Merit

orporation
EMPLOYMENT APPLICATION

Complete the application online from the FBLA-PBL Web site. Use the tab key to move through the document.

GENERAL INFORMATION
Name (Last)
Louangkhoth

(First)

Address (Mailing Address)

(City)

(Middle
Initial)

Anousone

2811 lafayette Pkwy

(Stat
e
)

Opelika

E-mail Address

(Zip)

Home Telephone

(N/A) -

Cell Phone

(334) 498 - 4795

36801

slouangkhoth@gmail.com

POSITION
Will Accept:
Part-Time

Position or Type of Employment Desired

Cashier
Have you ever been employed at the Merit Corporation before?

Yes

Full-Time

No

Are you able to perform the essential functions of the job you are applying
for, with or without reasonable accommodation?
Yes
No

Date Available Wednesday

Salary Desired

10.00

EDUCATION AND TRAINING

School or
Institution
High School

Name and Address of School

Opelika High School 1700 Lafayette
Pkwy, Opelika, AL 36801

Major

Year
Graduate
d

Degree

High School Diploma

2018

College
College
Other
Special Abilities and Skills
Great in math, great communication skills, and great
working in groups

Extracurricular Activities

Present Community and Professional

Affiliations

Soccer and Disc Golf

High School
Diploma

Professional Certificates or Licenses Held

Digital Literacy And Responsibility, BB&T Financial
Foundations Program, and NEFE High School
Financial Planning Program

Languages Read, Written or Spoken Fluently Other Than English

N/A

REFERENCES
List below names and addresses of persons who are qualified to answer questions concerning your fitness for the
position(s) you seek other than those listed in your credential file.

Name
Derek Hovell

Position
Teacher/Coach

Address
1700 Lafayette Parkway, Opelika, AL 36801

AN EQUAL OPPORTUNITY EMPLOYER

Telephone
(334) 745-9715

Kendra Buchannon

Teacher

1700 Lafayette Parkway, Opelika, AL 36801

(334) 745-9715

Teacher

1700 Lafayette Parkway, Opelika, AL 36801

(334) 745-971f

Betsy Gore

WORK EXPERIENCEMost recent first, include voluntary work and military experience
Employer N/A
Address

Telephone Number () -
Number Employees Supervised

Job Title
Specific Duties (Maximum 350 characters)

From (Month/Year)

To (Month/Year)

Hours Per Week

Last Salary

Reason For Leaving

Employer
Address
Job Title
Specific Duties (Maximum 350 characters)

Supervisor

May We Contact This Employer?

Yes
No
Telephone Number () -
From (Month/Year)

Number Employees Supervised

To (Month/Year)

Hours Per Week

Last Salary

Reason For Leaving

Employer
Address
Job Title
Specific Duties (Maximum 350 characters)

Supervisor

May We Contact This Employer?

Yes
No
Telephone Number () -
From (Month/Year)

Number Employees Supervised

To (Month/Year)

Hours Per Week

Last Salary

Reason For Leaving

Supervisor

May We Contact This Employer?

No

Yes

I certify the information contained in this application is true, correct, and complete. I understand that, if
employed, false statements reported on this application may be considered sufficient cause for dismissal.

Signature of Applicant_________________________________________________________ Date________________

AN EQUAL OPPORTUNITY EMPLOYER