Kajun Lanes Job Application Form

Kajun Lanes Driving Academy Job Application

Please complete the form below to apply for a position with us.

Please Answer the below questions about your self...*

	YES	NO
Clean Driving Record
Are you over age 26
Least Five (5) Years of Driving Experience
Valid Driver License (Willingness to upgrade to Chauffeur License
Great Communication Skills
Patient, Calm with Ability to Handle Challenging Situations On the Spot
Ability to Adapt to Different Learning Styles
Professional Demeanor
No Felony Charges or Convictions
Willingness and Commitment to Complete Rigorous Driver Education Instruction Training
Would you agree to drug testing

If you have answered no to any question above please explain.
Personal Data
Full Name*

First NameMiddle NameLast Name
Date of Birth*
Social Security Number*
Drivers License Number*
Current Address (Physical Address)*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Mailing Address only if different than above address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Email Address*
Cell Number*

Area CodePhone Number
HOME PHONE NUMBER

Area CodePhone Number
ARE YOU WILLING TO UPGRADE YOUR LICENSE TO A CLASS D CHAFFEUR LICENSE*
Rate of Pay Desired*
WHICH DAYS ARE YOU WILL TO WORK IF NEEDED

MONDAYTUESDAYWEDNESDAYTHURSDAYFRIDAYSATURDAYSUNDAY
EMPLOYMENT INTEREST
What Driver Education position are you apply for?*

Classroom Instructor 1Driving InstructorClassroom and Driving Instructor
ADDITIONAL INFORMATION :
EDUCATION
HIGH SCHOOL*

NAME AND LOCATION LIST DEGREE
DID YOU GRADUATE *
DO YOU HAVE A GED
COLLEGE

NAME AND LOCATION LIST DEGREE
DID YOU GET A GED IF SO IN WHAT FIELD
Please tell about yourself
Please tell about yourself. Family, job, hobbies, interest and why you are interested in being a drivers education instructor.*
EMPLOYMENT HISTORY #1
FULL NAME OF COMPANY*
COMPANY ADDRESS*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
BEGINNING DATE OF EMPLOYMENT*

MonthDayYear
Are you still employee with this company
ENDING DATE OF EMPLOYMENT*

MonthDayYear
NAME OF SUPERVISOR*
SALARY*
lIST JOBS HELD, DUTIES, SKILL USED, AND REASON FOR LEAVING*
EMPLOYMENT HISTORY #2
BEGINNING DATE OF EMPLOYMENT

MonthDayYear
FULL NAME OF COMPANY
COMPANY ADDRESS

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
ENDING DATE OF EMPLOYMENT

MonthDayYear
TITLE OF YOUR POSITION
NAME OF SUPERVISOR
SALARY
lIST JOBS HELD, DUTIES, SKILL USED, AND REASON FOR LEAVING
EMPLOYMENT HISTORY #3
COMPANY ADDRESS

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
FULL NAME OF COMPANY
BEGINNING DATE OF EMPLOYMENT

MonthDayYear
ENDING DATE OF EMPLOYMENT

MonthDayYear
TITLE OF YOUR POSITION
NAME OF SUPERVISOR
SALARY
lIST JOBS HELD, DUTIES, SKILL USED, AND REASON FOR LEAVING
Reference #1
Name
Name
Occupation
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number
Explain how you know your reference
Reference #2
Name
Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number

Area CodePhone Number
Reference #2 Explain how you know your reference.
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Please upload a picture of your driver license *

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Kajun Lanes Driving Academy Job Application

Personal Data

EMPLOYMENT INTEREST

EDUCATION

Please tell about yourself

EMPLOYMENT HISTORY #1

EMPLOYMENT HISTORY #2

EMPLOYMENT HISTORY #3

Reference #1

Reference #2

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