Emergency Drug Testing, LLC

2708 2nd Avenue Suite A
Lake Charles, LA 70601
Phone: (337) 479-0102
Fax: (337) 479-0182
24-hour pager (337) 421-8725

Employment Oppurtunities
There are many oppurtunites for employmwnt with EDT, LLC.  To be considered for any of the positions that are currently open, or any positions that will open in the future, please follow the instructions below

The application found below can be copy and pasted to your word processor, upon completion of the apllication, please email a copy of the application along with your resume to jobs@edt-lc.com. Please send as a Microsoft Word document.

APPLICATION FOR EMPLOYMENT

PRE-EMPLOYMENT QUESTIONAIRE

EQUAL OPPURTUNITY EMPLOYER

 PERSONAL INFORMATION

NAME (LAST, FIRST)

SOCIAL SECURITY NO.

PRESENT ADDRESS

CITY

STATE

ZIP CODE

PERMANENT ADDRESS

CITY

STATE

ZIP CODE

PHONE NO.     (          )

MERGE CELLS

 

 

 

EMPLOYMENT DESIRED

POSITION

DATE YOU CAN START

SALARY DESIRED

ARE YOU EMPLOYED                              ________ YES                                ________NO

IF SO , MAY WE INQUIRE OF YOUR PRESENT EMPLOYER         _______YES        _______NO

EVER APPLIED TO THIS COMPANY BEFORE?       _________YES        _________NO

WHERE?

WHEN?

 EDUCATION HISTORY

NAME & LOCATION OF SCHOOL

YEARS ATTENDED

DID YOU GRADUATE?

SUBJECTS STUDIED

 

GRAMMAR SCHOOL

 

 

 

 

 

HIGH SCHOOL

 

 

 

 

 

COLLEGE

 

 

 

 

 

TRADE, BUSINESS, OR CORRESPONDENCE SCHOOL

 

 

 

 

 

 GENERAL INFORMATION

SUBJECTS OF SPECIAL STUDY/RESEARCH

WORK OR SPECIAL TRAINING/SKILSS

 

 

U.S. MILITARY OR

NAVAL SERVICE

 

 

 FORMER EMPLOYERS     (LIST BELOW LAST FOUR EMPLOYERS, STARTING WITH LAST ONE FIRST)

DATE

MONTH AND YEAR

NAME & ADDRESS OF EMPLOYER

SALARY

POSITION

REASON FOR LEAVING

FROM

 

 

 

 

TO

FROM

 

 

 

 

TO

FROM

 

 

 

 

TO

FROM

 

 

 

 

TO

 

 REFERENCES     GIVE BELOW THE NAMES OF THREE PERSONS NOT RELATED TO YOU, WHOM YOU HAVE KNOWN AT LEAST ONE YEAR.

NAME

ADDRESS

BUSINESS

YEARS KNOWN

 

 

 

 

 

 

 

 

 

 

 

 

 

 AUTHORIZATION

“I certify that the facts contained in this application are true and complete to the best of my knowledge and understand that, if employed, falsified statements on this application shall be grounds for dismissal.  I authorize investigation of all statements contained herein and the references and employers listed above to give you any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise, and release the company from all liability for any damage that may result from utilization of such information.  I also understand and agree that no representative of the company has any authority to enter into any agreement for employment for any specified period of time, or to make any agreement contrary to the foregoing, unless it is in writing and signed by an authorized company representative.  This waiver does not permit the release or use of disability-related or medical information in a manner prohibited by the Americans with Disabilities Act (ADA) and other relevant federal and state laws.”

 

DATE_____________________________________________      SIGNATURE________________________________________________________________
(SIMPLY PROVIDE INITIALS IN THE SIGNATURE BLANK IF COMPLETING THIS APPLICATION ELECTRONICALLY)

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