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Drake Inc.

Serving the Grain Industry Since 2005

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Date Available: *

Desired Salary: *

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Drivers License Number: *

Drivers License State *

Are You Afraid of Heights? *

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Can you lift 50 lbs.? *

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Are you a citizen of the U.S.? *

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Are you authorized to work in the U.S.? *

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Have you ever been convicted of a felony? *

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Education

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Dates attended: *

Did you graduate? *

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Previous Employment

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Supervisor: *

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Ending Salary: *

From What Dates: *

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Responsibilities: *

Reason for Leaving: *

Company 2: *

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Address: *

Supervisor: *

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Ending Salary: *

Responsibilities: *

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Reason for Leaving: *

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Emergency Contact

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Disclaimer and Signature:

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By entering your name into the appropriate fields of this online application, you are legally signing the document.

Date: *

Why would you like to be hired at Drake Inc.? *

What skills have you gained to make you a valuable asset to our company? *

Have you received any type of certification or special training? (i.e. C.D.L. , Nozzleman Certification or OSHA Training) * *

What is your long term goal being employed at Drake Inc.? *

Contact Us Today!

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CONTACT INFO:

Dustin Drake

dustind@drakeinc.net

445 CEDAR STREET

WACO, NE 68460

Office: 402-362-1863

Fax: 402-362-7870

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