JOIN OUR TEAM

To become a member of the growing Lafayette Group team, please complete the application below.

All information will be treated confidentially, with access limited to authorized company personnel only.

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First Name *
Last Name *
Middle Initial
Previous Name
Home Street *
Home City *
Home State/ Province *
Home Zip *
Home Phone *
Cell Phone
Work Phone
Email Address *
Are you a U.S. citizen? *
If no, are you authorized to work in the U.S.? *
Have you ever worked for this company? *
If yes, when?
Have you ever been convicted of a felony? *
If yes, explain:
Are you at least 18 years old?
Have you ever been granted a security clearance? *
If yes, please explain
Have you ever been denied a security clearance, or had one revoked or suspended? *
If yes, please explain:
Have you ever been a member of the U.S. Armed Services? *
If yes, please identify type of discharge or release:
Position Applied for: *
Date Available *
Desired Salary *
Attach Resume *
Attach Cover Letter *
Professional Reference 1 Name: *
Professional Reference 1 Company: *
Professional Reference 1 Relationship: *
Professional Reference 1 Address: *
Professional Reference 1 Phone: *
Professional Reference 2 Name: *
Professional Reference 2 Company: *
Professional Reference 2 Relationship: *
Professional Reference 2 Address: *
Professional Reference 2 Phone: *
Professional Reference 3 Name: *
Professional Reference 3 Company: *
Professional Reference 3 Relationship: *
Professional Reference 3 Address: *
Professional Reference 3 Phone: *
I certify that my answers are true and complete to the best of my knowledge. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my termination. Please sign and date. *
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