| Applicant Information |
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Name
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Brittany aNTIE
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Date
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| |
02/24/2026
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Address
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2675 Phillips Way Port Allen, Louisiana 70767 United States Map It
|
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Phone
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| |
(225) 228-2773
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Email
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| |
brittany@rosco-res.com
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Position Applied For
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| |
One More Non-CDL Job Opportunity
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Are you a citizen of the United States?
|
| |
Yes
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Have you ever worked for this company?
|
| |
No
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Have you ever been convicted of a felony?
|
| |
No
|
| Education – College |
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College Address
|
| |
United States Map It
|
| Education – Other |
|
Other Educational Institue or School Address:
|
| |
United States Map It
|
| Reference 2 |
|
Address
|
| |
United States Map It
|
| Reference 3 |
|
Address
|
| |
United States Map It
|
| Employer 2 |
|
Address
|
| |
United States Map It
|
| Employer 3 |
|
Address
|
| |
United States Map It
|
| Disclaimer and Signature |
|
Signature
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| |
|
|
Date
|
| |
02/24/2026
|