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West Monroe Driving Academy

406 North 6th Street, West Monroe, LA  |  318-855-3949

Employment

Application

Date

This is an Equal Opportunity Employer committed to excellence through diversity. Please complete ALL sections in full, even if attaching a resume.

1
Personal Information
First Name
Last Name
Phone Number
Email Address
Date of Birth (MM/DD/YYYY)
Best Time to Contact
Street Address
Apt / Suite / Unit (optional)
City
State
ZIP Code
2
Background Questions
Please answer all questions honestly. A "Yes" answer does not automatically disqualify you from employment.

Are you currently legally entitled to work in the country where the job is based?

If applicable, detail any work restrictions (leave blank if none):

Are you willing to submit to a background check if selected for employment?

Have you ever been convicted of a felony?

Have you ever been arrested, detained, charged, or indicted for any criminal offense (excluding minor traffic citations)?

Have you ever been convicted of any felony offense related to the operation of a driving school?

Have you ever been convicted of a crime involving violence, dishonesty, deceit, or moral turpitude within the last 10 years?

Have you ever been convicted of any crime under R.S. 15:587.1 (the Child Protection Act)?

Have you ever been convicted of any offense involving dangerous substances or DWI/DUI in the last 10 years?

3
Position & Availability
Position Applying For
Desired Employment Type
Desired Monthly Pay
Available Start Date (MM/DD/YYYY)
4
Education & Experience
School / Institution Name
Degree / Program
Graduation Year
Start Date
End Date
School / Institution Name
Degree / Program
Graduation Year
Start Date
End Date

Employment History

Employer / Company
Job Title
Department / Team
Start Date
End Date
Reason for Leaving
Employer / Company
Job Title
Department / Team
Start Date
End Date
Reason for Leaving
Employer / Company
Job Title
Department / Team
Start Date
End Date
Reason for Leaving
Qualifications — licenses, certifications, relevant skills
6
References
Full Name
Relationship / Title
Phone Number
Email (optional)
Full Name
Relationship / Title
Phone Number
Email (optional)
Full Name
Relationship / Title
Phone Number
Email (optional)
5
Applicant Certification
I certify that all information provided in this application is true and complete to the best of my knowledge. I understand that any false or misleading information provided, or any omission of fact, may result in my disqualification from consideration for employment or, if employed, in my immediate termination.

By signing below, I authorize West Monroe Driving Academy to verify all information contained in this application.
Signature
Date
West Monroe Driving Academy · Employment ApplicationEqual Opportunity Employer