EMPLOYMENT Looking to work with us? Fill out this application online or download, print, fill it out and drop it off at our corporate office located at:3935 Ryan Street, Lake Charles, LA 70605 Download Application ¿Habla Espanol? Applicant InformationFull Name:* First M.I. Last Date:* MM slash DD slash YYYY Address:* Street Address Apartment/Unit # City State ZIP Code Phone:*Email:* Date Available: MM slash DD slash YYYY Desired Salary:Position Applied for:Are you a citizen of the United States?* Yes No If no, are you authorized to work in the U.S.?* Yes No Have you ever worked for this company?* Yes No If yes, when?Have you ever been convicted of a felony?* Yes No EducationHigh School:Address:From: MM slash DD slash YYYY To: MM slash DD slash YYYY Did you graduate? Yes No Diploma:College:Address:From: MM slash DD slash YYYY To: MM slash DD slash YYYY Did you graduate? Yes No Degree:Other:Address:From: MM slash DD slash YYYY To: MM slash DD slash YYYY Did you graduate? Yes No Degree:Previous EmploymentCompany:Phone:Address:Supervisor:Job Title:Starting Salary:Ending Salary:Responsibilities:From: MM slash DD slash YYYY To: MM slash DD slash YYYY Reason for Leaving:May we contact your previous supervisor for a reference? Yes No Company:Phone:Address:Supervisor:Job Title:Starting Salary:Ending Salary:Responsibilities:From: MM slash DD slash YYYY To: MM slash DD slash YYYY Reason for Leaving:May we contact your previous supervisor for a reference? Yes No Company:Phone:Address:Supervisor:Job Title:Starting Salary:Ending Salary:Responsibilities:From: MM slash DD slash YYYY To: MM slash DD slash YYYY Reason for Leaving:May we contact your previous supervisor for a reference? Yes No Disclaimer and SignatureConsent* I certify that my answers are true and complete to the best of my knowledge.If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.