Application

The information contained on this authorization is correct to the best of my knowledge. Please sign this form in the space provided below. Your written authorization is necessary for completion of the application process. I hereby authorize Broussard’s to investigate my background and qualifications for purposes of evaluating whether I am qualified for the position for which I am applying. I understand that Broussard’s will utilize an outside firm to assist it in checking such information, and I specifically authorize such an investigation by information services and outside entities of the company's choice. Broussard's and its designated agents and representatives shall maintain all information received from this authorization in a confidential manner in order to protect the applicant’s personal information, including, but not limited to, addresses, social security numbers, and dates of birth. I also understand that I may withhold my permission and that in such a case, no investigation will be done, and my application for employment will not be processed further.