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Bossier City Employment Application

Step 1 of 4

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Applicant Information

Your Name:(Required)

First Middle Last

Address:(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Your Phone:(Required)

Your Email Address:(Required)

Date Available:

MM slash DD slash YYYY

Social Security No:

Desired Salary:

Position Applying For:(Required)

Management

Cashier

Store Associate

Warehouse

Emergency Contact:(Required)

Emergency Phone:(Required)

Are you a citizen of the United States?(Required)

Yes

No

If no, are you authorized to work in the U.S.?

Yes

No

Have you ever worked for this company?(Required)

Yes

No

If yes, when?

Have you ever been convicted of a felony?(Required)

Yes

No

If yes, explain:

Birth Date:(Required)

Education

High School:

Address:

From:

To:

Did you graduate?

Yes

No

Diploma:

College:

Address:

From:

To:

Did you graduate?

Yes

No

Degree:

Other:

Address:

From:

To:

Did you graduate?

Yes

No

Degree:

References

Full Name:

Relationship:

Company:

Phone:

Address:

Full Name:

Relationship:

Company:

Phone:

Address:

Full Name:

Relationship:

Company:

Phone:

Address:

Previous Employment

Most Recent Job:

Company:

Phone:

Address:

Job Title:

Starting Salary:

Ending Salary:

Responsibilities:

From:

To:

Reason for Leaving:

May we contact your previous supervisor for reference?

Yes

No

Supervisor Name:

Supervisor Email:

Supervisor Phone:

Second Most Recent Job:

Company:

Phone:

Address:

Job Title:

Starting Salary:

Ending Salary:

Responsibilities:

From:

To:

Reason for Leaving:

May we contact your previous supervisor for reference?

Yes

No

Supervisor Name:

Supervisor Email:

Supervisor Phone:

Third Most Recent Job:

Company:

Phone:

Address:

Job Title:

Starting Salary:

Ending Salary:

Responsibilities:

From:

To:

Reason for Leaving:

May we contact your previous supervisor for reference?

Yes

No

Supervisor Name:

Supervisor Email:

Supervisor Phone:

Military Service

Branch:

From:

To:

Rank at Discharge:

Type of Discharge:

If other than honorable, explain:

School Schedule

School Schedule:

Disclaimer and Signature

Disclaimer(Required)

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.

I agree.

Name:(Required)

Date:(Required)

Upload Your Resume

Upload your resume in .pdf, .doc or .docx format

Accepted file types: pdf, doc, docx, Max. file size: 25 MB.

Name

This field is for validation purposes and should be left unchanged.

Rolling Hills Ministries is committed to making a difference in the world one person at a time by coordinating disaster relief, compassion services, international missions, recreational support, and thrift store ministries.

CORE MINISTRIES

» Thrift Stores
» Compassion
» Disaster Relief
» International
» Recreational

HOW WE HELP

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OUR INFORMATION

P.O. Box 1177, Ruston, LA 71270

[email protected]

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