Job Application

The Duplessis Companies
10093 Rayco Sandres Road, Gonzales, Louisiana 70737

Duplessis Rifle Company is an equal opportunity employer. No applicant will be limited or excluded from consideration for employment on a basis prohibited by local, state or federal law. Should an applicant need reasonable accommodation during the application process, he or she should contact a company representative. This application will be considered invalid if not completely filled out.

Personal Information

Name*

First Middle Last

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone*

Email*

How/when may we contact you?*

How did you hear about us?

What position are you applying for?

Have you ever worked for any Duplessis Company before?*

Yes
No

If yes, what position and when?*

Do you have any friends or relatives working for any Duplessis Company?*

Yes
No

If yes, please provide details:*

What days are you available to work?*

Select All
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday

What hours/shifts are you available to work?*

Are you available to work overtime if necessary?*

Yes
No

Do you have a valid driver’s license?*

Yes
No

Do you have reliable transportation to and from work?*

Yes
No

What is your desired salary range/rate of pay?*

When would you be available to start work?*

Are you legally eligible for employment in the United States?*

Yes
No

Are you willing to submit to an alcohol/drug screen if requested?*

Yes
No

Do you have any condition that would require special accommodations?*

Yes
No

If yes, please describe.

Duplessis Companies comply with the ADA and considers reasonable accommodation measures that may be necessary for eligible applicants/employees to perform essential functions.

Have you ever been convicted of a criminal offense, felony, or misdemeanor?*

Yes
No

If yes, provide the nature of the crime(s), when/where convicted and status of any case:*

No applicant will be denied an opportunity for employment solely on the grounds of conviction of a criminal offense. The date of the offense, nature of the offense, including any significant details affecting the event, the surrounding circumstances and relevance of the offense to the position applied for will be considered.

Are you a member of the military?*

Yes
No

Education

High School*

Name Location Did you graduate? (Y/N)

Trade School or College

Name Location Did you graduate? (Y/N)

List any skills and qualifications you possess for the position in which you are applying. Include all training, certifications and/or licenses held that are beneficial to job performance.

Work History

Please begin with your most recent work history.

Work History 1*

Company Name Address Job Title Start Date End Date

Reason For Leaving:*

Brief Description of Job Duties

Work History 2

Company Name Address Job Title Start Date End Date

Reason For Leaving:

Brief Description of Job Duties

Work History 3

Company Name Address Job Title Start Date End Date

Reason For Leaving:

Brief Description of Job Duties

Explain any gaps in employment:

Have you ever been terminated or asked to voluntarily resign from any position?*

Yes
No

If yes, provide details:

References

Please provide 3 personal and/or professional references. Do not include relatives.

Reference 1*

Name Affiliation Telephone Email

Reference 2*

Name Affiliation Telephone Email

Reference 3*

Name Affiliation Telephone Email

APPLICANT STATEMENT

I certify that all information provided in order to apply for work with this employer is true, complete and correct. I expressly authorize, without reserve, the potential employer or agents thereof to contact and obtain information from references provided, employers provided, public agencies, licensing authorities and educational institutions and to otherwise verify the accuracy of all information provided in this application, job interview or resume. I understand that the employer does not unlawfully discriminate in employment and no question in this application is used for the purpose of limiting or eliminating any applicant from consideration for employment on any basis prohibited by applicable local, state or federal law. I understand that this application remains current for only 30 days. At the conclusion of that time, if I have not heard from the employer and still wish to be reconsidered for employment, it is necessary that I reapply. If I am hired, I understand that my employment relationship with this company is considered at-will. I understand that I am free to resign at any time, with or without cause or prior notice and the employer reserves that same right to terminate my employment at any time, with or without cause or prior notice, except as required by law. I understand that no supervisor or representative of the employer is authorized to make any assurances to the contrary and that no implied oral or written agreements contrary to the above mentioned are valid unless signed by the employers President. Additionally, I agree to provide proof of my identity and legal authority to work in the United States and that federal law requires me to complete an I-9 form this regard.

I understand that any information provided by me that is found to be false, incomplete or misrepresented in any respect, will be sufficient cause to eliminate me from further consideration for employment or result in my immediate termination from employment at the point that it is discovered.

DO NOT SIGN UNTIL YOU HAVE READ THE ABOVE APPLICANT STATEMENT*

I CERTIFY THAT I HAVE READ, FULLY UNDERSTAND AND ACCEPT ALL TERMS OF THE FOREGOING APPLICANT STATEMENT.

Applicant’s Signature Date

Resume/Cover Letter Upload

Drop files here or

Accepted file types: pdf, Max. file size: 50 MB, Max. files: 2.

(Optional) Upload your .pdf resume and/or cover letter.

Employment Application

Personal Information

Education

Work History

References

APPLICANT STATEMENT