611 S.

Congress Suite 200 Austin, Texas 78704 512-326-5655 fax 512-3265922

Application for Employment

Name Address ___ Permanent Address Andrew William Breedon ___ Phone # 206-331-7684

7117 Wood Hollow Dr Apt.# 324 Austin, TX 78731

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Email andrew.breedon@gmail.com Are you eligible to work in the U.S.? yes____ (Mark one: plain text/ HTML/ I dont know) Permission for Action Alert Email daily (Circle: Daily /Weekly /Monthly) Previous Political, Social or Volunteer Work: Hot Springs Documentary Film Institute (8 months), Earthcorps Seattle (1 year) ___ Environmental/ Political Interests (Please be specific) I think it would be interesting to get people to look past the television screens and not rely on others to fight for their rights. Farming is the biggest way we interact with the planet and learning to do that with care as a society could have positive benefits. ___ ___ Education yet, when)? High School College Name Certificate Years Attended Graduated (if not

Inglemoor High School GED

2009

Employment History (Please list most recent first) Employer End dates Job Title Reason for leaving Duties/ Responsibilities Start/

Journeys Sales Associate 10/2009 - 02/2010 seasonal hire Franz Bakery Jobber/Packaging line_ 05/2009 - 10/2010 seasonal hire

Met daily/weekly/monthly sales operated machinery for packaging bread_

When are you able to begin work? time? full ___

immediately

Full or part no

Have you ever been convicted of a felony? If yes, please explain. ___

Would you consent to a background check? Yes or No? yes Are you under the age of 17? no ___ How did you hear about the position? (Circle): Statesman Austin Chronicle Craigslist Idealist Flyer Other: _Friend applied___________ Signature Andrew Breedon 07/05/2011
Office use only INT BY OBS DATE CONF HIRE DATE CONF NOTES

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Date

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