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Application for Employment

Step 1 of 5

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PLEASE NOTE: It is important that you complete all parts of the application. If your application is incomplete or does not clearly show the experience and/or training required, your application may not be accepted. If you have no information to enter in a section, please write N/A.

Name & Address

Name(Required)
Mailing Address

Job Type

I am seeking a:(Required)
Date available to begin:(Required)

Additional Information

Have you ever been employed by this organization in the past?(Required)
I certify that I am a U.S. citizen, permanent resident, or a foreign national with authorization to work in the United States.(Required)
Have you ever been convicted of, or entered a plea of guilty, no contest, or had a withheld judgment to a felony?(Required)
Do you have a driver's license?(Required)
Have you had any accidents during the past three years?(Required)
Do you have reliable transportation to and from the job?(Required)

Education

High School
School
Location (City/State)
Years Completed
Degree or Diploma
 
College or Business/Trade School
School
Location (City/State)
Years Completed
Major
Degree or Diploma
 

Military

Have you ever been in the Armed Forces?(Required)
Are you now a member of the National Guard?(Required)
Date entered
Discharge date

Work Experience

Please list ALL work experience beginning with your most recent job held. Upload additional sheets or resume if necessary.

Employer 1

Company Address
Be specific
May we contact this employer?(Required)

Employer 2

Company Address
Be specific
May we contact this employer?

Employer 3

Company Address
Be specific
May we contact this employer?
Do you have additional employment history to attach to this application(Required)
Accepted file types: pdf, Max. file size: 4 MB.

References

Please include name, phone number, and circumstances of your acquaintance. Exclude relatives and former employers.
Name(Required)
Name(Required)
Name
Name
Confirmation(Required)

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Iberville Parish Clerk of Court | 58050 Meriam Street | P.O. Box 423 | Plaquemine Louisiana 70764 | Ph: 225-687-5160 | Fax: 225-687-5260 | Copyright © 2026 (All Rights Reserved)