Apply for Communications/311 Supervisor

Please fill out the form below and click Submit to submit your application for consideration. Fields with an asterisk (*) are required.
Please review the description of our Boards and Commissions before completing your application: https://www.lafayettela.gov/boards-and-commissions

Summary
Title:Communications/311 Supervisor
ID:1317
Location:Lafayette, LA
Department:CAO
Salary Range:HOURLY $24.28-$30.35/DOE
Contact Information
* First Name:
* Last Name:
* Address 1:
Address 2:
* City:
* State:
* Zip:
* Phone:
* Email:
* Social Security Number:
Opt-In Confirmation
I authorize recruiters from Lafayette Consolidated Government to send text messages from 8556300596 with requests for additional information in relation to this job application only. Message/data rates apply. Message frequency varies.
Attachments
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* Social Security Card:
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DD214:
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Include only if claiming Veterans Preference
Lafayette Consolidated Government Application
PERSONAL INFORMATION
Yes   No
Yes   No
Yes   No
MILITARY SERVICE

Five points shall be added to the scores of applicants who have provided proof of service in the armed forces of the United States under honorable conditions, provided a passing score has been obtained.

* Were you ever in the military?
Yes   No
* Are you claiming Veteran’s Preference?
Yes   No
If no to the above question, please skip to the next section.
If yes, what branch?
Start Date:
End Date:
Honorable Discharge?
Yes   No
If anything other than Honorable Discharge in the last 7 years, please explain:

EDUCATION

Give record of all High Schools, Colleges, Universities and Vocational/Technical Schools you have attended.

School 1

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*
*
Yes   No
*
*

School 2

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School 3

Yes   No

School 4

Yes   No

School 5

Yes   No
Further Training and Education

Training or Certifications that have a direct bearing on the job you are seeking

EMPLOYMENT HISTORY

Begin with your present or latest position and work backwards. Account for all periods of employment or unemployment. GIVE YOUR DUTIES AND RESPONSIBILITIES IN SUCH DETAIL AS TO MAKE YOUR QUALIFICATIONS CLEAR.

Employer 1

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*
*
*
*
*

Employer 2

Employer 3

Employer 4

Employer 5
REFERENCES

List three persons (do not list relatives or people who have worked for you) who have definite knowledge of your qualifications and fitness for the position for which you are applying.

Reference 1

Reference 2

Reference 3
PROSPECTIVE EMPLOYEE DISCLOSURE FORM REGARDING NEPOTISM

Statement of Purpose: In certain circumstances, the Louisiana Ethics Code, particularly La.R.S 42:1119, prohibits LCG from hiring the immediate family members1 of its agency heads, governing authority members (City and Parish Councils), and/or members of its boards and commissions. An affirmative response on this form does not automatically disqualify you from employment with LCG. Rather, completion of this form is a safeguard designed to aid you and LCG in complying with La. R.S. 42:1119.

Please review the Lafayette City-Parish Consolidated Government Boards and Commissions Summary:
Lafayette City-Parish Consolidated Government Boards and Commissions Summary

Yes   No
Is any member of your immediate family (see footnote 1) currently employed by the City of Lafayette, the Parish of Lafayette, and/or the Lafayette Consolidated Government, or does any member of your immediate family serve in an appointed or elected position for the City of Lafayette, the Parish of Lafayette, and/or the Lafayette Consolidated Government, including but not limited to any LCG boards or commissions on the linked document?
*
Yes   No

If YES, provide the following:

1 "Immediate Family" includes your children, spouses of your children (daughters-in-law and sons-in law), your brothers and sisters, the spouses of your brothers and sisters (brothers-in-law and sisters-in-law), your parents, your spouses, and the parents of your spouse (mother-in-law and father-in-law).

AUTHORIZATION

I certify that all statements made in this application are true, complete and correct to the best of my knowledge. I realize that any misrepresentation herein may cause my application to be rejected, my name removed from the employment list, or I may be subject to dismissal from the employment of the Lafayette Consolidated Government.

The LAFAYETTE CONSOLIDATED GOVERNMENT has a policy prohibiting the possession, distribution, use, consumption, or being under the influence of, alcohol or illegal or unauthorized, controlled substances, in order to provide a safe and healthful environment for employees, visitors, and members of the general public. Therefore, those applicants selected for employment with the LAFAYETTE CONSOLIDATED GOVERNMENT will be required to submit to a urine drug screen test and shall be dropped from consideration of employment if the testing results indicate a detectable amount of illegal or unauthorized substances.

Individuals who have been disqualified due to positive test results shall be ineligible to reapply for work with the LAFAYETTE CONSOLIDATED GOVERNMENT for a period of seven years after having been dropped from consideration. Upon reapplication, those applicants must show proof of their completion of a reasonable drug and alcohol treatment or counseling program

Discrimination because of race, color, religion, national origin, age or sex is prohibited and you may notify the EEOC, the FCC, or other appropriate agency if you believe you have been discriminated against.

Equal Opportunity Employment
We are an Equal Opportunity employer and do not discriminate on the basis of race, ancestry, color, religion, sex, age, marital status, sexual orientation, national origin, medical condition, disability, veteran status, or any other basis protected by law.

The information provided will be used for research, reporting, statistical purposes and to monitor legal compliance. To help us comply with these government requirements, please complete the following information.

Completion of this form is voluntary and will not affect your opportunity for employment or terms or conditions of employment if hired. We appreciate your cooperation.
Gender:
Female
Male
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Race/Ethnicity:
American Indian or Alaska Native (Not Hispanic or Latino)
A person having origins in any of the original peoples of North America and South America (including Central America), and who maintains tribal affiliation or community attachment
Black or African American (Not Hispanic or Latino)
A person having origins in any of the Black racial groups of Africa
Hispanic or Latino
A person of Cuban, Mexican, Puerto Rican, Central or South American, or other Spanish culture or origin, regardless of race
Asian (Not Hispanic or Latino)
A person having origins in any of the original peoples of the Far East, Southeast Asia, or the Indian subcontinent including, for example, Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the Philippine Islands, Thailand, and Vietnam
White (Not Hispanic or Latino)
A person having origins in any of the original peoples of Europe, North Africa, or the Middle East
Native Hawaiian or Other Pacific Islander (Not Hispanic or Latino)
A person having origins in any of the original peoples of Hawaii, Guam, Samoa, or other Pacific Islands
Two or More Races (Not Hispanic or Latino)
All persons who identify with more than one of the above races
I Choose Not to Respond

I agree that this form may be electronically signed and agree that my typed signature is the same as a handwritten signature for the purposes of validity, enforceability, and admissibility.
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