Follow the steps to successfully complete the application

1. Click ‘Get Form’ button to obtain the application and open it in your preferred editing tool.
2. Begin by entering your personal information in the designated fields. This includes your last name, first name, middle name, street address or P.O. Box, city, state, zip code, primary phone number, and email address. Ensure all information is typed or printed clearly.
3. Provide your current employment information. Fill out your business or firm name, address, city, state, zip code, years employed, and your current position. Indicate whether you are enrolled in a Department of Transportation-approved random drug testing program by selecting 'Yes' or 'No.' If applicable, include documentation from your employer.
4. List your employment history, detailing all previous employers. For each employer, include the business or firm name, address, city, state, zip code, years employed, and position held. Include additional employers as necessary.
5. Answer the background information questions truthfully. Provide explanations for any actions taken against your driver's license or United States Coast Guard Merchant Mariner Credential. Indicate your voter registration status in Louisiana and disclose any convictions. If applicable, provide details regarding dates of conviction, the crime, sentence, and jurisdiction.
6. Document your United States Coast Guard Merchant Mariner Credentials by listing all relevant licenses and endorsements. Be sure to attach copies of your credentials and supporting documentation.
7. Outline your education by listing each degree or diploma earned, including the name and address of the college or university, year earned, and degree obtained. Attach additional sheets as necessary for all documentation.
8. Complete the acknowledgment section by confirming that you have read and answered all questions completely and truthfully. Initial each statement to acknowledge your understanding and responsibility regarding the application and its requirements.
9. Sign and date the application. Ensure the application is notarized, and a notary public signature and seal are included.
10. Submit the completed application in person to a member of the Board of Examiners, along with all required documentation. Keep a copy for your records. You may save changes, download, or print the form as needed.

Start completing your LA NOBRA Examiners Application online today.