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We consider applications for all positions without regard to race, color, religion, sex, national origin, age, marital
or veteran status, the presence of a non-job related medical condition or handicap, or any other legally
(Please Note: All information must be supplied in order for application to be considered by Appointments
If you would like to submit a physical application you can download the form here (PDF).
List the last two employers, starting with the last/present one first.
Give the names of three persons, not related to you, whom you know for at least one year.
I certify that answers given herein are true and complete to the best of my knowledge. I authorize investigation of all
statements contained in this application for appointment as may be necessary in arriving at an appointment decision. This
application for appointment shall be considered active for a period of time not to exceed one (1) year. Any applicant wishing
to be considered for appointment beyond this time should inquire as to whether or not applications are being accepted at
By submitting this form, I understand that I am submitting to a background check by St. Bernard Parish Government.
By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.
This field is not part of the form submission.
* indicates a required field