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Solomon Corporation Human Resources Department 103 W. Main Solomon, KS 67480 An Equal Opportunity Employer PERSONAL INFORMATION Incomplete information could disqualify you from further consideration. Name Dewarn Easley Address 508 e. howard ln #46 City austin Date 12/03/2012 State tx Zip 78753

APPLICATION FOR EMPLOYMENT

E-mail Address dewarneasley@ymail.com Please print clearly. We use e-mail in the hiring process Home Phone # Mobile Phone # 5128154057

Are you a U.S. citizen or eligible to work in the U.S.?

Yes

No Yes No Yes No

Do you have a valid Driver's License and good driving record?

During the last ten years, have you ever been convicted of a crime other than minor traffic offense?

A conviction will not necessarily automatically disqualify you for employment. Rather, such factors as age and date of conviction, seriousness and nature of the crime, and rehabilitation will be considered. If yes, please provide details (dates and location for all convictions).

Have you ever been terminated from employment or asked to resign by an employer? If yes, please provide company names and details.

Yes

No

Can you work: Are you at least

Overtime 18 No 21 ?

Weekends

1st Shift

2nd Shift

Available to Travel?

Yes up to 25%

75%

90%

EMPLOYMENT DESIRED Welder Entry - Level Part-time only SALARY DESIRED 35,000 Are you currently employed? no If so may we contact your present employer? Paint Prep Electrical Skill Full-time only Shop Floor Sales Other

REFERRAL SOURCE How did you hear about us? Walk In Advertisement Yes Yes Referral By Other Have you ever applied for a position at Solomon Corporation? Have you ever worked for Solomon Corporation before? No If yes, when? No If yes, when?

EDUCATIONAL BACKGROUND Education High School College or University Trade, Business or Correspondence School
Cybertex Institute of technology 2 yes Network Adminstration

Name and location of school

Lyndon b Johnson

No. of years attended

4

Did you graduate

yes

Field of Study

EMPLOYMENT HISTORY Include your employment history, including periods of unemployment, starting with the
most recent and working backwards in time. Incomplete information could disqualify you from further consideration. MOST RECENT Name of Employer WESCO/ Manpower Supervisor Joe Gallegos Dates of Employment: From 03/2012 Position Electronic Assembly Technician Address 8900 Cameron Rd Phone 512-929-5253 To
04/2012

Full or Part Time temp job

Summary of Duties and Accomplishments Review the scope and build configuration document for customer specific requirements

Rate of Pay 11.00

Reason for Leaving temp job

Name of Employer Supervisor Dates of Employment: From Position Summary of Duties and Accomplishments

Address Phone To Full or Part Time

Rate of Pay

Reason for Leaving

Name of Employer WORLD WIDE TECHNOLOGY Supervisor Gary Thomas Dates of Employment: From 08/2011 Position Cable Technician

Address Phone To
04/2012

Full or Part Time Temp Job

Summary of Duties and Accomplishments Review the scope and build configuration document for customer specific requirements

Rate of Pay 9.50

Reason for Leaving Company closed down

Name of Employer SAMSUNG AUSTIN SEMICONDUCTOR Supervisor Jim Nuegent Dates of Employment: From 05/2004 Position Manufacturing Specialist

Address Phone To

10/2009

Full or Part Time Full Time

Summary of Duties and Accomplishments Lead project teams for technical transfer and new product scale up Lead resolution of t

Rate of Pay 13.52

Reason for Leaving Laid Off

SKILLS AND QUALIFICATIONS Prof. License, Certifications or Registrations ( i.e. Forklift, CDL,Welding ) CDL A Use of Hand tools, Power tools, Other Computer Skills Supervisory Skills Woodworking Skills Measuring Specify drills, screw drivers, pliers, pipe cutters, lineman wrench, hammers

Specify Comptia A+, Network +

Do you have any other special skills, experience and/or training that would enhance your ability to perform the position applied for? If yes, explain.

WORK REFERENCES Give the names of three persons not related to you, whom you have known at least three (3) years. Name 1. Larry Burton 2. Thomas Johnson 3. Gilbert Easley Address, Phone, E-Mail Company Years Acquainted

5124261724 6023731272
5126804041

20 20
28

Please read carefully before signing. Solomon Corporation is an equal opportunity employer. Solomon Corporation does not discriminate in employment on account of race, color, religion, national origin, citizenship status, ancestry, age, sex (including sexual harassment), sexual orientation, marital status, physical or mental disability, military status or unfavorable discharge from military service. I understand that neither the completion of this application nor any other part of my consideration for employment establishes any obligation for Solomon Corporation to hire me. If I am hired, I understand that either Solomon Corporation or I can terminate my employment at any time and for any reason, with or without cause and without prior notice. I attest with my signature below that I have given Solomon Corporation true and complete information on this application. No requested information has been concealed. I authorize Solomon Corporation to contact references provided for employment reference checks. If any information I have provided is untrue, or if I have concealed material information, I understand that this will constitute cause for denial of employment or immediate dismissal. I authorize Solomon Corporation to conduct a criminal history background check and I release Solomon Corporation from any/all liability of whatever kind of nature which, at any time, could result from obtaining and having an employment decision based on such information. Date 12/03/2012 Signature dewarn easley

DRIVING RECORD & BACKGROUND Many positions at Solomon Corporation require you to operate vehicles. Proof of a valid license would be required.

Name Easley
Last

Dewarn
First

E
M.I.

Driver's License # 13188146

State tx

If the above driver's license has not been active for the past 12 months, list any other license(s). Name Name Class of current license c Do you have a commercial driver's license (CDL)? Expiration Date Yes No Previous License # Previous License # State State

Restrictions Yes No

Have you ever had any driver's license, permit or privilege denied, suspended or revoked? If yes, dates and reasons Have you ever been convicted of any traffic violations or actions in the past 3 years? If yes Date Violation Yes No Yes

No

Have you been involved in any traffic accidents in the past 3 years? If yes Date Brief accident description (include fatalities or personal injuries it caused)

DOT Positions-additional driving information is required. (Insert) Convections: Be advised that affirmative answers to any of these two questions do not necessarily result in disqualification from employment by Solomon Corporation. Solomon Corporation will take into account the nature and gravity of the offense, the length of time elapsed since the conviction or completion of the jail sentence, and how closely the conviction related to the job under consideration. Have you ever been convicted of, plead guilty or no contest to, placed on parole, probation, conditional release or deferred Yes No sentencing for any violation of Law, Statute, Ordinance, Administrative Rule, Military Rule or Regulation? If yes , provide the information regarding the conviction(s) including the specific offense(s) or which you were convicted. Information regarding probation and/or time served and your current status with reference to this conviction. Have you ever been required by any civil or criminal court order to register as a sex offender in any country, state, federal Yes No If yes, please list the court(s), county(ies), state(s), federal or foreign country(ies) of foreign country? which imposed registration requirement. In answering these two questions, if you wish to give information as to adjudication or remedial action following the offense, please include such information here.

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