| Applicant Information |
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Name
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Jaice Andre Hargrove
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Date
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09/02/2026
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Address
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12254 La Margie Ave Baton Rouge, Louisiana 70815 United States Map It
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Phone
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(225) 223-8419
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Email
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jaicehargrove19@gmail.com
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Date Available
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09/02/2026
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Social Security No.
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662-12-9016
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Desired Salary
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19.00 an hour
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Position Applied For
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Traffic Control Flagger
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Are you a citizen of the United States?
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Yes
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Have you ever worked for this company?
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No
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Have you ever been convicted of a felony?
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No
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| Education – High School |
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High School
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West FELICIANA high school
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High School – Did you graduate?
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Yes
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| Education – College |
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College Address
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United States Map It
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| Education – Other |
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Other Educational Institue or School Address:
|
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United States Map It
|
| Reference 1 |
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Ref1 Name
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AndreNita Ford
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Relationship
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Mother
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Company
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Office
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Phone
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(225) 721-0454
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Address
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United States Map It
|
| Reference 2 |
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Ref2 Name
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Jarlaysia Davis
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Relationship
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Girlfriend
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Company
|
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CNA
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Phone
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(225) 963-1074
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Address
|
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United States Map It
|
| Reference 3 |
|
Ref3 Name
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Ameesha Rowley
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Relationship
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Aunt
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Company
|
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Nurse
|
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Phone
|
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(225) 439-6008
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Address
|
| |
United States Map It
|
| Employer 1 |
|
E1 Company
|
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Louis Mechanical
|
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Company Phone
|
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(225) 927-6520
|
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Supervisor
|
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Kameron
|
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Job Title
|
| |
Pluming Appertince
|
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Address
|
| |
United States Map It
|
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Starting Salary
|
| |
18.26
|
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Ending Salary
|
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18.26
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Responsibilities
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Plumbing work, hvac welding, pipe laying, copper, and etc
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Employed from date:
|
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07/07/2026
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Employed to date:
|
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09/04/2026
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Reason for Leaving
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Got laid off boss said he had to many workers.
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May we contact your previous supervisor for a reference?
|
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Yes
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| Employer 2 |
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Address
|
| |
United States Map It
|
| Employer 3 |
|
Address
|
| |
United States Map It
|
| Disclaimer and Signature |
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Date
|
| |
09/02/2026
|