Crawfish Town USA | Henderson, LA

Date

First Name *

Last Name *

Email *

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Address

City

State

Zip Code

Are You Applying For

How did you hear about us?

Have you filled an application with Crawfish Town USA® before?

Have you ever been employed with Crawfish Town USA® before?

Are you legally eligible for employment in the United States?

Are you 18 years of age or older?

Name anyone you know presently or previously employed by Crawfish Town USA

State relationship

Are you comfortable and able to lift objects greater than 30lbs?

Have you ever been convicted of a felony or misdemeanor?

Applying for

What date can you begin working?

What starting salary do you expect?

Have you done any of the kind of work you are applying for?

Are you presently attending school?

Educational background

High School Name

High School Location

High School - Highest Grade Completed

College Name

College Location

College - Highest Grade Completed

Trade or Business Name

Trade of Business Location

List any of your special training or skills that would be beneficial to Crawfish Town USA

Employment History - Start With Most Recent Employer

Company Name 1

Supervisor Name 1

City and State

Phone

Date Started

Date Ended

Hourly Wages

Reason For Leaving

May We Contact Supervisor?

Company Name 2

Supervisor Name 2

City and State

Phone

Date Started

Date Ended

Hourly Wages

Reason For Leaving

May We Contact Supervisor?

If you do not have any work history, list two personal or business references

Name

Phone

Relationship

Name

Phone

Relationship

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Educational background

Employment History - Start With Most Recent Employer

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