Jefferson Parish Constable's Office~ 1st Justice Court Application for Employment

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Equal Employment Opportunity Statement: Employment decisions will be based on the principles of equal opportunity. All personnel actions (recruiting, hiring, training, promotion, compensation, etc are administered without regard to any characteristic protected by state, federal or local law, assuming said characteristic does not interfere with the performance of essential job functions. Reasonable accommodations will be made for disabilities and religious beliefs. Please inform us of any necessary accommodations to the application process.
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Applicant Name First* This field is required.
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Middle* This field is required.
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Last* This field is required.
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Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Please Select
United States
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
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Guadeloupe
Guam
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Guinea
Guinea-Bissau
Guyana
Haiti
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Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
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Telephone Number
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Social Security Number
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Position(s) Applied For
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Date of Application
Date
Month
Day
Year
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Salary Expected
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How did you learn about?
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Employee Referral—Which employee?
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Other—Specify
Advertisement:
Employment Agency:
Employee Referral
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Employment Agency—Specify date
Date
Month
Day
Year
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Have you ever applied with this company before?
Yes
No
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Yes—Specify date
Date
Month
Day
Year
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Have you ever been employed with this company?
Yes
No
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Yes—Specify date and position
Date
Month
Day
Year
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Are you currently employed?
Yes
No
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Are you currently on "lay-off" status and subject to recall?
Yes
No
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On what date are you available to work?
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Are you available to work:
FULL TIME
PART TIME
ALL SHIFTS
TEMPORARY
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Can you travel for work if necessary?
No
Yes
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Are you legally permitted to work in the United States?
Yes
No
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NOTE: Proof of eligibility will be required within three working days of employment.
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Are you at least 18 years of age?
Yes
No
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Are you willing to tst?ake drug tests at the Companys' reque
No
Yes
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Have you ever gone by a name other than the one listed above?
No
Yes
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YesPlease list
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List the last 3 schools attended.
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Name of College Location
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Location
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Years Completed G.P.A.
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Degree/Major G.P.A.
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G.P.A.
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Diploma Obtained?
Yes
No
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Name of College
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Location
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Years Completed
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Degree/Major G.P.A.
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G.P.A.
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Diploma Obtained:?
Yes
No
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Diploma Obtained:?
Yes
No
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Name of High School
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Location
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Years Completed
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Degree/Major G.P.A.
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G.P.A.
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NOTE: If you answered “no” to the above question, please skip the rest of this section.
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Have you ever served in the U.S. military?
Yes
Type option 2
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What was the length of your military service? years,
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What was the length of your military service? months
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What was your rank at time of discharge?
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What type of training and work experience did you receive while in the military?
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Describe how you most benefited from being in the service
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Describe how you least benefited from being in the service
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Employer Supervisor
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Supervisor
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Address Phone
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Address Phone
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Position Title and Duties
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May we contact this employer?
Yes
No
Later
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Starting Date Ending Date Starting Pay Ending Pay
Date
Month
Day
Year
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Starting Date Ending Date Starting Pay Ending Pay
Date
Month
Day
Year
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Starting Date Ending Date Starting Pay Ending Pay
Date
Month
Day
Year
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Starting Date Ending Date Starting Pay Ending Pay
Date
Month
Day
Year
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Why did you leave this job?
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Employer Supervisor
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Supervisor
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Address Phone
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Phone Number
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Position Title and Duties
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Starting Date Ending Date Starting Pay Ending Pay
Date
Month
Day
Year
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Starting Date Ending Date Starting Pay Ending Pay
Date
Month
Day
Year
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Starting Date Ending Date Starting Pay Ending Pay
Date
Month
Day
Year
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Starting Date Ending Date Starting Pay Ending Pay
Date
Month
Day
Year
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Why did you leave this job?
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May we contact this employer?
Yes
No
Later
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Employer
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Supervisor
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Address
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Phone Number
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Position Title and Duties
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Starting Date
Date
Month
Day
Year
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Ending DAte
Date
Month
Day
Year
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Starting Pay
Date
Month
Day
Year
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Ending Pay
Date
Month
Day
Year
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Why did you leave this job?
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Why did you leave this job?
Yes
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LaterPosition Title and Duties
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Name* This field is required.
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Phone Number* This field is required.
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Years Known* This field is required.
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Name* This field is required.
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Phone Number* This field is required.
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Years Known* This field is required.
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Name* This field is required.
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Phone Number* This field is required.
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Years Known* This field is required.
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You may exclude iType a questionnformation which would reveal sex, race, religion, national origin, age, color, disability, sexual orientation or other protected status. Awards or Honors Received
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Professional or Civic Activities
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Licenses or Certifications
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Activities or Sports You Participate(d) In
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Do you have any foreign Language skills?
Yes:
No
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Specify:
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Can you perform all necessary job functions with or without reasonable accommodation?
Yes
No
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Please answer all questions in this section. You may exclude information which would reveal sex, race, religion, national origin, age, color, disability, sexual orientation or other protected status. What are your main areas of professional interest?
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Why do you want to leave your current employer (if any)?
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Why do you want to work for ?
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Explain a piece of criticism you have received and how you responded to it.
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In what work setting or environment do you prefer to work?
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Explain one of your greatest professional accomplishments and why it was so great.
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Explain a time where you failed and how you dealt with that failure.
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Career Goals and Aspirations
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If you are currently POST Certified, attach a copy of your certification here:
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Attach a current color photograph of your driver's license and your social security card here. This is to complete your background check:
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I certify that the information provided in this application is true, to the best of my knowledge. I understand that providing false or misleading information at any time during the application and interview process may lead to refusal to hire or discharge from the Company. If I become employed by the Company, I agree to follow all rules and regulations of the Company as they develop and change. I allow the Jefferson Parish Constable’s Office~ 1 Justice Court (Company) to conduct investigations on me, my background and my performance, and am aware that such investigations will become a part of my employment record. With this, I authorize the Company to speak with my acquaintances, personal and professional, to gather information about me. I authorize all former employers and references to provide any information about me to the Company and release them of liabilities and damages of all kinds for providing this information. I authorize the Company to verify the accuracy of the information within this application. I also authorize the release of my educational transcripts to the Company for education verification purposes. I release from liability for collecting information about me and using it to make employment decisions. If I become employed by the Company, I understand that the employment relationship will be “at will,” and that the “at will” status may not change at any time unless specifically approved, in writing, by the CEO of the Company. In regards to this application, you agree to upload a valid copy of your driver’s license and a signed colored copy of your social security card. I agree that if I become indebted to the Company, I will be responsible for repaying the total owed upon termination from the Company. If I do not repay the sum prior to my final paycheck being received, the money owed will be deducted from my pay. This application for employment is valid for the next 90 days. I understand that if I wish to be considered for employment after this period of time, I must apply again.
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Signature
Clear
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Date
Date
Month
Day
Year
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Name* This field is required.
First Name
Maiden/Middle Name
Last Name
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Generation *(Jr., Sr., Etc)
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Social Security #* This field is required.
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Date of Birth* This field is required.
Date
Month
Day
Year
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Driver’s License #* This field is required.
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Sex (check one):* This field is required.
Male
Female
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Academy Attended
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Graduation Date
Date
Month
Day
Year
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P.O.S.T. Certificate #
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Are you Grandfathered into P.O.S.T.?
Yes
No
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Hire Date which grandfathers you into P.O.S.T
Date
Month
Day
Year
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Pre-Academy Class
New Hire
Over 13 Mths.
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Date Completed
Date
Month
Day
Year
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PQC Score
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AGENCY
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Month of Employment
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Day of Employment
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Year of Employment
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CHECK ONE
Full Time
Part Time
Reserve
Corrections
Jailer
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Month of Employment end
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Day of Employment end
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Year of Employment end
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AGENCY
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Dates of Employment: Beginning Month
Date
Month
Day
Year
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Day
144
Year
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CHECK ONE
Full Time
Part Time
Reserve
Corrections
Jailer
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Month
147
Day
148
Year
149
3
150
AGENCY
151
Day
152
Day
153
Year
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CHECK ONE
Full Time
Part Time
Reserve
Corrections
Jailer
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Month
156
Day
157
Year
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AGENCY
159
Day
160
Day
161
Year
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CHECK ONE
Full Time
Part Time
Reserve
Corrections
Jailer
163
Month
164
Day
165
Year
Should be Empty: