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ws00 204 State of Utah Rev. 0972015 Department of Workforce Services MASTER APPLICATION The purpose of the Master Application is to have all of your contact information, education, and skills in one document. Use this document to assist you in completing employment applications. 4. Applicant information Name: _Lazarte Leonardo D Last First ‘Midale Tatar Address: _4420 South Fairlane Cir. Street address West Vallet City Utah 84120 Cily State Zip Home phone: _ 801-955-6354 Cell phone: _801-381-1900 Email address: _llazarte@ldsbc.edu Are you a veteran?... []Yes [XJ No Have you even been convicted of a misdemeanor or felony? ... Dyes [XINo Ifyes, please explain: 2. Employment Interest List the positions you are interested in by specific title (typist, carpenter, auto mechanic). 1st choice: Sales 2nd choice: _Mechanical Engineer Have you investigated the career assessments at https://utahfutures.org? ...... [Yes [)No Available to work: [XJ Fulltime [] Temporary []Parttime [1] Shift work Date you can start: _1/10/2016 Desired salary: _$46,000 per year 3. References (Persons not related to you who you have known at least one year.) bani) aeee Businese/Occupation Professional Spencer Deputy 4970 W. 2100. Salt Lake _| 801-973-4040 Lynn Simon 4282 W. 1730S. Salt Lake | 866-838-7900 Jeremy Galata 4970 W. 2100S. Salt Lake _| 801-973-4040 Personal Alfredo Panameno 5239 W Woodstep Ave. 801-381-7540 Cody Rindlisbacher 13684 8, 2260 W. 801-783-8283 Scott Harmon 4079W.Paskay Dr. West | 801-440-1571 Valle) 4, Work History: List your three most significant employers, present or most recent. You may attach a supplemental sheet or resume. Include military service, if applicable. Employer: _Utility Trailer Sales of Utah, Inc. Dates of employment from: _1/23/2006 to: _Present Address: _4970 W. 2100 S. ‘Street adress Salt Lake City Utah 84120 city State Zp Supervisor's name: _Bob Mueller Supervisor's phone: _801-973-4040 Email address: _bobmueller@utilty-trailer.com Salary starting: _36,000 Salary ending: May we contact this employer? BYes [No Job title, responsibilities, and duties: Sales Coordinator, Coordinate Sales team Manage office and vehicles for sale Reason for leaving: _none Employer: _IHC Primary Childens Hospital Dates of employment from: _10/2003 to: _1/2006 Address: _100 Mario Capecchi Dr. ‘ueet address Salt Lake City Utah 84132 ty State Zp Supervisor's name: _Pat Brit Supervisor's phone: _801-662-1000 Email address: Salary starting: _20,000 Salary ending: _21,000 on Bayes CNo Material Management tech. Work with Doctor and nurse stuf to privide supplys for patientes. Manage where house and shipping and recieving Reason for leaving: _Better oportunity May we contact this employer? . Job title, responsibilities, and duti Employer: Dates of employment from: to: Address: Seek aairess oy Sate co Supervisor's name: Supervisor's phone: _ Email address: Salary starting: Salary ending May we contact this employer? ....... Job title, responsibilities, and duties: Reason for leaving: _None 5. Education and Training Last high school attended (Name): Last high school attended (Location) Graduated or GED [XJ Yes []No College, business, trade schools Paula Albarracin de Sarmiento Buenos Aires, Argentina Ifno, indicate highest grade completed (1-12): Dyes [No Name Location Major ] Dates Degree/ | 7 attended | Certificate LDS Business College Salt Lake City Professional | 7/15 to AAS Sales Present Professional ie Sales Military service Dates of service Discharge status [__ Duties and specialty training in military Licenses and certifications Type License number Expiration _ Special training/seminars, workshops _ Name of training or workshops Location poseen alteccmene Honors/awards/accomplishments Name of organization awarding Location anes a doetred Special job skills (words typed per minute, team player, self-starter, languages, computer hardware/software, machines/equipment): Team Player Bylingual English, Spanis and Some Purtuguese 10 Year experience in Sales 6. Volunteer Work (paid or unpaid training, internships, externships, apprenticeships, organizational memberships, or community involvement) Organization: _LDS Mission Dates from: 12/1999 _ to: 11/2001 Address: 3975 McLaughlin Ave. San Jose CA 95124 ‘Street address Giy Stale Zip Email address: Phone: _408-578-9794 Title, responsibilities, and duties: preach the Gospel, Proselyte, Help to improve the community Reason for leaving: Completed two years mission Organization: Dates from: to: Address’ Street address City State__Zip Email address: Phone; Title, responsibilities, and duties: Reason for leaving: Organization: Dates from: to: Address: Street address City ‘State Zip Email address: Phone: Title, responsibilities, and duties: Reason for leaving: 7. Career Goals Short term occupation goals (6-12 months): _Stablish a good base clientale Reach $ 100,000 a year Long term/retirement goals (5-10 years): _Become General Manager Educational goals: _Complete AAS. degree.

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