Smoothie Whirl'd Preliminary Application for Kevin Duncombe

ID# 1002604

Preliminary Employment Application

Kevin Duncombe

APPLICATION SUBMITTED: 07/13/2023

PERSONAL INFORMATION:

Kevin Duncombe
340 W 25st
West palm beach, FL 33404

EMAIL ADDRESS:

kevdun441@gmail.com

I AM 16 YRS OR OLDER:

YES

PHONE CONTACT:

(561) 612-1675x

EVER CONVICTED OF FELONY?

NO *

*FELONY EXPLANATION, IF APPLICABLE:

Click to enlarge this photo

DESIRED EMPLOYMENT:

DESIRED POSITION:

Counter Worker

DATE YOU CAN START:

06/26/2023

DESIRED LOCATION:

West Palm Beach

HEARD ABOUT SW:

Indeed.com

EMPLOYED NOW?

WHAT MAKES ME A GREAT CANDIDATE?

I have great time management skills and I’m a very hard worker.

EDUCATION:

HIGH SCHOOL

NAME OF SCHOOL:

Palm beach Lakes

NO. OF YEARS ATTENDED:

LOCATION:

West palm beach , FL

DID YOU GRADUATE?:

YES

DEGREE:

High School Diploma

COLLEGE

NAME OF SCHOOL:

Florida Career College

NO. OF YEARS ATTENDED:

LOCATION:

West palm beach, F

DID YOU GRADUATE?:

Not yet

DEGREE:

None

OTHER COLLEGE, TRADE, BUSINESS OR CORRESPONDENCE SCHOOL

NAME OF SCHOOL:

NO. OF YEARS ATTENDED:

LOCATION:

DID YOU GRADUATE?:

CERTIFICATE RECEIVED:

GENERAL:

SPECIAL STUDY:

Business

SPECIAL TRAINING:

None

SPECIAL SKILLS:

Time management , punctuality, and social skills

CURRENT/FORMER EMPLOYERS:

THIS IS MY FIRST JOB: YES

MOST RECENT EMPLOYER IS LISTED FIRST:

PRESENT/LAST EMPLOYER:

ADDRESS:

STARTING DATE:

MY JOB TITLE:

LEAVING DATE:

SUPERVISOR NAME:

MAY WE CONTACT SPVSR?

SUPERVISOR PHONE:

MY JOB DESCRIPTION:

REASON FOR LEAVING:

PREVIOUS EMPLOYER:

ADDRESS:

STARTING DATE:

MY JOB TITLE:

LEAVING DATE:

SUPERVISOR NAME:

MAY WE CONTACT SPVSR?

SUPERVISOR PHONE:

MY JOB DESCRIPTION:

REASON FOR LEAVING:

PREVIOUS EMPLOYER:

ADDRESS:

STARTING DATE:

MY JOB TITLE:

LEAVING DATE:

SUPERVISOR NAME:

MAY WE CONTACT SPVSR?

SUPERVISOR PHONE:

MY JOB DESCRIPTION:

REASON FOR LEAVING:

AVAILABILITY:

MONDAY:

8:00 AM - 9:00 PM

TUESDAY:

Not Available

WEDNESDAY:

8:00 AM - 9:00 PM

THURSDAY:

Not Available

FRIDAY:

8:00 AM - 9:00 PM

SATURDAY:

9:00 AM - 9:00 PM

SUNDAY:

CLOSED

EMERGENCY CONTACT:

NAME:

Nikie duverson

PHONE:

(561) 657-7195

RELATION TO APPLICANT:

Mother

REFERENCES:

PERSONS NOT RELATED TO ME AND WHOM I'VE KNOWN FOR AT LEAST ONE YEAR:

REFERENCE #1:

NAME:

Mike phillips

TELEPHONE:

(561) 724-6367

OCCUPATION:

Teacher

YEARS ACQUAINTED:

1 YEAR

REFERENCE #2:

NAME:

Patrica reeves

TELEPHONE:

(561) 345-7629

OCCUPATION:

Teacher

YEARS ACQUAINTED:

1-3 YEARS

AUTHORIZATION:

I certify that the facts contained in this online employment 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, including a background check, 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 Smoothie Whirl'd from all liability for any damage that may result from utilization of such information.

I also understand and agree that no representative of Smoothie Whirl'd 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 an authorized Smoothie Whirl'd representative.

Electronically signed and agreed to by:

Kevin Duncombe

07/13/2023