| Applicant Information |
|
Name
|
| |
Michael R Green
|
|
Date
|
| |
08/31/2026
|
|
Address
|
| |
57245 cpl herman brown jr st bayou goula
Bayou Goula, Louisiana 70788
United States
Map It
|
|
Phone
|
| |
(225) 447-2241
|
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Email
|
| |
emlabel267@gmail.com
|
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Date Available
|
| |
09/01/2026
|
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Social Security No.
|
| |
435-69-4090
|
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Desired Salary
|
| |
30
|
|
Position Applied For
|
| |
Traffic Control Flagger
|
|
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?
|
| |
Yes
|
|
If yes, explain:
|
| |
All over 10 yrs ago
|
| Education – High School |
|
High School
|
| |
White castle
|
|
High School – Did you graduate?
|
| |
No
|
| Education – College |
|
College Address
|
| |
United States
Map It
|
|
College – Did you graduate?
|
| |
No
|
| Education – Other |
|
Other Educational Institue or School Address:
|
| |
United States
Map It
|
|
Other – Did you graduate?
|
| |
No
|
| Reference 1 |
|
Ref1 Name
|
| |
David Delone
|
|
Relationship
|
| |
Boss
|
|
Company
|
| |
Lawn care
|
|
Phone
|
| |
(225) 776-5139
|
|
Address
|
| |
Port Allen
United States
Map It
|
| Reference 2 |
|
Ref2 Name
|
| |
Maurice Carter
|
|
Relationship
|
| |
Pops
|
|
Company
|
| |
Emr
|
|
Phone
|
| |
(225) 716-3192
|
|
Address
|
| |
United States
Map It
|
| Reference 3 |
|
Ref3 Name
|
| |
Roger Anderson
|
|
Relationship
|
| |
Boss
|
|
Company
|
| |
Welding
|
|
Phone
|
| |
(225) 614-7233
|
|
Address
|
| |
Plaquemine, Louisiana
United States
Map It
|
| Employer 1 |
|
E1 Company
|
| |
Action ind
|
|
Company Phone
|
| |
(225) 402-0645
|
|
Supervisor
|
| |
Michael
|
|
Job Title
|
| |
Civil
|
|
Address
|
| |
United States
Map It
|
|
Starting Salary
|
| |
34
|
|
Ending Salary
|
| |
34
|
|
Responsibilities
|
| |
Civil am boiler maker work
|
|
Employed from date:
|
| |
06/26/2025
|
|
Employed to date:
|
| |
11/21/2025
|
|
Reason for Leaving
|
| |
Out of work
|
|
May we contact your previous supervisor for a reference?
|
| |
Yes
|
| Employer 2 |
|
Address
|
| |
United States
Map It
|
| Employer 3 |
|
Address
|
| |
United States
Map It
|
| Military Service |
|
Branch
|
| |
None
|
| Disclaimer and Signature |
|
Signature
|
| |
|
|
Date
|
| |
08/30/2026
|
