JOB APPLICATION
LAMAR AND PJS HELPING HANDS LLC
PERSONAL INFORMATION
First Name
*
Last Name
*
Date of Birth
*
/
Month
/
Day
Year
Date
Social Security Number
*
Email
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
EDUCATION
High School
College
Other
SKILL
Tell us about any specific skills or trainings you may have.
1.
2.
Have you ever been convicted of a Felony?
*
Yes
No
If yes, please explain.
Have you ever had a Level II Background Screening?
*
Yes
No
I certify that all answers given herein are true and complete to the best of my knowledge. I authorize a background check and investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision.
*
Print Name
Name & Signature
Date
/
Month
/
Day
Year
Date
Upload Resume/ Certifications
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