DEVON SELF STORAGE PRE-EMPLOYMENT QUESTIONNAIRE An Equal Opportunity Employer
APPLICANT INFORMATION
Last Name Dockersy First Forrest M.I. L Date 03/17/2021
Street Address 304 S. Orleans Street Apartment/Unit # 202
City Memphis State Tennessee ZIP 38126
Phone 9012102530 E-mail Address
[email protected]Date Available 03/17/2021 Social Security No. 408836708 Desired Salary 14.50
Position Applied for Assistant Manager
Are you a citizen of the United States? YES NO If no, are you authorized to work in the U.S.? YES NO
Have you ever worked for this company? YES NO If so, when?
Have you ever been convicted of a felony? YES NO If yes, explain
EDUCATION
High School Hillcrest High Address
From 2012 To 2016 Did you graduate? YES NO Degree
College Address
From To Did you graduate? YES NO Degree
Other Address
From To Did you graduate? YES NO Degree
REFERENCES
Please list three professional references.
Full Name Jarneisha Relationship Ex co-worker
Company Barrett distribution Phone 9014910692
Address
Full Name Chris Nelson Relationship Supervisor
Company DHL Phone 9016183631
Address
Full Name Johnathon Relationship Supervisor
Company DHL Phone 3463136173
Address
PREVIOUS EMPLOYMENT
Company DHL Phone 9016183631
Address 3399 E.Raines Rd. Supervisor Chris Nelson
Job Title Lead Forklift Starting Salary $ 14.50 Ending Salary $ 16.10
Responsibilities Make Sure Forklift Operators Stay On Task And Complete All Orders Correctly.
From 2020 To 2021 Reason for Leaving Currently Still Working Here
May we contact your previous supervisor for a reference? YES NO
Company Phone
Address Supervisor
Job Title Starting Salary $ Ending Salary $
Responsibilities
From To Reason for Leaving
May we contact your previous supervisor for a reference? YES NO
Company Phone
Address Supervisor
Job Title Starting Salary $ Ending Salary $
Responsibilities
From To Reason for Leaving
May we contact your previous supervisor for a reference? YES NO
MILITARY SERVICE
Branch N/a From To
Rank at Discharge Type of Discharge
If other than honorable, explain
DISCLAIMER AND SIGNATURE
I certify that my answers are true and complete to the best of my knowledge.
If this application leads to employment, I understand that false or misleading information in my application or interview
may result in my release.
Signature Forrest L Dockersy Date March 17 2021