Lafayette - Employment Application Form

Employment Application Form:
To apply, please complete this form in full and transmit electronically. The omission of any information could prohibit further consideration of your application. This application is valid for 60 days from the date of signature.
Personal Information:
Full Name*

First NameLast Name
Address

Street Address

Street Address Line 2

CityState

Zip Code
Phone Number

Area CodePhone Number
E-mail
Are you legally eligible to work in the United States

YesNo
Have you ever been convicted of a felony (which has not been restricted or expunged from your record)?

YesNo
If Yes, please explain
Employment Desired:
Position Applying For
Date You Can Start

MonthDayYear
Salary Desired
Have You Worked at BeeHive Homes Before?

YesNo
Have You Applied with BeeHive Homes Before?

YesNo
Full Time or Part Time Employment?

Full TimePart Time
Preferred Shift
Education:
High School
Name of High School Attended
Graduated?

Yes
College
Name of College/University Attended
Graduated?

Yes
Area of Study/Degree
Additional College (if applicable)
Name of College/University Attended
Graduated?

Yes
Area of Study/Degree
Additional Schooling or Training
Skills/Certifications:

Please list all certifications, licenses, training courses
Skills
List any relevant skills
Current Employment:
Current Employer
Name of Current Employer or NONE if not Employed
Position
Reason for Leaving?
Start Date

MonthDayYear
May We Contact?

YesNo
Previous Employment:
Previous Employer
Name of Previous Employer
Position
Reason for Leaving?
Start Date

MonthDayYear
End Date

MonthDayYear
Previous Employer
Name of Previous Employer
Position
Reason for Leaving?
Start Date

MonthDayYear
End Date

MonthDayYear
References:
Reference 1
Name of Reference
Relationship
Phone
Email
Reference 2
Name of Reference
Relationship
Phone
Email
Reference 3
Name of Reference
Relationship
Phone
Email
Cover Letter & Resume (Optional):
Cover Letter

Upload a File

Cancelof
Resume

Upload a File

Cancelof
Send Application:
BeeHive Homes of Lafayette is an equal opportunity employer. We do not discriminate against otherwise qualified applicants on the basis of age, ancestry, color, creed, disability/handicap, gender identity, marital status, national origin, race, religion or veteran status.
Should be Empty:

Employment Application Form:

Personal Information:

Employment Desired:

Education:

Skills/Certifications:

Current Employment:

Previous Employment:

References:

Cover Letter & Resume (Optional):

Send Application: