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Employment Application

Name *

First

Last

Phone *

Email *

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Desired Hourly Rate *

Skills and Qualifications *

Do you have previous experience in drug and alcohol testing? *

Do you have a drug test collector training certification? *

Do you have a breath alcohol training certification? *

Do you have good organizational skills? *

Can you convey a positive and professional image to clients, staff, and co-workers? *

Schedule Preference *

Describe a time when you had to learn something new. In what ways did you approach the learning process? *

Describe a time when you set a goal for yourself. How did you achieve it? *

Why would you be a good fit for this position? *

Employer(s) *

Phone Number | Employer One *

Phone Number | Employer Two *

you good a

Phone Number | Employer Three *

Summarize the type of work preformed at these/this job(s) and your responsibilities in each position. *

May we contact this/these employer(s) for reference? *

Phone: (225) 654-1066

Physical: 222 Highway 19 Slaughter, La 70777
Mailing: PO Box 337 Slaughter, La 70777

Physical: 222 Highway 19 Slaughter, La 70777
Mailing: PO Box 337 Slaughter, La 70777

225-654-1066