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Kall For Kare - Application for Employment

Name:

Phone:

Date of Birth:

Email:

Mailing Address:

City:

State:

Zip:

Type of Work Interested in Performing:

Availability:

Monday:

Tuesday:

Wednesday:

Thursday:

Friday:

Saturday:

Sunday:

Have you had any change of name in the past or used an assumed name? Other Name

Yes

If you answered yes to this question please list the names and timeframe the names were used:

Work Experience:

Employer:

Work Date:

Work Performed:

Street Address:

City/State:

Zip:

Immediate Supervisor:

Employer:

Work Date:

Work Performed:

Street Address:

City/State:

Zip:

Immediate Supervisor:

Character References:

Name:

Phone:

Address:

Relationship:

Name:

Phone:

Address:

Relationship:

Name:

Phone:

Address:

Relationship:

In Case of Emergency Please Notify:

Name:

Relationship:

Home Phone:

Cell Phone:

Address:

City/State:

Zip:

Applicants Statement

I understand that all information provided to Kall For Kare LLC will become a matter of public record and will be open to inspection as required by Florida Statute.

I certify that the foregoing answers are true and correct to the best of my knowledge. I authorize the investigation of all statements contained in this application and hereby give Kall For Kare LLC permission to contact schools, previous employers, references, and others, and hereby release the organization from any liability as a result of such contact. I understand that any false or misleading information or omissions of facts requested in this application

may remove me from further consideration for employment.

I understand that my employment with the organization is for no specific length of time but is based on the needs of the organization and my willingness to devote my time and skills to support it.

Kall For Kare LLC requires all employees to undergo a criminal background screening, drug testing, and Florida driver's license verification prior to/currently working in our organization and my signature authorizes such screenings prior to employment. I also authorize Kall For Kare LLC to review and make decisions based on any content found on any and all internet and social media sites.

For a period of one year, after the Employee is no longer employed by the Company, the Employee will not, directly or indirectly, either as proprietor, stockholder, partner, officer, employee or otherwise, distribute, sell, offer to sell, or solicit any orders for the purchase or distribution of any products or services which are similar to those distributed, sold or provided by the Company during the one year preceding the Employee's termination of employment with the Company, to or from any person, firm or entity which was a customer of the Company during the one year preceding such termination of employment.

I hereby grant Kall For Kare permission to use my likeness in a photograph, video, or other digital media (“photo”) in any and all of its publications, including web-based publications, without payment or other consideration.

I understand and agree that all photos will become the property of Kall For Kare and will not be returned.

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Timestamp

Audit

August 27, 2021 7:50 pm EST

Kall For Kare - Application for Employment Uploaded by Kay Mansell - kallforkare@gmail.com IP 73.127.40.137

September 8, 2021 4:22 pm EST

Kall For Kare, LLC - info@kallforkare.com added by Kay Mansell - kallforkare@gmail.com as a CC'd Recipient Ip: 67.2.171.142, 172.69.34.84

October 27, 2021 7:32 pm EST

Kall For Kare, LLC - info@kallforkare.com added by Kay Mansell - kallforkare@gmail.com as a CC'd Recipient Ip: 73.127.40.137