ID# 1002643
Preliminary Employment Application
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Dereck Vilorio

     

APPLICATION SUBMITTED:  10/26/2023 *

 
PERSONAL INFORMATION:
Dereck Vilorio
6076 Azalea Cir
West Palm Beach, FL  33415
EMAIL ADDRESS: dereckvilorio00@gmail.com
I AM 16 YRS OR OLDER: YES
PHONE CONTACT: (561) 351-6127x
EVER CONVICTED OF FELONY? NO *
*FELONY EXPLANATION, IF APPLICABLE:
Click to enlarge this photo          
DESIRED EMPLOYMENT:
DESIRED POSITION: Counter Worker DATE YOU CAN START: 10/26/2023
DESIRED LOCATION: West Palm Beach HEARD ABOUT SW: Indeed.com
EMPLOYED NOW? NO
WHAT MAKES ME A GREAT CANDIDATE? I feel like I’d be a great candidate as I’m eager to begin working, I am responsible, and I’ll always strive to do my best
 
EDUCATION:
HIGH SCHOOL
NAME OF SCHOOL: John I. Leonard High Schook NO. OF YEARS ATTENDED: 2
LOCATION: FLORIDA DID YOU GRADUATE?: Not yet / Currently attending
DEGREE: None yet
 
COLLEGE
NAME OF SCHOOL: NO. OF YEARS ATTENDED:
LOCATION: FLORIDA DID YOU GRADUATE?:
DEGREE:
 
OTHER COLLEGE, TRADE, BUSINESS OR CORRESPONDENCE SCHOOL
NAME OF SCHOOL: NO. OF YEARS ATTENDED:
LOCATION: FLORIDA DID YOU GRADUATE?:
CERTIFICATE RECEIVED:
 
GENERAL:
SPECIAL STUDY:
SPECIAL TRAINING:
SPECIAL SKILLS: Fluent in English and Spanish
 
CURRENT/FORMER EMPLOYERS:

THIS IS MY FIRST JOB:  YES
MOST RECENT EMPLOYER IS LISTED FIRST:
PRESENT/LAST EMPLOYER:
ADDRESS: 6076 Azalea Cir
West Palm Beach, FL  33415
STARTING DATE: MY JOB TITLE:
LEAVING DATE:
SUPERVISOR NAME:
MAY WE CONTACT SPVSR? SUPERVISOR PHONE:
MY JOB DESCRIPTION:
REASON FOR LEAVING:
 
PREVIOUS EMPLOYER:
ADDRESS:
West Palm Beach, FL  33415
STARTING DATE: MY JOB TITLE:
LEAVING DATE:
SUPERVISOR NAME:
MAY WE CONTACT SPVSR? SUPERVISOR PHONE:
MY JOB DESCRIPTION:
REASON FOR LEAVING:
 
PREVIOUS EMPLOYER:
ADDRESS: 6076 Azalea Cir
West Palm Beach, FL  33415
STARTING DATE: MY JOB TITLE:
LEAVING DATE:
SUPERVISOR NAME:
MAY WE CONTACT SPVSR? SUPERVISOR PHONE:
MY JOB DESCRIPTION:
REASON FOR LEAVING:
 
AVAILABILITY:
MONDAY: 3:00 PM - 7:00 PM
TUESDAY: 3:00 PM - 7:00 PM
WEDNESDAY: 3:00 PM - 7:00 PM
THURSDAY: 3:00 PM - 7:00 PM
FRIDAY: 3:00 PM - 7:00 PM
SATURDAY: 10:00 AM - 7:00 PM
SUNDAY: CLOSED
 
EMERGENCY CONTACT:
NAME: Yuleivi Vilorio
PHONE: (561) 294-2131
RELATION TO APPLICANT: Mother
 
REFERENCES:
PERSONS NOT RELATED TO ME AND WHOM I'VE KNOWN FOR AT LEAST ONE YEAR:
REFERENCE #1: NO REFERENCE AVAILABLE
NAME:
TELEPHONE:
OCCUPATION:
YEARS ACQUAINTED:
 
REFERENCE #2: NO REFERENCE AVAILABLE
NAME:
TELEPHONE:
OCCUPATION:
YEARS ACQUAINTED:
 
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:
Dereck Vilorio
10/26/2023 *