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APPLICATION FOR EMPLOYMENT
Living in Family Environments, Inc.
Living in Family Environments, Inc. is an Equal Opportunity Employer
All sections/blanks on the
application must be completed.
QUALIFICATIONS FOR APPLICATION
* If you have answered "No" to any of the above
you do not meet the minimum
qualifications for this job.
Please check the boxes below to indicate your
availability for work on that day/time.
Leave non-available days/times unchecked.
How many hours per week would you like to work?
(e.g. 8 hours)
Would you prefer a smoking or non-smoking home?
Please complete all applicable fields.
Leave non-applicable fields blank.
Are you currently attending school?
SPECIAL SKILLS &
Summarize special job-related skills and
qualifications acquired from employment or other
LIST PROFESSIONAL, TRADE,
BUSINESS, OR CIVIC ACTIVITIES AND OFFICES HELD.
ALSO LIST ALL VOLUNTARY TIME
You may exclude memberships which would reveal sex,
race, religion, national origin, ancestry, handicap, or
other protected status.
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
Please give complete full-time and part-time
employment record. Start with your present or most
recent employer. Please explain any gaps in
I confirm that information provided on
this Application for Employment is true, correct, and
complete. If employed, any misstatement or
omission of fact on this application may result in my
I understand that terms of my employment
will be based on a positive background check and
fingerprinting results from the Bureau of Criminal
Investigation and Identification, reference checks, and
driver safety records.
(hint: this is what
you are applying to do)
© 2006 L.I.F.E., Inc. - Living In Family Environments, Inc. -
Columbus, Ohio -
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