501 Downing Pines Rd, West Monroe, LA
318.388.4562

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Employment Application

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Employment Application

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GENERAL INFORMATION

*REQUIRED FIELDS

Name *

First

Last

screening? Salary per

Home Telephone *

Email Address *

Other Telephone

Referred By:

Are you legally entitled to work in the U.S.? *

Are you able to pass a background check? *

Are you able to pass a drug screening? *

POSITION

Position or Type of Employment Desired

Are you able to perform the essential functions of the job you are applying for, with or without reasonable accommodation? *

Salary Desired *

Date Available *

Will Accept *

Part-Time
Full-Time
Temporary

Shift *

Day
Swing
Graveyard
Rotating

EDUCATION AND TRAINING

(MOST RECENT FIRST)

Name and Location *

Graduated *

Degrees Earned *

Number of Hours/Credits *

Major or Subject *

Name and Location 2

Graduated

Degrees Earned

Number of Hours/Credits

Major or Subject

Name and Location 3

Graduated

Degrees Earned

Number of Hours/Credits

Major or Subject

SPECIAL SKILLS

(LIST ALL PERTINENT SKILLS AND EQUIPMENT THAT YOU CAN OPERATE)

Paragraph Text

VETERAN INFORMATION

Branch of Service

Date of Entry

Date of Discharge

WORK EXPERIENCE

(MOST RECENT FIRST)

Employer *

Location *

Telephone Number *

Job Title *

From Date *

To Date *

Hours per Week *

Last Salary *

Supervisor *

Specific Duties *

Reasons for Leaving *

May We Contact This Employer? *

Employer 2

Location

Job Title

Telephone Number

From Date

To Date

Hours per Week

Last Salary

Specific Duties

Supervisor

Reasons for Leaving

May We Contact This Employer?

Employer 3

Location

Job Title

Telephone Number

From Date

To Date

Hours per Week

Last Salary

Specific Duties

Supervisor

Reasons for Leaving

May We Contact This Employer?

I certify the information contained in this application is true, correct and complete. I understand that, if employed, false statements reported on this application may be considered sufficient cause for dismissal. *

Enter Your Initials as a Signature *

Date *

Careers

Open Positions

Maintenance Technician

This position is responsible for maintaining, troubleshooting, and improving extrusion equipment and plant systems to ensure safe, reliable, and efficient production....

Operator’s Assistant

The Operator’s Assistant will support production operators in the day-to-day operation of extrusion and manufacturing equipment....

501 Downing Pines Rd
West Monroe, LA, 71292-8010
318.388.4562
318.387.5642
[email protected]

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