APPLICATION FOR OFFICE

Thank you for your interest in joining our team at LeFebvre Companies. Please take the time to thoroughly complete the application below and submit to be considered for employment.

If you experience any issues please contact us so we may assist you.

As an additional option to apply, you may also print this page and submit the application to us in the following methods:

Send Online: Print form, complete, and scan the application. Then return to this page, fill in only the required fields and attach the form to the document section of the online application then submit

Fax: Print form, complete, and fax application to 612-252-4699

Mail: Print form, complete, and mail application to LeFebvre Companies 10895 171st Ave NW Elk River, MN 55330

THIS APPLICATION IS NOT AN EMPLOYMENT AGREEMENT but is merely intended to evaluate suitability as an employee. It is the policy of the company to provide an equal opportunity to all qualified persons without discrimination on the basis of sex, race, color, religion, age, national origin, citizenship, disability, veteran status, or any other status protected under local, state or federal law. It is also the policy of the company to have the option of conducting pre-employment screening before an employment offer is made. If an employment offer is made, the offer may be contingent upon the successful completion of a pre-employment drug screening and/or medical examination. This application will remain active for 3 years.

First Name *

Middle Name

Last Name *

Email Address *

Phone Number *

Current Address

Current City

Current State

Current Zipcode

Education

High School

School

City

State

Diploma

Yes

No

Undergrad School

School

City

State

Diploma

Yes

No

Degree

Area of Study *

Other School

School

City

State

Diploma

Yes

No

Degree

Area of Study *

Have you completed any special courses, seminars and/or training that would enable you to perform the positions which you are applying for?

List academic honors, extracurricular activities, offices held, etc. in high school or college

Employment

Employment Information

Position Applied For

Can you perform the essential functions of the position for which you are applying for?

Yes

No

If "NO", Please Explain

Date You Can Start +

Are you at least 18 years of age and legally eligible to work for our company in the United States?

Yes

No

If you are under 18 years of age, can you provide required proof of your eligibility to work?

Yes

No

Have you ever worked under another name? List Name(s) and Reason for change.

Have you ever been convicted of a felony or a misdemeanor which resulted in imprisonment within the last seven years?

Yes

No

If yes, please explain...

Have you worked for LeFebvre Companies before?

Yes

No

If yes, please provide dates and locations. Also include Reason for Leaving.

Do any of your friends or relatives, other than spouse, work here?

Yes

No

If yes, state name and relationship...

Have you ever done any volunteer work?

Yes

No

If yes, please explain...

Do you belong to any professional, trade, business, or civic organizations that deal with the position for which you are applying?

Yes

No

If yes, please explain...

Do You Prefer

Full-Time

Part-Time

Either

Can you work

Weekends

Evenings

Employment History

Are you currently employed?

Yes

No

May we contact your present employer?

Yes

No

Most Recent Employer

Employer

City

State

Phone

Position Held

Pay Upon Leaving

From (Mo/Yr)

To (Mo/Yr)

Supervisor

Duties

Reason For Leaving *

Prior Employer 01

Employer

City

State

Phone

Position Held

Pay Upon Leaving

From (Mo/Yr)

To (Mo/Yr)

Supervisor

Duties

Reason For Leaving *

Prior Employer 02

Employer

City

State

Phone

Position Held

Pay Upon Leaving

From (Mo/Yr)

To (Mo/Yr)

Supervisor

Duties

Reason For Leaving *

Prior Employer 03

Employer

City

State

Phone

Position Held

Pay Upon Leaving

From (Mo/Yr)

To (Mo/Yr)

Supervisor

Duties

Reason For Leaving *

Have you ever been convicted of a felony?

Yes

No

Please use this space to list any special skills you may have that relate to the position applied for

Please list any professional licenses, designations, certifications, etc. that may relate to the position applied for. Include date granted, name of organization, and any other relevant information.

Account for any full months since leaving school (high school/college) that you were not working.

Personal References

List three persons for references. Do NOT list relatives or employers.

Reference 01

Name

Address

Phone

Relationship

Years Acquantied

Reference 02

Name

Address

Phone

Relationship

Years Acquantied

Reference 03

Name

Address

Phone

Relationship

Years Acquantied

Documents

Upload File

APPLICATION AGREEMENT

I have read and reviewed the information provided in this application and the above statements. By signing this application for qualification, I certify that I understand all parts of it and have answered all questions completely and fully.

I understand that by typing my name in the signature box below and submitting this application electronically, this becomes a legal and binding agreement.

Type Name in Signature Box *

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