Application for Employment

The information provided in this Application for Employment is true, accurate, and complete. I understand that falsifications or omissions will be ground for denying or terminating employment. I understand that nothing in this application creates an employment contract or relationship. I also understand that if hired, I have the right to terminate my employment at any time, and that BBBS retains a similar right.

I authorize Big Brothers Big Sisters to conduct an investigation on any or all of the information and references l have supplied. I consent to the release of such information and authorize my former employers, schools and other references to release information to BBBS and its representatives. I release from liability all persons, companies, educational facilities and corporations supplying such information

Equal Employment Opportunity

Big Brothers Big Sisters of Acadiana subscribes to and supports all laws concerning non-discrimination and equal employment opportunity. The policy of non-discrimination and equal employment opportunity prohibits exclusion of potential employees based on race, age, sex, color, religion, national origin, familial or marital status, pregnancy, sexual orientation, gender identity, gender expression, veteran status, military status, disability or any other legally protected status in accordance with applicable local, state, and federal lars, regulations, and ordinances. Employment practices shall conform to federal, state, and local regulations

Name	Last Name
Title	Company
Phone	Email

Company	Telephone
City/State/Zip	May we contact you employer? YesNo
Name of supervisor	Annual or Hourly Pay