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EMPLOYEE INFORMATION
Name: Neymeyer Isaac Brady
Last First Middle
Telephone: 5632759872 Email:ineymeyer@gmail.com Alternate telephone: 5636500898
Address: 601 Fox Ridge Rd Eldridge, IA 52748
Are you able to perform the essential functions of If necessary for the job, I am able to:
the position with or without accommodations? Work overtime? X Yes No
X Yes No Provide a valid Alaska Driver's License? X Yes No
If necessary for the job are you older than: If so, fill out the following: Issuing state:
14 15 16 (Check one) Type:
18 19 X 21 Endorsement(s): Hazardous Material Passengers
I am legally eligible for employment in the U.S.? Tankers Tank with Hazardous Materials
X Yes No School Bus Double/Triple trailers
I am seeking a permanent position: X Yes No Work the following shifts: (check all that apply)
I will be able to report to work Any X Day Night Swing Rotating
2 days after being notified I am hired. Split Graveyard 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: Position title/duties, skills: Start date: End date:
Helium Trampoline Park Jump Patrol, Cafe, Front Desk 12/12/2015 4/25/2015
Reason for leaving:
Was not getting
Pay: $ 8 Billy Gene 5638675309 scheduled
Per: Hour Supervisor: Telephone: as much as I requested
Employer name and address: Position title/duties, skills: Start date: End date:
6/24/16 6/13/19
North YMCA Lifeguard Reason for leaving:
Went to College
Pay: $ 9 Kristen Smith 5632987648
Per: Hour Supervisor: Telephone:
Employer name and address: Position title/duties, skills: Start date: End date:
University of Make, clean, and organize the food 8/12/19 4/23/21
Iowa Reason for leaving:
Cafe Graduated
Pay: $ 10 Anthony Vandivier 4569876543
Per: Hour Supervisor: Telephone:
Employer name and address: Position title/duties, skills: Start date: End date:
Pay: $
Per: Supervisor: Telephone:
EDUCATION
Years
Institution name completed Field of study Graduate or degree
High school North Scott High School 4 General High School Diploma
College/university University of Iowa 4 Biomedical Engineering Bachelor's Engineering
Business/technical University of Iowa 4 Business Minor's Business
Additional
MILITARY
Are you a veteran? Yes X No
Duty/specialized training:
CONTACT
In case of accident or illness, please contact: Name: Melissa Neymeyer Daytime phone: 5636500898
Address: 601 Fox Ridge Eldridge IA Relationship: Mother
Developed at employer request by the Alaska Department of Labor & Workforce Development, Employment Security Division.
Rev. 8/2010 Employment Application Page 2 of 2