(Please follow these directions)

 

  1. Print & Complete the Application
  2. Submit the application to your local Owensby & Kritikos, Inc. office

In the New Orleans Area: 671 Whitney Ave., Building B, Gretna, LA  70056

In the Lafayette Area: 111 Lafferty Drive, Broussard, LA  70518

 

 

I understand that Owensby & Kritikos, Inc. follows an “employer at will” policy in that I or the employer may terminate my employment at anytime, or for any reason consistent with the State of Louisiana or federal law; this “employment at will” policy cannot be changed verbally or in writing, unless the change is specifically authorized in writing by the President of this organization, Bob Ledet.  I understand that this application is not a contract of employment.

 

I understand that this application will be active for a period of 90 days, after that time, if I wish to be considered for employment, I must submit a new application.

 

I understand that the employer will thoroughly investigate my work and personal history and verify all data given on this application, related papers and interviews.  I authorize all individuals, schools and firms named therein, except my current employer if so noted, to provide any information requested about me and I release them from all liability for damages in providing this information.

 

I certify that all the statements herein are true and understand that any falsification or willful omission shall be sufficient cause for dismissal or refusal of employment.

 

Signature:

Date:

 

Print all information on application

Date:

Full Name:

Street:

City:                                                                                      State:                Zip:

Telephone Number:

Pager:

Social Security Number:

 

What qualification or certificates do you have?

 

 

 

What kind of equipment can you operate?

 

 

 

Emergency Information:  Person to Contact:

Name:

Telephone Number:

 

Attach Resume: Comments or Additional Information:

 

 

 

 

School Name

Year Graduated

City of School

State of

School

Course Taken

Grade Average

High School

Year

Name:

 

 

 

 

 

 

Collage

Year

Name:

 

 

 

 

 

 

Trade School

Year

Name:

 

 

 

 

 

 

Special

Training

Year

Name:

 

 

 

 

 

 

 

 

Work Experience

 

 

 

 

Name of Company

~~~ Print ~~~

Address of Company

Dates Worked

From - To

Salary

Reason for Leaving

 

 

 

address:

 

 

Phone:

 

$

 

 

 

 

address:

 

 

Phone:

 

$

 

 

 

 

address:

 

 

Phone:

 

$

 

 

 

Business References

 

 

Person’s Name

Address

Telephone Number

1. Name:

 

Street:

Area Code:

 

Know how long?

 

City                 State

 

2. Name:

 

Street:

Area Code:

 

Know how long?

 

City                 State

 

3. Name:

 

Street:

Area Code:

 

Known how long?

 

City                 State