Employment | Life-Inc

On this Application for Employment, you will be asked to complete information including:

Personal Contact Information and Current Employment
Education, Skills, Qualifications, and Additional Activities or Offices
References & Employment History
Criminal and Driving Record
- Please click here for a list of disqualifying offenses.
Background Check Authorization

Alternatively, you can fill out and print a paper application here.

Step 1 of 5

REFERENCES
Give name and telephone number of four references. One may be related to you and the remaining three should have credentials, licenses, or be community leaders such as teachers, coaches, religious leaders, or club leaders.
Name
Title/Relation
Telephone Number
Name
Title/Relation
Telephone Number
Name
Title/Relation
Telephone Number
EMPLOYMENT HISTORY
Please give complete full-time and part-time employment record. Start with your present or most recent employer. Please explain any gaps in employment
Employed Employed From
MM slash DD slash YYYY
Employed To
MM slash DD slash YYYY
Job Title
Starting Pay
Ending Pay
Company Name
Supervisor Name
Supervisor Phone
Address
Street Address Address Line 2 City State ZIP Code
Describe Your Work
Reason for Leaving
Employed From
MM slash DD slash YYYY
Employed To
MM slash DD slash YYYY
Job Title
Starting Pay
Ending Pay
Company Name
Supervisor Name
Supervisor Phone
Address
Street Address Address Line 2 City State ZIP Code
Describe Your Work
Reason for Leaving
Employed From
MM slash DD slash YYYY
Employed To
MM slash DD slash YYYY
Job Title
Starting Pay
Ending Pay
Company Name
Supervisor Name
Supervisor Phone
Address
Street Address Address Line 2 City State ZIP Code
Describe Your Work
Reason for Leaving
Employed From
MM slash DD slash YYYY
Employed To
MM slash DD slash YYYY
Job Title
Starting Pay
Ending Pay
Company Name
Supervisor Name
Supervisor Phone
Address
Street Address Address Line 2 City State ZIP Code
Describe Your Work
Reason for Leaving
Employed From
MM slash DD slash YYYY
Employed To
MM slash DD slash YYYY
Job Title
Starting Pay
Ending Pay
Company Name
Supervisor Name
Supervisor Phone
Address
Street Address Address Line 2 City State ZIP Code
Describe Your Work
Reason for Leaving

Step 1 of 5

Living in Family Environments, Inc. is an Equal Opportunity Employer

MINIMUM QUALIFICATIONS FOR APPLICATION

PERSONAL INFORMATION

AVAILABILITY SCHEDULE

EDUCATIONAL INFORMATION

High School

Business, Trade, or Technical

College

Post-Graduate

SPECIAL SKILLS & QUALIFICATIONS

LIST PROFESSIONAL, TRADE, BUSINESS, OR CIVIC ACTIVITIES AND OFFICES HELD. ALSO LIST ALL VOLUNTARY TIME

REFERENCES

EMPLOYMENT HISTORY

CRIMINAL AND DRIVING RECORD

STATEMENT OF AUTHENTICITY

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