LRAA Employment Application

Please take time to complete the employment application below. If you are unable to complete this application due to a disability, contact the LRAA HR office to ask for an accommodation or an alternative application process.

First Name

Middle Name

Last Name

Last four (4) of your SSN

Application Date

mm/dd/yyyy

Mobile Number

Current Mailing Address

How long have you resided at the current address?

In case of an accident or emergency, who should we notify? (Name, phone number, address, and relationship)

Please upload your current resume for review and consideration.

Drop your files here

Position Apply for:

Please select below the position you are interested in.

What are your salary/hourly expectations?

Have you worked for the LRAA before?

Do you have any relatives working for the LRAA?

General Information

Are you legally eligible for employment in the United States?

Proof of U.S. Citizenship or immigration will be required upon employment.

Have you ever been convicted of a felony?

Conviction of a felony will not necessarily disqualify you for employment.

Are you on Layoff, subject to recall?

If hired, when could you start work?

Have you ever been terminated or asked to resign in lieu of discipline?

Skills - Office, Clerical, Administrative, and Machinery

Typing Speed

What experience do you have with computer applications?

List other office machines you can operate:

List any equipment, tools, machines, etc. you can operate/maintain:

Employment History

Begin with your current employer; please list 10 years of employment history.

Are you currently employed?

Name and Address of Employer (1)

Name and Address of Employer (2)

Name and Address of Employer (3)

If you do not have a third employer, please enter NA.

Name and Address of Employer (4)

If you do not have a fourth employer, please enter NA.

May we contact your current employer?

Were you in the U.S. Military Service?

Education

Please add all levels of education completed

High School Name

Years Completed - Select all that apply

Degree/Diploma Awarded

Undergraduate Institution

College/University/Vocational/Technical

If you did not attend an undergraduate program, type NA.

Graduate Institution

If you did not attend a graduate program, type NA.

Licenses, Certifications, or Accreditations

Please list any current licenses, certificates, or accreditations you may have that would pertain to the position for which you are applying.

** Please list the license or certification number, date issued, and name of licensing agency.

References

Please list the name and phone number of three business/work references who are not related to you and not previous supervisors. If no prior work experience, list three school or personal references who are not related to you.

Ex: Name, Phone Number, Years Known

How did you learn of this position with the LRAA?

EEO-1 Voluntary Self Identification Form

The Equal Employment Opportunity Commission (EEOC) requires all private employers with 100 or more employees as well as federal contractors and first-tier subcontractors with 50 or more employees AND contracts of at least $50,000 complete an EEO-1 report each year. Covered employers must invite employees to self-identify gender and race for this report.

Completion of this form is voluntary and will not affect your opportunity for employment, or the terms or conditions of your employment. This form will be used for EEO-1 reporting purposes only and will be kept separate from all other personnel records only accessed by the Human Resources department. Please complete the questionnaire below.

If you choose not to self-identify your race/ethnicity at this time, the federal government requires Louisville Regional Airport Authority to determine this information by visual survey and/or other available information.

Do you choose to self-identify?

This company is also subject to the Vietnam Era Veterans' Readjustment Assistance Act of 1974, as amended by the Jobs for Veterans Act of 2002, 38 U.S.C. 4212 (VEVRAA), which requires Government contractors to take affirmative action to employ and advance in employment veterans in the following classifications:

A “disabled veteran” is one of the following:
a veteran of the U.S. military, ground, naval or air service who is entitled to compensation (or who but for the receipt of military retired pay would be entitled to compensation) under laws administered by the Secretary of Veterans Affairs; or
a person who was discharged or released from active duty because of a service-connected disability.
A “recently separated veteran” means any veteran during the three-year period beginning on the date of such veteran's discharge or release from active duty in the U.S. military, ground, naval, or air service.
An “active duty wartime or campaign badge veteran” means a veteran who served on active duty in the U.S. military, ground, naval or air service during a war, or in a campaign or expedition for which a campaign badge has been authorized under the laws administered by the Department of Defense.
An “Armed forces service medal veteran” means a veteran who, while serving on active duty in the U.S. military, ground, naval or air service, participated in a United States military operation for which an Armed Forces service medal was awarded pursuant to Executive Order 12985.

VEVRAA

If you believe you belong to any of the categories of protected veterans listed above, please indicate by checking the appropriate box below. As a Government contractor subject to VEVRAA, we request this information in order to measure the effectiveness of the outreach and positive recruitment efforts we undertake pursuant to VEVRAA.

I IDENTIFY AS ONE OR MORE OF THE CLASSIFICATIONS OF PROTECTED VETERAN LISTED ABOVE

I AM NOT A PROTECTED VETERAN

I CHOOSE NOT TO SELF-IDENTIFY

Acknowledgment

(Read carefully before signing)

It is understood and agreed that any misrepresentation by me in this application will be sufficient cause for cancellation of this application and/or separation from the employer’s service if I have been employed. Under the Employment at Will rule, employees and employers both retain their right to terminate the employment relationship at any time, for any reason, without incurring legal liability to the other. Accordingly, all employees of the LRAA are employed on a Terminable at Will basis.

I specifically authorize and direct any and all departments, employers or agencies of government, whether private, federal, state or local, including any and all law enforcement agencies, to accept this, or a photostat reproduction thereof, as my authorization to release information to the Louisville Regional Airport Authority or its agent or designees, information concerning me, including, but not limited to records of my arrest or detention, military personnel records, records of licensure or registration and any and all applications, background reports, or regulatory files kept or received in connection with such licensure or registration, or any other information pertaining to me as though such information were being released to me.

I understand that investigation of me may touch upon, or include requests for information concerning my character, credit, personal habits and associates now, or in the past. I further understand that information about me may be reviewed, re-evaluated or updated from time to time.

This application is current for 1 year. Any applicant wishing to be considered for employment beyond this time period should contact Human Resources.

Public Law 100-690, the Drug-Free Workplace Act of 1988 requires the Airport Authority to provide and maintain a drug-free workplace. I understand that a physical examination, including a pre-employment drug test, will be required after an offer of employment is made. Any offer of employment is contingent upon a successful physical and drug test.

I acknowledge the employment statement

Yes

Driver's License Number and State Issued

Digital Signature

By typing my name below, I understand that I am signing this document electronically. I agree that my electronic signature is the legal equivalent of my handwritten signature on this document. By selecting yes on the employee acknowledgement statement and signing my name using any device means or action, I verify that the information on this document is true and agree with its terms. I also confirm that I am the individual signing this application, or that I have the legal authorization to do so on behalf of the applicant. If I am signing on behalf of the applicant, I will list my name after the applicants name below.

We are an Equal Opportunity Employer

Applicants for all positions are considered without regard to race, color, sex, religion, national origin, age, marital status, veteran status, disability or any other legally protected status.

Thank you for your interest in employment opportunities with the Louisville Regional Airport Authority.

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