Application for Employment

Thank you for your interest in Dupre Energy Services** and all of our business affiliates. Please gather all of the documents you will need to complete the application (old pay stubs, phone numbers, addresses, etc.) before starting. If you leave for any extended period of time before completing, your internet browser might reset, causing you to lose all of the information you have entered so far.

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**Dupre Energy Services is in no way affiliated with Dupre Logistics. Should you have questions regarding employment with Dupre Logistics, please visit their website.


APPLICANT INFORMATION


Date of application (mm/dd/yyyy)
Position applying for
Legal name (last, first)
Address (street, city, state, zip)
Phone
Cell phone
Email
EDUCATION

High school name
City and state
Did you graduate:    No
   Yes
If no, did you obtain a GED?    No
   Yes
College name
City and state
Did you graduate?    No
   Yes
Major course of study
Trade | business | military | technical school name
City and state
Did you graduate?    No
   Yes

Major course of study
EMPLOYMENT HISTORY


Are you currently employed?    No
   Yes
If yes, may we contact your current employer:    No
   Yes
Give a complete record of all employment, including military service, and reasons for periods of unemployment for the previous ten years. If you have been self-employed, list up to five of your major clients. Begin by listing your most current employer. You will also have the opportunity to attach your resume at the end of the application process.
1. Company name
Address (street, city, state, and zip)
Phone
Supervisor
Position held
Dates employed (from - to)
Hourly rate / salary (starting - final)
Reason for leaving
Work Performed
2. Company name
Address (street, city, state and zip)
Phone
Supervisor
Position held
Dates employed (from - to)
Hourly rate / salary (starting - final)
Reason for leaving
Work performed
3. Company name
Address (street, city, state, and zip)
Phone
Supervisor
Position held
Dates employed (from - to)
Hourly rate / salary (starting - final)
Reason for leaving
Work performed
LICENSES | TRAINING | CERTIFICATIONS

1. Do you have any professional licenses    Yes
   No
Type of license
2. Do you have any professional licenses    Yes
   No
Type of license
3. Do you have any professional licenses    Yes
   No
Type of license
List all of your current certifications
PERSONAL REFERENCES

1. Personal reference name
Relationship to applicant
Reference's occupation
Years known
Phone
Reference's email
2. Personal reference name
Relationship to applicant
Reference's occupation
Years known
Phone
Reference`s email
3. Personal reference name
Relationship to applicant
Reference`s occupation
Years known
Phone
Reference`s email
APPLICANT'S STATEMENT AND ACKNOWLEDGEMENT

PLEASE READ EVERY STATEMENT BELOW CAREFULLY AND CHECK THE BOX ACKNOWLEDGING YOU HAVE READ THE STATEMENT.

I understand that any misrepresentations or omission of facts called for on this application or during the application process may results in termination of the application process or my dismissal from employment at any time, regardless of when the falsification or omission is discovered.
Please acknowledge
I recognize that his employment application is not an offer of employment. I agree that, if I am hired by the company, I will be an at-will employee; meaning that either the company or I may end the employment relationship, at any time, with or without cause.
Please acknowledge
I agree and understand that this application for employment in no way obligates the company to employ me.
Please acknowledge
I understand that the company may share the information contained in this application with other employees and hereby consent to transfer.
Please acknowledge
I authorize the company to conduct any necessary investigations or inquiries regarding my background to the extent permitted by federal, state, and local law. I agree to complete the requisite authorization forms for the background investigation. I hereby release all parties from any liability in connection with the provision and use of such information.
Please acknowledge
I consent to all of the following pre-employment screening processes, which are required by the company.  I further understand that any offer of employment is contingent on my successfully completing all of the pre-employment screening, including:
  • Motor vehicle report (MVR) - review of previous driving record
  • Drug screen - DOT and non-DOT applicants
Please acknowledge
I understand and agree that, if hired, my wages, hours, working conditions, job assignment(s), and compensation rate(s) may be subject to change by the company.
Please acknowledge
I understand that, if offered employment, I will abide by all rules and regulations of the company.
Please acknowledge
By checking the box below in acknowledgement, I certify that this application was completed by the applicant who is applying for the job. I certify that the information contained above is true and correct to the best of my knowledge.
  Please acknowledge
I understand that once I attach my resume and submit, I have one more step to complete. I acknowledge that by leaving now without completing the next step, my application will NOT be be submitted as complete.
  Please acknowledge
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