WorkNet Staffing
Growing Better Together
New Orleans, LA
(504) 779-9040
Lafayette, LA
(337) 261-5450
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PRE-APPLICATION QUESTIONNAIRE
What is Your Full Name?
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Can we reach you by telephone?
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Do you have reliable transportation everyday?
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Are you willing to take a drug & alcohol test according to our policy?
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Are you willing to release your criminal record, if applicable?
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Are you willing to submit to a physical examination, if required
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What type of job(s) are you applying for at this time?
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In which areas of town are you willing to work?
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New Orleans, LA area
Baton Rouge, LA area
Lafayette, LA area
Houma, LA area
Hattiesburg, MS area
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Your Address
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Days Available to Work
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Hours Available to Work
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Other Hours Available to Work
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Minimum Wage Requirements
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Education
Highest Grade Attended
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Name of Highest Level of School Attended
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Course of Study
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Dates Attended
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Degree Received
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Higher Education / Certifications / Other Education Received
Work History
List Current or Most Recent First
Company Name
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Company Address
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Arizona
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California
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Connecticut
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Idaho
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Tennessee
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Armed Forces Americas
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Start Date
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End Date
Is this Your Current Position?
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Reason For Leaving
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Company Name
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Company Address
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Street Address
Address Line 2
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Start Date
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End Date
Is this Your Current Position?
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No
Reason For Leaving
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Please describe what you currently do or are looking to do.
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Skills
Check Only Skills You Have Performed
Industrial
Shipping and Receiving
Loading & Unloading
Scheduling
Routing
Stockman
Fork Lift
Receiving Entries
Construction
Electrical
Mechanical
Plumbing
Dry Wall
Concrete
Painting
General Labor
Order Picker
Packer
Janitor
Assembly Line
Inventory
Other
Administrative
General
Filing
10-Key Calculator
Multi-Line Phone System
Software Skills
MS Word
MS Excel
MS Powerpoint
MS Office
Other
Other Software Skills
Accounting
Accts. Payable
Accts. Receiveable
Payroll
Assist. Bookkeeper
Full Charge Bookkeeper
Other Skills Not Listed Above
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