We are actively looking for talented people to join the Diaz Inc. team. We have Convenience Store Managers, Assistant Managers and Cashier positions available.

If you would like to join our team, please download an application and fax the completed form to 504-832-4389 or come visit our location at 5900 W. Metairie Ave Metairie, LA 70003 to fill out an application in person.

Date of Application:    

Personal

Last Name (required)

First Name (required)

Middle Name (required)

Email (required)

Home Street Address

Phone

City

State

Zip

How long there? (Length of time at present address)

If hired, can you submit proof of legal right to work in the United States
YesNo

Have you ever committed or been convicted of a crime other than a minor traffic violation?
YesNo

(Commission or conviction of a crime is not an automatic bar to employment. All circumstances will be considered.)
If so, give date(s) and details:

Position Desired

Position Applied For:

Location:

Type of employment desired:
Full TimePart Time

Are you willing to work overtime
YesNo

Are you willing to work shifts
YesNo

Are you willing to work weekends
YesNo

Employment

Have you ever worked for the Company?
YesNo
lf so, when:

Have you ever applied with this Company?
YesNo
lf so, when:

Are you presently employed?
YesNo

May we contact your present employer?
YesNo

U.S. MILITARY SERVICE

Are you a member of National or State Guard or Active Reserve
YesNo

Present Classification

Branch - Date of Service - Rank when Entering - Rank when Discharged

Kind of Training

LIST ANY RELATIVES OR FRIENDS EMPLOYED BY THE COMPANY:

Name - Relationship - Where(City) Employed

WORK HISTORY

(List employment history for at least the last three jobs held, beginning with present or most recent employer.)

Company Name

Dates of Employment

Address

Job Title

Supervisor

Supervisor Phone;

Reason for Leaving

Give reason for and length of inactivity between above job and below (if applicable).


Company Name

Dates of Employment

Address

Last Position Held

Supervisor

Supervisor Phone;

Reason for Leaving

Give reason for and length of inactivity between above job and below (if applicable).


Company Name

Dates of Employment

Address

Last Position Held

Supervisor

Supervisor Phone;

Reason for Leaving

Give reason for and length of inactivity between above job and below (if applicable).

EDUCATION

High School:

College:

Number of Years:

Other Trade or Vocational Courses:

REFERENCES

Name

Phone Number

Position

Address


Name

Phone Number

Position

Address


Name

Phone Number

Position

Address


AGREEMENT

Read Carefully
l, the undersigned, agree to the following: (1) That all information supplied in this application and any attached resume is true and correct and that any false or misleading information furnished by me regarding my application will be sufficient cause for reject¡on of this application or immediate dismissal if employed by DIM lnc., herein called the "Company;" (2) That, if such is required, I will take a drug/alcohol screen test during the application process or during employment if hired, and, if required, will submit to a physical examination after a conditional offer of employment, if one is made, or during employment if hired and will permit the results to be released to the Company and to release all persons and companies from any liability arising out of such examination or testing; (3) That if hired, I agree to abide by and observe all Company rules and regulations and agree that my employment is at-will and can be terminated with or without cause and with or without notice at any time at either the option of the Company or the employee and that these terms can only be modified by the President of the Company, in writing, provided that such writing specifically acknowledges that it is a modification of this agreement and is signed by the President; (4) That if hired, I may be on a ninety (90) day introductory period during which time I may be discharged without recourse; and (5) That the use of this application form does not indicate there are any positions open and does not in any way obligate the Company or it's associated Companies.

RELEASE

I, the undersigned, authorize to be released to DIAZ, lnc. all information concerning my military service, former employment, and/or criminal convictions
prior to my employment with the Company or in the future if I am employed by the Company.

I Understand

Download Application