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APPLICATION FOR EMPLOYMENT:

 

If you would like to apply for employment at FISCHER Environmental Services, you may do so:

 

  • Online: fill out the application, then click the "Submit Form" button at the end of the application
  • By regular mail: if your browser can print the form, including your entries, fill out the application online, then print and send it to Human Resources at the street address below, or print the application, fill it out by hand, and mail it to Human Resources at 1980 Surgi Dr, Mandeville, La 70448

 

If you have any questions, please send e-mail to our Human Resources Department, or call them at 1-800-391-2565. We'll contact you promptly after receiving your application.

 

 

Employment Application

* Please note: Be sure to complete the form as fully and accurately as possible. FISCHER Environmental Services is committed to keeping your information confidential.

Required Information

The following fields must be filled out for your application to be considered

Last Name: First Name: Initial:
Home Address:
City: State: Zip:
Telephone #
Social Security#

Are you legally eligible to work in the United States?  Yes  No

(Proof of Citizenship/Immigration Status & Identity is required prior to employment)

Drivers License # State Issued:      

Valid: Yes No Expiration Date: 

Month of Birth: Day of Birth:        

Have you been convicted of any moving violations in the last 3 years?  Yes No

If Yes give date(s) and explanation:

Have you used any other names or social security numbers other than those listed above? Yes No

Please list other names used below. (If applicable)

Today's Date: (mm/dd/yy)

Personal Information

The following is required and will make your application easier for our Human Resources people to ensure you have the best opportunity at the best job for you.

 

Position applied for: 
Position applied for: 
Would you prefer to work:  Full-time   Part Time 
Check all the days and hours that Apply if Part Time
Monday A.M. P.M. No
Tuesday A.M. P.M. No
Wednesday A.M. P.M. No
Thursday A.M. P.M. No
Friday A.M. P.M. No
Saturday A.M. P.M. No
Sunday A.M. P.M. No
Do you have adequate transportation to get to work? Yes   No 
Who Referred you?
Have you ever been employed by FISCHER Environmental Services in the past? Yes   No 
If you answered Yes to the above question please give dates.
Please list all relatives presently employed By FISCHER.
Have you ever worked under a different name? Yes    No 
If you answered Yes to the above question. Please list the names.
Have you ever been convicted or received a sentence for crime(s) other than minor traffic offenses? Yes    No 
cIf yes, please give date(s) and Disposition(s).

Conviction does not necessarily bar employment. Consideration will be given to the nature of the crime, its seriousness, age at time of offense, rehabilitation and the position for which you are applying.

Are You employed now? Yes   No 
May we contact your employer? Yes   No 
Are you laid off and subject to recall? Yes   No 
Have you ever held a position of trust (Handling money or financial material)? Yes   No 
Would you have steady transportation to work? Yes   No 
Can you travel if a job required it? Yes   No 
Have you ever been discharged/requested to resign from a position? Yes   No 
If yes, Explain
Have you ever been refused bond? Yes   No 
If yes, Explain
How much time have you lost from work in the last 12 months?
Does your present employer know of your plans to change employment? Yes   No 
Why do you wish to change?

Education
High School

Name: 
Location: 
Graduated: Yes   No  or highest grade completed  

University Undergraduate (Transcript Desired)

Name: Location:
Dates attended: Graduated: Yes    No 
or Highest level: Date:
Degree or Certification:
Major or Minor course of Study:
GPA overall:

Major:

University Graduate (Transcript Desired)

Name: Location:
Dates attended: Graduated: Yes   No 
or Highest level: Date:
Degree or Certification:
Major or Minor course of Study:
GPA overall:

Major:

Other,Trade,Technical,Military

Name:

Location:

Dates attended:

 Graduated: Yes   No 

or Highest level:

 Date:

Degree or Certification: 

Major or Minor course of Study: 

GPA overall:

Major: 

What other experiences, skills or training do you have which you feel would qualify you to work for FISCHER Environmental Services?
List three things that are important to you in a work environment.
1.
2.
3.

List three characteristics that best describe you.
1.
2.
3.

Former Employment
Please list your former employment starting with the most recent.

Company Name:
Address: 
Telephone: 

Dates Employed: 

Start Date:  (mm/dd/yy)
 End Date:  (mm/dd/yy)
Start Salary: 
End Salary: 

Reason for Leaving: 

Supervisor's Name: 

Company Name:
Address: 
Telephone: 

Dates Employed: 

Start Date:  (mm/dd/yy)
 End Date:  (mm/dd/yy)
Start Salary: 
End Salary: 

Reason for Leaving: 

Supervisor's Name: 

Company Name:
Address: 
Telephone: 

Dates Employed: 

Start Date:  (mm/dd/yy)
 End Date:  (mm/dd/yy)
Start Salary: 
End Salary: 

Reason for Leaving: 

Supervisor's Name: 

Company Name:
Address: 
Telephone: 

Dates Employed: 

Start Date:  (mm/dd/yy)
 End Date:  (mm/dd/yy)
Start Salary: 
End Salary: 

Reason for Leaving: 

Supervisor's Name: 

Military Service

Were you ever in the Armed Forces?

Yes     No

Branch: 

 Reserve Status:

Date of Entry:  (mm/dd/yy)   
Starting Pay Grade: 
Date of Discharge: 
Pay Grade at discharge: 

Office Skills

Keyboard/Typing:  Yes    No      WPM 
Calculator:  Yes    No  
Computer Skills:  Yes    No  
Word Processor:  Yes    No  

Please list Office or Clerical related software in which you are proficient.
 

Word

Word Perfect Lotus

  Excel 

The facts set forth above in my application for employment are true and complete. I understand that false statements or omission of information on this application or any other employment form may lead to dismissal or denial of employment. You are hereby authorized to make any investigation of my personal history, financial, criminal, credit and motor vehicle records through any investigative or credit agencies or bureaus of your choice. You are also authorized to administer personality profile tests and verify my background. A criminal record or sentence is not an automatic disqualification for employment.

In making this application for employment, I also understand that an investigative consumer report may be made whereby information is obtained through personal interviews with my neighbors, friends or others with whom I am acquainted. This inquiry includes information as to my character, general reputation, personal characteristics and mode of living. I understand I that I have the right to make a written request within a reasonable period of time to receive additional, detailed information about the nature and scope of this investigative consumer report.

I understand that employment at this organization is "at will" and includes no guarantee, contract or promise of employment for specific length of time

In consideration for my employment application being reviewed and possibly accepted I agree that if an offer of employment is made I will submit to a physical examination. The purpose of this examination is to verify that my physical condition will allow me to perform the essential functions of the job safely and effectively. The examination will be performed by a physician designated by the Company and will be at the Company's expense.

Refusal to submit to the employment physical will result in the retraction of the offer of employment .

By agreeing to submit to the examination, I give the physician the right to disclose the results of the examination to the Company. I further agree that, if in the opinion of the physician my physical condition may prevent me from performing the essential functions of the job safely and effectively, the employment relation can be terminated and I waive all rights to bring action against the Company or physician for the termination or for any other basis.

I will be allowed access to the results of the examination. I accept that the Company does not warrant the accuracy of the physician's conclusions and if I have any health concerns arising as a result of this examination, I should seek an examination from my own physician.
I Agree to submit to an employment physical.
I Refuse to submit to an employment physical.

I authorize the use of any information in this application to verify my statements, and I authorize the past employers, doctors, all references and any other persons to answer all questions asked concerning my ability, character, reputation and previous employment record. I release all such persons from any liability or damages on account of having furnished such information.

I have read and understand this document and so signify by entering my name below.
Name:
 Date:

     (The above two items must be completed for your application to be considered)

     

 

 

 

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