Kajun Lanes Job Application Form

Kajun Lanes Driving Academy Job Application

Please complete the form below to apply for a position with us.

Please Answer the below questions about your self... *

	YES	NO
Clean Driving Record
Are you over age 26
Least Five (5) Years of Driving Experience
Valid Driver License (Willingness to upgrade to Chauffeur License
Great Communication Skills
Patient, Calm with Ability to Handle Challenging Situations On the Spot
Ability to Adapt to Different Learning Styles
Professional Demeanor
No Felony Charges or Convictions
Willingness and Commitment to Complete Rigorous Driver Education Instruction Training
Would you agree to drug testing

If you have answered no to any question above please explain.
Personal Data
Full Name *

First Name Middle Name Last Name
Date of Birth *
Social Security Number *
Drivers License Number *
Current Address (Physical Address) *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Mailing Address only if different than above address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Email Address *
Cell Number *

Area Code Phone Number
HOME PHONE NUMBER

Area Code Phone Number
ARE YOU WILLING TO UPGRADE YOUR LICENSE TO A CLASS D CHAFFEUR LICENSE *
Rate of Pay Desired *
WHICH DAYS ARE YOU WILL TO WORK IF NEEDED

MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY SATURDAY SUNDAY
EMPLOYMENT INTEREST
What Driver Education position are you apply for? *

Classroom Instructor 1 Driving Instructor Classroom and Driving Instructor
ADDITIONAL INFORMATION :
EDUCATION
HIGH SCHOOL *

NAME AND LOCATION LIST DEGREE
DID YOU GRADUATE *
DO YOU HAVE A GED
COLLEGE

NAME AND LOCATION LIST DEGREE
DID YOU GET A GED IF SO IN WHAT FIELD
Please tell about yourself
Please tell about yourself. Family, job, hobbies, interest and why you are interested in being a drivers education instructor. *
EMPLOYMENT HISTORY #1
FULL NAME OF COMPANY *
COMPANY ADDRESS *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
BEGINNING DATE OF EMPLOYMENT *

Month Day Year
Are you still employee with this company
ENDING DATE OF EMPLOYMENT *

Month Day Year
NAME OF SUPERVISOR *
SALARY *
lIST JOBS HELD, DUTIES, SKILL USED, AND REASON FOR LEAVING *
EMPLOYMENT HISTORY #2
BEGINNING DATE OF EMPLOYMENT

Month Day Year
FULL NAME OF COMPANY
COMPANY ADDRESS

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
ENDING DATE OF EMPLOYMENT

Month Day Year
TITLE OF YOUR POSITION
NAME OF SUPERVISOR
SALARY
lIST JOBS HELD, DUTIES, SKILL USED, AND REASON FOR LEAVING
EMPLOYMENT HISTORY #3
COMPANY ADDRESS

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
FULL NAME OF COMPANY
BEGINNING DATE OF EMPLOYMENT

Month Day Year
ENDING DATE OF EMPLOYMENT

Month Day Year
TITLE OF YOUR POSITION
NAME OF SUPERVISOR
SALARY
lIST JOBS HELD, DUTIES, SKILL USED, AND REASON FOR LEAVING
Reference #1
Name
Name
Occupation
Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Phone Number
Explain how you know your reference
Reference #2
Name
Name
Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Phone Number

Area Code Phone Number
Reference #2 Explain how you know your reference.
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Please upload a picture of your driver license *
Signature

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Enter the message as it's shown *
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Kajun Lanes Driving Academy Job Application

Personal Data

EMPLOYMENT INTEREST

EDUCATION

Please tell about yourself

EMPLOYMENT HISTORY #1

EMPLOYMENT HISTORY #2

EMPLOYMENT HISTORY #3

Reference #1

Reference #2

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