申请人的声明

I certify that answers given herein are true and complete to the best of my knowledge.

I authorize investigation of all statements contained in this application for employment as may be necessary in 做出雇佣决定.

This application for employment shall be considered active for a period of time not to exceed 180 days. 任何 applicant wishing to be considered for employment beyond this time period should inquire as to whether or not 那时正在接受申请.

The applicant understands that neither this document nor any offer of employment from the 雇主 constitutes an employment contract unless a specific document to that affect is executed by the 雇主 and employee in writing.

在就业的情况下, I understand that false or misleading information given in my application or interview (5)可能导致放电. I understand also, that I am required to abide by all rules and regulations of the 雇主.

You are not required to disclose information about physical or mental limitations that you believe will not interfere 以你的能力做这份工作. On the other hand, if you want the 雇主 to consider special arrangements to 适应身体或精神上的缺陷, you may identify that impairment in the space provided and suggest the 一种你认为合适的住宿方式.

障碍   
建议住宿   

东费利西亚纳交通区
就业申请

欧博体育官网考虑所有职位的申请人，不考虑种族, color, 宗教, 性, 国家的起源, 年龄, 婚姻或退伍状况, 残疾或其他受法律保护的身份. The 东费利西亚纳交通区 is an Equal Opportunity 雇主.
申请日期:
 

申请职位:
 

Are you related to any of the appointed officials to the 东费利西亚纳交通区 Board, the 通讯区's Executive Director or Assistant Director?

是的

No

如果是，说明是谁以及你们关系的性质:

第一个名字
中间的名字
姓
Address
	城市  状态  Zipcode
电话
备用电话
社会安全号码

Are you 18 yo or older and posses a valid highschool diploma or GED?

是的

No

你现在有工作吗??

是的

No

欧博体育官网可以联系你现在的雇主吗?

是的

No

Are you prevented from lawfully becoming employed in this country because of Visa or Immigration Status?
(Proof of citizenship or immigration status will be required upon employment.)

是的

No

如果录用的话，你什么时候可以开始工作?


你能上班吗

全职

兼职

轮班工作

临时

你是否处于下岗状态，可能会被召回?

是的

No

你有违反交通规则的记录吗?

是的

No

Have you ever been known by any alias (other name) different then the name you listed above? This includes maiden name, well known nickname, and/or birth name or other if you have had your name 合法更改为上述指定名称

发布信息的授权

I respectfully request and authorize you to furnish the 东费利西亚纳交通区 with any and all information that you may have concerning me, 我的就业, 教育记录, 声誉, 犯罪史, 驾驶记录, 财务及信用状况. Please include any and all information that may be of a confidential or privileged nature. Your cooperation in this reply will be used to assist the 通讯区 in determining my qualifications for the position I am seeking with the 通讯区. This information that you furnish the 通讯区 will be used only for determination of employment in a position within the 通讯区.

我在此释放你, your organization and others furnishing information from any liability or dam年龄 which may result from furnishing the information requested.

I understand that many positions require the incumbent to drive a vehicle of the Communications 区. I authorize the 通讯区 to verify information on my capacity to operate a vehicle. 我进一步同意释放 information concerning my driving record by the East Feliciana Sheriff's Office, 其他执法机构, 以前的雇主和其他个人和机构, to the Personnel representative of the 东费利西亚纳交通区.

申请人姓名(打印清楚) __________________________________________
申请人的签名 __________________________________________	日期 __________________________________________
见证 __________________________________________	日期 __________________________________________

请打印并签名此页.  You must phsyically sign this document and submit it to our office.

(Note: A photocopy reproduction of this request shall be for all intents and purposes as valid as the original. 你可以保留这份表格存档.)

东费利西亚纳教区
通讯区
职前信息

As a possible future employee of the 东费利西亚纳交通区, please read and 确认以下信息:
(a) False information or statements, inaccuracies and omissions of information on any forms may prevent your employment or may result in disciplinary action including that of 聘用后立即终止.
(b) You may be required to take a physical exam and drug screening after you have been offered conditional employment with the 东费利西亚纳交通区.
(c) If hired, you will be subject to a minimum three (3) month probationary period. 在 this probation you will be evaluated as to your performance for employment, attitude and 职业道德. 通讯区有权终止您的 employment during this probationary period for any just cause including evidence presenting itself as to your unsuitability for the position, or the positive or questionable result(s) of drug testing indicates use or potential misuse of a controlled legal or illegal 物质.

发布信息的权力

本人已阅读并明白上述声明. 我授权东费利西亚纳通讯区 to verify any information contained in my application for employment. 我进一步同意释放 information concerning my capacity to work by 雇主s, law enforcement 年龄ncies, and other 个人和机构, to the Personnel representative of the 东费利西亚纳交通区. This authorization extends to background checks and interviews with previous 雇主s and others 关于我的能力和性格.

申请人姓名(打印清楚) __________________________________________
申请人的签名 __________________________________________	日期 __________________________________________
见证 __________________________________________	日期 __________________________________________

请打印并签名此页.  You must phsyically sign this document and submit it to our office.