Employment

Application

COMPANY OR EMPLOYER NAME:

Deloitte LLP

Position applying for:

Accountant/CPA

EMPLOYEE INFORMATION
Name:

Gilbert

Elizabeth

Destiny

Last
First
Telephone: 678-216-6109 Email: destinygilbert407@yahoo.com
Address:

If necessary for the job, I am able to:

- Yes
Work overtime?
Yes
Provide a valid Alaska Driver's License?
If so, fill out the following:
Issuing state:
Type:

No

If necessary for the job are you older than:

--

14

15

16

18

19

21

(Check one)

Endorsement(s):

I am legally eligible for employment in the U.S.?

Yes

770-788-3163

5211 Guthrie Cemetery Rd Loganville, GA 30052

Are you able to perform the essential functions of

the position with or without accommodations?

-- Yes

Middle
Alternate telephone:

No

I am seeking a permanent position:

Yes

No

No

Hazardous Material

No

Passengers

Tankers

Tank with Hazardous Materials

School Bus

Double/Triple trailers

Work the following shifts: (check all that apply)

I will be able to report to work

2
days after being notified I am hired.

Any
Split

Day

Night

Graveyard

--

Swing

Rotating

Other:

EMPLOYMENT HISTORY
List most recent employment first. Include summer or temporary jobs. Be sure all your experience or employers related to this job are listed
here, in the summary following this section or on an extra sheet of paper if necessary. No more than 10 years history recommended.

Employer name and address:

Breneir Premier Cutting

Buford GA 30052
Pay: $ 10/hr
Per:
Employer name and address:

Position title/duties, skills:

Start date:

Running router machines which cut out wood

Assemble slot machine frames out of wood

Reason for leaving:

5/2/15

End date:

Ongoing

Haven't yet.
Supervisor: Travis
Position title/duties, skills:

Telephone:

555-2015
Start date:

End date:

Reason for leaving:

Pay: $
Per:
Employer name and address:

Supervisor:
Position title/duties, skills:

Telephone:
Start date:

End date:

Reason for leaving:

Pay: $
Per:
Employer name and address:

Supervisor:
Position title/duties, skills:

Telephone:
Start date:

End date:

Reason for leaving:

Pay:
Per:

Rev. 8/2010

Supervisor:

Telephone:
Employment Application

Page 1 of 2

Summarize other employment related to this job:

EDUCATION
Years
completed

Institution name
High school
College/university
Business/technical
Additional

4
Walnut Grove HS
Georgia Gwinnett College 4

Field of study

Graduate or degree

Graduated
Accounting/ Pschology

Bachelor degrees

MILITARY
Are you a veteran?
Duty/specialized training:

Yes

- No
SKILLS & QUALIFICATIONS

Other qualifications such as special skills, abilities or honors that should be considered:

Organizational, loyal, respected, trust worthy, reliable, efficient

Types of computers, software, and other equipment you are qualified to operate or repair:

Microsoft Word, Excel, Publisher, Powerpoint

Professional licenses, certifications or registrations:

CPA

Additional skills, including supervision skills, other languages or information regarding the career/occupation you wish to bring
to the employers attention:

Spanish. Excellent organization skills

per minute
185

Typing speed:

REFERENCES
List two personal references who are not relatives or former supervisors.

Lori Powell

456 S Roberts Dr

777-6958

Name

Address

Telephone

Kevin Umbridge
Name

789 S Lee Rd
Address

444-8569

Telephone

Pool Supplier
Occupation

Construction

Occupation

18
Years known

12
Years known

CONTACT
In case of accident or illness, please contact: Name:
Address: 92 N Alexander St Apt 1, Buford GA

Jeremy GIlbert
30518

Daytime phone: 678-600-0519

Relationship: Father

INFORMATION TO THE APPLICANT

As part of our procedure for processing your employment application, your personal and employment references may be checked. If you
have misrepresented or omitted any facts on this application, and are subsequently hired, you may be discharged from your job. You may
make a written request for information derived from the checking of your references.
If necessary for employment, you may be required to: supply your birth certificate or other proof of authorization to work in the United
States, have a physical examination and/or a drug test, or to sign a conflict of interest agreement and abide by its terms. I understand and
agree to the information shown above.

Destiny Gilbert

November 18, 2016

Signature of Applicant

Date

Equal Employment Opportunity: While many employers are required by federal law to have an Affirmative Action Program, all employers are required to
provide equal employment opportunity and may ask your national origin, race and sex for planning and reporting purposes only. This information is optional
and failure to provide it will have no affect on your application for employment.
Developed at employer request by the Alaska Department of Labor & Workforce Development, Employment Security Division.
Rev. 8/2010

Employment Application

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