open(_DB_NAME_, _DB_HOST_, _DB_PORT_, _DB_USER_, _DB_PASSWORD_); $oid = -1; if (!isset($display)) $display = false; else { $oid = $display; $display = true; } if (!isset($edit)) $edit = false; else { $oid = $edit; $edit = true; } if (($edit) || ($display)) $res = $db->query("select * from applications where oid = $oid"); else { $result = $db->query("select jobids.jobid,fieldvalues.value from jobids,fieldvalues where jobids.id = $id and fieldvalues.jobid = $id and fieldvalues.fieldnameid = 2"); if ($result) { if ($db->num_rows($result) > 0) { $temp2 = $db->result($result,0,"value") . "(" . $db->result($result,0,"jobid") . ")"; } } } ?> Application for Employment

APPLICATION FOR EMPLOYMENT

CITY OF KENNER, HUMAN RESOURCES 1801 WILLIAMS BLVD., KENNER, LA 70062
Prospective employees will receive consideration without discrimination because of race, creed, color, sex, age, national origin, handicap or veteran status
"; else print "
"; if ($edit) print ""; else print ""; print "
Last name First Middle
"; if($display) print "".$db->result($res, 0, 0).""; elseif ($edit) print "result($res, 0, 0)."\">"; else print ""; print " "; if($display) print "".$db->result($res, 0, 1).""; elseif ($edit) print "result($res, 0, 1)."\">"; else print ""; print " "; if ($display) print "".$db->result($res, 0, 2).""; elseif ($edit) print "result($res, 0, 2)."\">"; else print ""; print "
Date of Entry
"; if ($display) print "".$db->result($res, 0, 3).""; elseif ($edit) print "result($res, 0, 3)."\">"; else print "
Street Address
"; if ($display) print "".$db->result($res, 0, 4).""; elseif ($edit) print "result($res, 0, 4)."\">"; else print ""; print "		 Home Phone
("; if ($display) print "".$db->result($res, 0, 5).""; elseif ($edit) print "result($res, 0, 5)."\">"; else print ""; print ") "; if ($display) print "".$db->result($res, 0, 6).""; elseif ($edit) print "result($res, 0, 6)."\">"; else print ""; print "
City, State, Zip
"; if ($display) print "".$db->result($res, 0, 7).""; elseif ($edit) print "result($res, 0, 7)."\">"; else print ""; print ", "; if ($display) print "".$db->result($res, 0, 8).""; elseif ($edit) print "result($res, 0, 8)."\">"; else print ""; print ", "; if ($display) print "".$db->result($res, 0, 9).""; elseif ($edit) print "result($res, 0, 9)."\">"; else print ""; print "		 Business Phone
("; if ($display) print "".$db->result($res, 0, 10).""; elseif ($edit) print "result($res, 0, 10)."\">"; else print ""; print ") "; if ($display) print "".$db->result($res, 0, 11).""; elseif ($edit) print "result($res, 0, 11)."\">"; else print ""; print "
Have you ever applied for employment with us?
"; if ($display) { if ($db->result($res, 0, 12) == 't') print "Yes"; else print "No"; } elseif ($edit) { if ($db->result($res, 0, 12) == 't') print "\nYes No"; else print "\nYes No"; } else print "Yes\n No"; print " If yes: Month and Year \n"; if ($display) print "".$db->result($res, 0, 13).""; elseif ($edit) print "result($res, 0, 13)."\">"; else print ""; print " "; if ($display) print "".$db->result($res, 0, 14).""; elseif ($edit) print "result($res, 0, 14)."\">"; else print ""; print "		 Social Security No.
"; if ($display) print "".$db->result($res, 0, 15).""; elseif ($edit) print "\nresult($res, 0, 1)."\">"; else print ""; print "
Position Desired
"; if ($display) print "".$db->result($res, 0, 16).""; elseif ($edit) { $res2 = $db->query("select fieldvalues.value, jobids.jobid from jobids, fieldvalues where fieldvalues.fieldnameid=2 and fieldvalues.jobid=jobids.id order by fieldvalues.value"); print "\n"; } else print "$temp2"; print "
 		Yearly Pay Expected
"; if ($display) print "".$db->result($res, 0, 17).""; elseif ($edit) print "result($res, 0, 17)."\">"; else print ""; print "
Apart from absence for religious observances, are you available for full-time work?
"; if ($display) { if (strchr($db->result($res, 0, 18), 't')) print "Yes"; else print "No"; } elseif ($edit) { if (strchr($db->result($res, 0, 18), 't')) print "Yes No"; else print "Yes No"; } else print "Yes No"; print " If not, what hours can you work? "; if ($display) print "".$db->result($res, 0, 19).""; elseif ($edit) print "result($res, 0, 19)."\">"; else print ""; print " - "; if ($display) print "".$db->result($res, 0, 20).""; elseif ($edit) print "result($res, 0, 20)."\">"; else print ""; print "		 Will you work overtime if asked?
"; if ($display) { if (strchr($db->result($res,0, 21), 't')) print "Yes"; else print "No"; } elseif ($edit) { if (strchr($db->result($res, 0, 21), 't')) print "Yes No"; else print "Yes No"; } else print "Yes No"; print "
Are you legally employable in the United States?
"; if ($display) { if (strchr($db->result($res,0, 22), 't')) print "Yes"; else print "No"; } elseif ($edit) { if (strchr($db->result($res, 0, 22), 't')) print "Yes No"; else print "Yes No"; } else print "Yes No"; print "		 When will you be available to begin work?
"; if ($display) print "".$db->result($res, 0, 23).""; elseif ($edit) print "result($res, 0, 23)."\">"; else print ""; print " (MM-DD-YYYY)
Other special training or skills (language, machine operation, etc.)
"; if ($display) print "".$db->result($res, 0, 24).""; elseif ($edit) print "result($res, 0, 24)."\">"; else print ""; print "
How did you learn of our organization?
"; if ($display) print "".$db->result($res, 0, 19).""; elseif ($edit) print "result($res, 0, 19)."\">"; else print ""; print "
Are you eighteen (18) years of age or older?
"; if ($display) { if (strchr($db->result($res, 0, 92), 't')) print "Yes"; else print "No"; } else if ($edit) { if (strchr($db->result($res, 0, 92), 't')) print "Yes No"; else print "Yes No"; } else print "Yes No"; print "

DO YOU HAVE A DRIVER'S LICENSE? "; if ($display) { if (strchr($db->result($res,0, 26), 't')) print "Yes"; else print "No"; } elseif ($edit) { if (strchr($db->result($res, 0, 26), 't')) print "Yes No"; else print "Yes No"; } else print "Yes No"; print " CLASS OF LICENSE "; if ($display) print "".$db->result($res, 0, 27).""; elseif ($edit) print "result($res, 0, 27)."\">"; else print ""; print "
SCHOOL
NAME AND LOCATION OF SCHOOL
COURSE OF STUDY
NO. OF
YEARS
COM-
PLETED
DID YOU
GRADUATE?
DEGREE
OR DIPLOMA
College
"; if ($display) print "".$db->result($res, 0, 28).""; elseif ($edit) print "result($res, 0, 19)."\">"; else print ""; print "
"; if ($display) print "".$db->result($res, 0, 29).""; elseif ($edit) print "result($res, 0, 29)."\">"; else print ""; print "
"; if ($display) print "".$db->result($res, 0, 30).""; elseif ($edit) print "result($res, 0, 30)."\">"; else print ""; print "
"; if ($display) { if (strchr($db->result($res, 0, 31), 't')) print "Yes"; else print "No"; } elseif ($edit) { if (strchr($db->result($res, 0, 31), 't')) print "Yes
No"; else print "Yes
No"; } else print "Yes
No"; print "
"; if ($display) print "".$db->result($res, 0, 32).""; elseif ($edit) print "result($res, 0, 32)."\">"; else print ""; print "
High
"; if ($display) print "".$db->result($res, 0, 33).""; elseif ($edit) print "result($res, 0, 33)."\">"; else print ""; print "
"; if ($display) print "".$db->result($res, 0, 34).""; elseif ($edit) print "result($res, 0, 34)."\">"; else print ""; print "
"; if ($display) print "".$db->result($res, 0, 35).""; elseif ($edit) print "result($res, 0, 35)."\">"; else print ""; print "
"; if ($display) { if (strchr($db->result($res, 0, 36), 't')) print "Yes"; else print "No"; } elseif ($edit) { if (strchr($db->result($res, 0, 36), 't')) print "Yes
No"; else print "Yes
No"; } else print "Yes
No"; print "
"; if ($display) print "".$db->result($res, 0, 37).""; elseif ($edit) print "result($res, 0, 37)."\">"; else print ""; print "
Elementary
"; if ($display) print "".$db->result($res, 0, 38).""; elseif ($edit) print "result($res, 0, 38)."\">"; else print ""; print "
"; if ($display) print "".$db->result($res, 0, 39).""; elseif ($edit) print "result($res, 0, 39)."\">"; else print ""; print "
"; if ($display) print "".$db->result($res, 0, 40).""; elseif ($edit) print "result($res, 0, 40)."\">"; else print ""; print "
"; if ($display) { if (strchr($db->result($res, 0, 41), 't')) print "Yes"; else print "No"; } elseif ($edit) { if (strchr($db->result($res, 0, 41), 't')) print "Yes
No"; else print "Yes
No"; } else print "Yes
No"; print "
"; if ($display) print "".$db->result($res, 0, 42).""; elseif ($edit) print "result($res, 0, 42)."\">"; else print ""; print "
Other
"; if ($display) print "".$db->result($res, 0, 43).""; elseif ($edit) print "result($res, 0, 43)."\">"; else print ""; print "
"; if ($display) print "".$db->result($res, 0, 44).""; elseif ($edit) print "result($res, 0, 44)."\">"; else print ""; print "
"; if ($display) print "".$db->result($res, 0, 45).""; elseif ($edit) print "result($res, 0, 45)."\">"; else print ""; print "
"; if ($display) { if (strchr ($db->result($res, 0, 46), 't')) print "Yes"; else print "No"; } elseif ($edit) { if (strchr ($db->result($res, 0, 46), 't')) print "Yes
No"; else print "Yes
No"; } else print "Yes
No"; print "
"; if ($display) print "".$db->result($res, 0, 47).""; elseif ($edit) print "result($res, 0, 47)."\">"; else print ""; print "
MEMBERSHIP IN PROFESSIONAL OR CIVIC ORGANIZATIONS
(Exclude those which may disclose your race, color, religion or national origin)
"; if ($display) print "".$db->result($res, 0, 48).""; elseif ($edit) print "result($res, 0, 48)."\">"; else print ""; print "
COMPLETE THIS SECTION IF YOU SERVED IN THE U.S. ARMED FORCES Branch of Service "; if ($display) print "".$db->result($res, 0, 49).""; elseif ($edit) print "result($res, 0, 49)."\">"; else print ""; print "
Describe your duties and any special training
"; if ($display) print "".$db->result($res, 0, 50).""; elseif ($edit) print "result($res, 0, 50)."\">"; else print ""; print "		 Period of Active Duty (Month and Year)
From "; if ($display) print "".$db->result($res, 0, 51).""; elseif ($edit) print "result($res, 0, 51)."\">"; else print ""; print " (MM-YYYY) To \n"; if ($display) print "".$db->result($res, 0, 52).""; elseif ($edit) print "result($res, 0, 52)."\">"; else print ""; print " (MM-YYYY)
Rank at Discharge
"; if ($display) print "".$db->result($res, 0, 53).""; elseif ($edit) print "result($res, 0, 53)."\">"; else print ""; print "
Date of Final Discharge
"; if ($display) print "".$db->result($res, 0, 54).""; elseif ($edit) print "result($res, 0, 54)."\">"; else print ""; print "
\n"; print "

EMPLOYMENT

Please give accurate, complete full-time and part-time employment record. Start with present or most recent employer
1
Company Name
"; if ($display) print "".$db->result($res, 0, 55).""; elseif ($edit) print "result($res, 0, 55)."\">"; else print ""; print "
Address
"; if ($display) print "".$db->result($res, 0, 56).""; elseif ($edit) print "result($res, 0, 56)."\">"; else print ""; print "
Name of Supervisor
"; if ($display) print "".$db->result($res, 0, 57).""; elseif ($edit) print "result($res, 0, 57)."\">"; else print ""; print "
State Job Title and Describe your Work
"; if ($display) print "".$db->result($res, 0, 58).""; elseif ($edit) print "result($res, 0, 58)."\">"; else print ""; print "
Telephone
"; if ($display) print "".$db->result($res, 0, 59).""; elseif ($edit) print "result($res, 0, 59)."\">"; else print ""; print "
Employed (State Month and year)
"; if ($display) print "".$db->result($res, 0, 60).""; elseif ($edit) print "result($res, 0, 60)."\">"; else print ""; print "(MM-YYYY)
"; if ($display) print "".$db->result($res, 0, 61).""; elseif ($edit) print "result($res, 0, 61)."\">"; else print ""; print "(MM-YYYY)
Weekly Pay
Start "; if ($display) print "".$db->result($res, 0, 62).""; elseif ($edit) print "result($res, 0, 62)."\">"; else print ""; print "
Last "; if ($display) print "".$db->result($res, 0, 63).""; elseif ($edit) print "result($res, 0, 63)."\">"; else print ""; print "
Reason for leaving
"; if ($display) print "".$db->result($res, 0, 64).""; elseif ($edit) print "result($res, 0, 64)."\">"; else print ""; print "
2
Company Name
"; if ($display) print "".$db->result($res, 0, 65).""; elseif ($edit) print "result($res, 0, 65)."\">"; else print ""; print "
Address
"; if ($display) print "".$db->result($res, 0, 66).""; elseif ($edit) print "result($res, 0, 66)."\">"; else print ""; print "
Name of Supervisor
"; if ($display) print "".$db->result($res, 0, 67).""; elseif ($edit) print "result($res, 0, 67)."\">"; else print ""; print "
State Job Title and Describe your Work
"; if ($display) print "".$db->result($res, 0, 68).""; elseif ($edit) print "result($res, 0, 68)."\">"; else print ""; print "
Telephone
"; if ($display) print "".$db->result($res, 0, 69).""; elseif ($edit) print "result($res, 0, 69)."\">"; else print ""; print "
Employed (State Month and year)
"; if ($display) print "".$db->result($res, 0, 70).""; elseif ($edit) print "result($res, 0, 70)."\">"; else print ""; print "(MM-YYYY)
"; if ($display) print "".$db->result($res, 0, 71).""; elseif ($edit) print "result($res, 0, 71)."\">"; else print ""; print " (MM-YYYY)
Weekly Pay
Start "; if ($display) print "".$db->result($res, 0, 72).""; elseif ($edit) print "result($res, 0, 72)."\">"; else print ""; print "
Last "; if ($display) print "".$db->result($res, 0, 73).""; elseif ($edit) print "result($res, 0, 73)."\">"; else print ""; print "
Reason for leaving
"; if ($display) print "".$db->result($res, 0, 74).""; elseif ($edit) print "result($res, 0, 74)."\">"; else print ""; print "
3
Company Name
"; if ($display) print "".$db->result($res, 0, 75).""; elseif ($edit) print "result($res, 0, 75)."\">"; else print ""; print "
Address
"; if ($display) print "".$db->result($res, 0, 76).""; elseif ($edit) print "result($res, 0, 76)."\">"; else print ""; print "
Name of Supervisor
"; if ($display) print "".$db->result($res, 0, 77).""; elseif ($edit) print "result($res, 0, 77)."\">"; else print ""; print "
State Job Title and Describe your Work
"; if ($display) print "".$db->result($res, 0, 78).""; elseif ($edit) print "result($res, 0, 78)."\">"; else print ""; print "
Telephone
"; if ($display) print "".$db->result($res, 0, 79).""; elseif ($edit) print "result($res, 0, 79)."\">"; else print ""; print "
Employed (State Month and Year)
"; if ($display) print "".$db->result($res, 0, 80).""; elseif ($edit) print "result($res, 0, 80)."\">"; else print ""; print "(MM-YYYY)
"; if ($display) print "".$db->result($res, 0, 81).""; elseif ($edit) print "result($res, 0, 81)."\">"; else print ""; print " (MM-YYYY)
Weekly Pay
Start "; if ($display) print "".$db->result($res, 0, 82).""; elseif ($edit) print "result($res, 0, 82)."\">"; else print ""; print "
Last "; if ($display) print "".$db->result($res, 0, 83).""; elseif ($edit) print "result($res, 0, 83)."\">"; else print ""; print "
Reason for leaving
"; print "\n"; if ($display) print "".$db->result($res, 0, 84).""; elseif ($edit) print "result($res, 0, 84)."\">"; else print ""; print "
We may contact the employers listed above unless
you indicate those you do not want us to contact.
DO NOT CONTACT
Employer Number(s) "; print "\n"; if ($display) print "".$db->result($res, 0, 85).""; elseif ($edit) print "result($res, 0, 85)."\">"; else print ""; print " Reason "; print "\n"; if ($display) print "".$db->result($res, 0, 86).""; elseif ($edit) print "result($res, 0, 86)."\">"; else print ""; print "
Have you ever been bonded?
"; print "\n"; if ($display) { if (strchr($db->result($res, 0, 87), 't')) print "Yes"; else print "No"; } elseif ($edit) { if (strchr($db->result($res, 0, 87), 't')) print "Yes No"; else print "Yes No"; } else print "Yes No"; print " If Yes, with what employers? "; print "\n"; if ($display) print "".$db->result($res, 0, 88).""; elseif ($edit) print "result($res, 0, 88)."\">"; else print ""; print "
Have you ever been convicted of a crime in the past ten years, excluding misdemeanors and summary offenses, which has not been annulled,
expunged or sealed by a court? "; print "\n"; if ($display) { if (strchr($db->result($res, 0, 89), 't')) print "Yes"; else print "No"; } elseif ($edit) { if (strchr($db->result($res, 0, 89), 't')) print "Yes No"; else print "Yes No"; } else print "Yes No"; print " If Yes, describe in full "; print "\n"; if ($display) print "".$db->result($res, 0, 90).""; elseif ($edit) print "result($res, 0, 90)."\">"; else print ""; print "
State names of relatives and friends working for us other than your spouse. "; print "\n"; if ($display) print "".$db->result($res, 0, 91).""; elseif ($edit) print "result($res, 0, 91)."\">"; else print ""; print "
The information provided in this Application for Employment is true, correct and complete. If employed, any misstatement or omission of fact on this application may result in my dismissal.
I understand that acceptance of an offer of employment does not create a contractual obligation upon the employer to continue to employ me in the future.
If you decide to engage an investigative consumer reporting agency to report on my cr$edit and personal history I authorize you to do so. If a report is obtained, you must provide, at my request, the name of the agency so I may obtain from them the nature and substance of the information contained in the report.
"; if ($display); elseif ($edit) print ""; else print ""; print "
"; if ($display); else print ""; $db->close(); ?>