ApplicationFor Employment Application For: Date of Application MM slash DD slash YYYY Resume Upload your resumeIf you have a resume, please upload a PDF version here.Accepted file types: pdf, Max. file size: 10 MB.Personal Information Applicant's Name(Required) First Middle Last Applicant's Address(Required) Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Do you have a valid driver's license?(Required) Yes No Applicant's Driver's License Number(Required) State Issued(Required) AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State 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 No Limited Are you willing to work overtime?(Required) Yes No Limited Pay Requirements/Expectations(Required) Date Available for Work(Required) MM slash DD slash YYYY General Information Have you filed an application or been employed here before?(Required) Yes No 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 No 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 No 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 2 3 4 1Employment 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 No Supervisor Phone Number(Required)Supervisor Email(Required) Are you known by another name?(Required) Yes No If yes, what name?(Required) 2Employment 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 No Supervisor Phone Number(Required)Supervisor Email(Required) 3Employment 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 No Supervisor Phone Number(Required)Supervisor Email(Required) 4Employment 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 No Supervisor Phone(Required)Supervisor Email(Required) Please Explain Gaps in Employment Greater Than 90 DaysDate Range ReasonDate 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 referencesNameTitlePhoneEmail Add Remove 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 No List Diploma/Degree(Required) College Name & Address(Required)Course of Study(Required) Did you Graduate?(Required) Yes No If you selected "Other", please explain:(Required)Are you known to schools by another name?(Required) Yes No 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.Click the box below to agree to these terms(Required) I agree to these termsPrint Name(Required) Date MM slash DD slash YYYY Δ
