:

Sanford brown

City and State:

Grand Rapids Michigan

Course or Major:

Certified medical Assistant

Years Completed:

1

Degree:

No

Graduate?

No

Graduate School:

Name of School: n/a

City and State: n/a

Course or Major: n/a

Years Completed: n/a

Degree: n/a

Graduate?

No

Other School:

Name of School:

Red cross

City and State:

Michigan

Course or Major:

First aide CPR. AED

Years Completed:

1

Degree:

CertifiedCertified

Graduate?

Yes

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):

No

Professional Licenses, registrations, And/Or Certifications

List all states in which you are or have been licenses or certified an any national certifications. Indicate professional license, registration or certification number:

Michigan

Have you ever had any professional license or certifications placed under investigation, disciplined, suspended, revoked on or put on probation?

No

Have you ever been denied a license or certification?

No

If you answered yes to either of the above questions, please explain in detail: n/a

Please list your relevant computer software proficiencies: 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: n/a

City and State: n/a

Title: n/a

From: n/a

To: n/a

Reason for Leaving:

Laid Off

Explanation: n/a

Rate of Pay: n/a

Direct Supervisor: n/a

Company Phone: n/a

OK to contact?

Yes

Responsibilities and Duties: n/a

2nd Previous Employer:

Employer Name: n/a

City and State: n/a

Title: n/a

From: n/a

To: 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?

Yes

Responsibilities and Duties: n/a

3rd Previous Employer:

Employer Name: n/a

City and State: n/a

Title: n/a

From: n/a

To: n/a

Reason for Leaving:

Laid Off

Explanation: n/a

Rate of Pay: n/a

Direct Supervisor: n/a

Company Phone: n/a

OK to contact?

Yes

Responsibilities and Duties: n/a

Are you currently on "layoff" status and subject to recall?

Yes

Have you ever been discharged by an employer or resigned in lieu of discharge?

No

Have you ever been disciplined (other than discharged) by an employer?

No

If you answered yes to either of the two previous questions, explain all such incidents, giving facts and dates.: n/a

How many unexcused absences do you have in the past twelve months?

No

Do you have a valid drivers license?

Yes

Miscellaneous

Do you have any criminal charges pending against you? (Answering this question will not automatically disqualify you from being hired).:

No

Have you ever been convicted or pled guilty or nolo contendere to a crime (Felony and/or Misdemeanor)?

No

If you answered yes to either of the two preceding questions, please explain by giving the date, nature of the offense, and circumstances. Conviction of a crime will not necessarily disqualify an applicant from employment: n/a

Are you 18 years of age or older? :

Yes

Are you able to perform the duties of the job with or without a reasonable accommodation for which you have applied?

Yes

References: If we should ask for personal references, would any be available?

Yes

Applicant's Disclaimer

I understand that I may be required to submit to a physical examination, which may include a drug test, prior to beginning employment and that I must satisfactorily pass such an examination to obtain employment.:

I have read and fully understand the questions on this application for employment. I have completely, truthfully, and accurately answered each and every question to the best of my knowledge. I understand that all the inquiries on this application are subject to verification and authorize any schools that I have attended, licensing and certification boards and current and previous employers to release any requested information to Roskam Baking Company. I also specifically waive written notice from any and all former employers regarding their disclosure to Roskam Baking Company of any prior disciplinary action. I understand that any misrepresentation of the information I have supplied or failed to supply in this application or during interview(s), including any false or misleading information, can result in a rejection of this application or, if I have been hired, an immediate dismissal at the sole discretion of Roskam Baking Company.:

I understand and agree that in the absence of an express written contract or agreement to the contrary, signed by an authorized official of Roskam Baking Company and by me or my authorized representative, any employment I accept shall be for an indefinite term and may be terminated at any time with or without cause either by me or at the will and sole discretion of

Roskam Baking Company regardless of any contrary provisions in any other forms, manuals, handbooks or other documents.

Similarly, such employment shall be at the wages, benefits, hours and conditions as Roskam Baking Company may determine and change from time to time. I understand that no one, other than an authorized official of Roskam Baking Company has any authority to enter into an agreement with me contrary to the provisions of this paragraph and that any such agreement must be in writing and signed by such authorized official or it shall not be effective.:

I have read and agree to this disclaimer.:

Yes

Applicant Signature:

Patricia Doyle

Date:

1-5-2020

Check the box below if you would like to receive text messages from the company regarding your status in the hiring process.

Data rates may apply.: n/a

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