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