Application for Employment

B&B Rentals & Mfg., Inc.

2217 Bayou Blue Rd. Houma, LA 70364

Phone: (985) 851-0250 Fax: (985) 851-2384

 

Prospective employees will receive consideration without discrimination because of race, creed, color, sex, age, national origin, or handicap. We are an equal opportunity employer.

Personal Information

Last Name:
 
First:
 
Middle:
Date:
Street Address:
Phone Phone:
City, State, Zip:
Business Phone:
Email Address:
What was your previous address?
How long at present address?
Years Months
Are you over 18 years of age?
If not, employment is subject to verification of minimum legal age.
How long at previous address?
Years Months
Have you ever applied for emplyment with us?
If Yes, Month and Year: Location:
Social Security Number:
How did you learn of our organization?
Are you legally eligible for employment in the United States?

When will you be able to work?
Are you employed now?

If so, may we inquire of your present employer?
Have you been convicted of a crime in the past ten years, excluding misdemeanors and summary offenses, which has not been annulled, expunged or sealed by a court?

If Yes, describe in full.

Education

School Name and location of school Course of study No. of years completed Did you graduate? Degree or diploma
College
High
Trade School
Other

Military

Complete this section if you served in the U.S. Armed Forces Branch of Service
Describe your duties and any special training:

Period of Active Duty (Month & Year)

From: To:

Rank at Discharge:

Date of final Discharge:


Employment History

Please give accurate, complete full-time and part-time employment record. Start with present or most recent employer.

1.

Company Name:
Telephone:
Address:
Employed (start month and year):
From: To:
Name of Supervisor:
Hourly Rate:
Start: Last:
Start Job Title and Describe Your Work:
Reason for Leaving:

2.

Company Name:
Telephone:
Address:
Employed (start month and year):
From: To:
Name of Supervisor:
Hourly Rate:
Start: Last:
Start Job Title and Describe Your Work:
Reason for Leaving:

3.

Company Name:
Telephone:
Address:
Employed (start month and year):
From: To:
Name of Supervisor:
Hourly Rate:
Start: Last:
Start Job Title and Describe Your Work:
Reason for Leaving:

4.

Company Name:
Telephone:
Address:
Employed (start month and year):
From: To:
Name of Supervisor:
Hourly Rate:
Start: Last:
Start Job Title and Describe Your Work:
Reason for Leaving:
We may contact the employers listed above unless you indicate those you do not want us to contact: Do not contact
Employer Number(s):
Reason:

References

Give below the names of three persons not related to you, whom you have known at least one year.
Name Address Business Years Acquainted
1:
2:
3:

The information provided in this Application for Employment is true, correct and complete. If employed, any misstatements or omissions of fact on this application may result in my dismissal. I understand that acceptance of an offer of employment does not create a contractual obligation upon the employer to continue to employ me in the future.

If you decide to engage an investigative consumer reporting agency to report on my credit and personal history, I authorize you to do so.

If a report is obtained you must provide, at my request, the name and address of the agency so I may obtain from them the nature and substance of the information contained in the report.


Date
 
Signature (type your full name)