Application for Employment - Landry French Construction

Date of Application

Resume

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Personal Information

Applicant's Name(Required)

First Middle Last

Applicant's Address(Required)

Street Address Address Line 2 City State ZIP Code

Do you have a valid driver's license?(Required)

Yes

Applicant's Driver's License Number(Required)

State Issued(Required)

Applicant's Email Address(Required)

Applicant's Primary Telephone Number(Required)

Applicant's Secondary Telephone Number (if utilized)

Position(s) Applied For (List Job Titles)(Required)

Status Desired(Required)

Full Time

Part Time

Temporary

Referral Source(Required)

Job Posting Site

Networking/Social Media

College/Career Placement Office

Job Fair

Employee

Other

Which Job Posting Site(Required)

Which Networking/Social Media Site(Required)

Are you willing to travel?(Required)

Yes

Limited

Are you willing to work overtime?(Required)

Yes

Limited

Pay Requirements/Expectations(Required)

Date Available for Work(Required)

General Information

Have you filed an application or been employed here before?(Required)

Yes

Please enter the date of your last application, or date range of previous employment with Landry/French Construction(Required)

Are you 18 years of age or older?(Required)

Yes

Are you eligible to be lawfully employed in the United States (proof of authorization to work in the United States will be required to be shown upon employment)?(Required)

Yes

List any friends or relatives employed by Landry/French Construction.

Employment Experience

(List each job held. Start with your present or last job. Include military service assignments and volunteer activities.)

How many previous jobs would you like to include in your application?(Required)

1

Employment Date Range(Required)

Employer Name(Required)

Employer Address(Required)

Employer Phone Number(Required)

Job Title(Required)

Work Performed(Required)

Supervisor Name(Required)

Reason For Leaving(Required)

May we contact?(Required)

Yes

Supervisor Phone Number(Required)

Supervisor Email(Required)

Are you known by another name?(Required)

Yes

If yes, what name?(Required)

2

Employment Date Range(Required)

Employer Name(Required)

Employer Address(Required)

Employer Phone Number(Required)

Job Title(Required)

Work Performed(Required)

Supervisor Name(Required)

Reason for Leaving(Required)

May we contact?(Required)

Yes

Supervisor Phone Number(Required)

Supervisor Email(Required)

3

Employment Date Range(Required)

Employer Name(Required)

Employer Address(Required)

Employer Phone Number(Required)

Job Title(Required)

Work Performed(Required)

Supervisor Name(Required)

Reason for Leaving(Required)

May we contact?(Required)

Yes

Supervisor Phone Number(Required)

Supervisor Email(Required)

4

Employment Date Range(Required)

Employer Name(Required)

Employer Address(Required)

Employer Phone Number(Required)

Job Title(Required)

Work Performed(Required)

Supervisor Name(Required)

Reason for Leaving(Required)

May we contact?(Required)

Yes

Supervisor Phone(Required)

Supervisor Email(Required)

Please Explain Gaps in Employment Greater Than 90 Days

Date Range

Reason

Date Range

Reason

Personal References

(List professional references only. Do not list friends or relatives)

References(Required)

Click the "+" icon to the right to add up to 3 references

Name

Title

Phone

Education Background

I would like to enter details for:(Required)

After making your selections, fill in the relevant details in the spaces provided below.

High School

College

Other

High School Name & Address(Required)

Course of Study(Required)

Did you Graduate?(Required)

Yes

List Diploma/Degree(Required)

College Name & Address(Required)

Course of Study(Required)

Did you Graduate?(Required)

Yes

If you selected "Other", please explain:(Required)

Are you known to schools by another name?(Required)

Yes

If Yes, what name(s) are you known by?(Required)

I hereby certify that the information contained in this employment application is truthful, accurate and complete to the best of my knowledge. I understand that material omissions or falsification of this application in any detail may result in my disqualification from consideration for employment or for dismissal from employment.

I understand that my employment is subject to a satisfactory check of references. I authorize representatives of Landry/French Construction to contact educational institutions, state, and federal agencies (to conduct driving record and other records checks and verifications) and employers designated in this Application for purposes of verification and investigation of my educational, driving record, and employment background and performance.

I understand, if offered employment, I would be subject to a criminal history and background check.

Print Name(Required)

Date