Application for Employment


LeBaron & Carroll is an equal opportunity employer. We consider applicants for all positions without regard to race, color, religion, gender, national origin, age, marital status or veteran status, the presence of non-job-related medical condition or disability, Vietnam Era Veteran or any other legally protected status. We look forward to reviewing your application and will contact you with any additional questions we may have.
Full Name:
Social Security Number:
Home Address:
Phone Number:
Email Address*
Position Applying For:
Rate of Pay Desired:
Date Available:
Are you 18 years of age or older?
Are you legally eligible to work in the US?
Are you able to work:
Have you ever been employed with this company before?
Are you currently employed?
Have you ever been convicted of a crime?
If you have been convicted of a crime, please explain:
List any current relatives of the company:
Please describe your educational background including High School, College & any Technical Schooling
Please describe any job-related training you have acquired in the military:
List any specialized training or other info you feel may be helpful in reviewing your application:
Please list 3 references including Name, Address and Phone Number:
List any professional trade, business or civic organizations and any offices held:
Most Recent Employer:
Employer Address & Phone Number:
Job Title:
Employment Dates:
Reason for Leaving:
Previous Employer:
Previous Employer Address & Phone Number:
Job Title:
Employment Dates:
Reason for Leaving:
Previous Employer:
Previous Employer Address & Phone Number:
Job Title:
Employment Dates:
Reason for Leaving:
Previous Employer:
Previous Employer Address & Phone Number:
Job Title:
Employment Dates:
Reason for Leaving:
Any other important details?
Where did you learn about this position?