Vermilion Parish Police Jury - Job Application Form
We consider applications for all positions without regard to race, color, religion, creed, gender, national origin, age, disability, sexual orientation, citizenship status, genetic information, or any other legally protected status.

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Email *
Which position(s) are you interested in? *
Date of Application *
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DD
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YYYY
Name *
Last Name, First Name Middle Initial
Email *
If you do not have one, type n/a.
Phone number *
Phone type *
Required
Address *
Number and city, state, zip code
Date of Birth *
MM
/
DD
/
YYYY
Social Security Number
Used to determine employment eligibility and verify identity (voluntary, but helps expedite the process)
Driver's License Number
Used to determine employment eligibility and verify identity (required)
Driver's License Expiration
Used to determine employment eligibility and verify identity (required)
MM
/
DD
/
YYYY
Driver's License State
Used to determine employment eligibility and verify identity (voluntary, but helps expedite the process)
How did you learn about us? *
Check all that apply.
Required
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