Employment Application

Thanks for your interest in joining the Catfish Charlies team. We're always looking for great people to add to our team so fill out the form below and if a position is open we'll get back in touch as soon as possible.

All fields marked with * are required.

Last Name *
First Name *
Social Security Number
Present Address *
City *
State *
Zip *
Phone Number *
Secondary Phone Number
Referred By

Employment Desired

Position *
Date You Can Start *
Salary Desired *
Are you presently employed? *
Yes No
If so, may we inquire of your present employer?
Yes No
Have you ever applied with this company before? *
Yes No
Where Did You Apply?
When Did You Apply?

References *

Give the names of three persons not related to you, whom you have known at least one year.

Reference 1 *

Name

Address

Business

Years Known

Reference 2 *

Name

Address

Business

Years Known

Reference 3 *

Name

Address

Business

Years Known

Education History (All fields below are optional)

High School Name & Location
Years Attended
Did You Graduate?
Yes No
College Name & Location
Years Attended
Did You Graduate?
Yes No
Trade, Business or Correspondence School Attended
Years Attended
Did You Graduate?
Yes No

General Information (All fields below are optional)

Subject of Special Study/Research Work
Special Training
Special Skills
U.S. Military or Naval Service
Rank

Former Employers (All fields below are optional)

Please start with your most recent employers first.

1st Most Recent Employer

Beginning Date
Ending Date
Name & Address of Employer
Salary
Position
Reason For Leaving

2nd Most Recent Employer

Beginning Date
Ending Date
Name & Address of Employer
Salary
Position
Reason For Leaving

3rd Most Recent Employer

Beginning Date
Ending Date
Name & Address of Employer
Salary
Position
Reason For Leaving











2329 Louisville Ave., Monroe, LA 71201     TEL: 318-807-7070      FAX: 318-807-7071
4015 Sterlington Road, Monroe, LA 71203     TEL: 318-807-FISH      FAX: 318-812-6256
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