Work at LIF

Here at LIF Inc, you will be working directly with kids on a daily basis. Our staff will uphold to the standards, responsibilities, functions and qualifications of the state requirements. As a team our staff will assure hard work and dedication to making a difference in the young men’s lives. Your contribution and influence has an enormous impact on our residents. Apply below to become apart of our staff!

Application for Employment

Employment Desired

Position

Date You Can Start

Salary Desired

Type of Employment

Are you currently employed (Y / N) YesNo

May we contact your current employer (Y / N) YesNo

Have you ever applied to this company before? (Y / N) YesNo

When?


Personal Information

First Name

Last Name

Middle Initial

Date of Birth

Address

City

State

Zip

Phone

Email

Referred by

Education

High School Attended & Location

Number of Years Completed

Did you graduate (Y / N) YesNo

College attended and location

Number of Years Completed

Did you graduate (Y / N) YesNo

Trade, Business or Correspondence School Attended & Location

No of Years Completed

Did you graduate (Y / N) YesNo


General Information

Special Courses or Training
Experience / Skills related to the position for which you are applying

Employment History

Name of Employer (1)
Address
City
State
Zip
Phone
Type of Business
Department
Your Position
Duties
Name and Position of Immediate Supervisor
Date Employed (Day, Month, Year)
Are You Currently Employed (Y / N) YesNo
Date Left (Day, Month, Year)
Starting Salary
Final Salary
Reason for Leaving

Name of Employer (2)
Address
City
State
Zip
Phone
Type of Business
Department
Your Position
Duties
Name and Position of Immediate Supervisor
Date Employed (Day, Month, Year)
Date Left (Day, Month, Year)
Starting Salary
Final Salary
Reason for Leaving

Have you been convicted of a felony within the past 5 years? (Y/N) YesNo
If yes, explain (will not necessarily exclude you from consideration)

References

Reference 1
Relationship to you
Phone Number

Reference 2
Relationship to you
Phone Number

Reference 3
Relationship to you
Phone Number

Sign & Date

We are an equal opportunity employer, dedicated to a policy of nondiscrimination in employment on any basis including race, color, age, sex religion, disability or national origin. Any applicant who is offered a position must submit to a drug test. All offers of employment are contingent upon passing a pre-employment drug test. Any applicant who refuses testing is ineligible for employment.

I certify that the information provided is true and correct to the best of my knowledge and understand that if employed, falsified statements on this application shall be grounds for dismissal.

Date
Signed