APPLICATION FOR EMPLOYMENT
Creative Living Services is an Equal Opportunity Employer dedicated to non-discrimination in employment.
Please answer the following questions: (Incomplete applications will not be considered)
Are you at least 18 years of age?
Have you ever been convicted of a felony?
Can you show proof of authorization to work in the US?
Are you willing to consent to a Criminal Background Check?
Have you ever applied to or worked at one of our companies before?
(Freedom Life Residential, New Wayz Residential and/or Creative Living Services)
Are you a licensed driver with a car available?
Do you obtain a High School Diploma/GED?
*Employees are required to submit a Criminal Background Check. A record of convictions and/or charges of violent crimes may result in rejection of employment*
Personal Information
Employment Desired
Employment History
All of this information is required
Education/Trainings
High School
College/University
Vocational/Business
**The following questions must be answered, If you do not answer your application will be rejected**
Do you have a CPR Certificate?
Do you have a First Aid Certificate?
Oral and Topical Administration?
Have you completed any other form of training? (Please provide in the space provided)
Tell us why you qualify for this position
Position Desired
Type of Employment/Shift applying for?
How did you hear about the position?
Most positions at Creative Living Services require employees to work weekends and holidays.
Are you available during these times?
What days are you available?
I certify that all answers given herein are true and complete to the best of my knowledge. I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision. I understand that if any information contained on this application is found to be fraudulent or intentionally misleading, my application for employment shall be void, and I shall be disqualified from employment eligibility. I further understand that any offer of employment is contingent upon successful completion of a BCI/FBI Background check and instant database and/or registry screenings.
I authorize Creative Living Services to thoroughly investigate my references, work record, education and other matters related to my suitability for employment. In addition, I release Creative Living Services my former employers and all other persons, corporations, partnerships and associations from any and all claims, demands or liabilities arising out of or in any way related to such investigation or disclosure.
I understand that nothing contained in the application or conveyed during any interview constitutes a guarantee or contract of employment between Creative Living Services and myself. In addition, I understand and agree that if I am employed, my employment is at will, and may be terminated at any time, with or without prior notice, at the option of either myself or Creative Living Services.
With my electronic signature, I attest I have provided full and accurate information, and have read, understand and agree to the above terms.
Name:
Email Address
First Name
Middle Initial
Last Name
Birthdate
Address
City, State, Zip
Phone Number
Additional Phone Number
Position*
Current/Ending Salary*
Employment Dates (From/To)*
Company Name*
Telephone Number*
Hours Worked per Week*
Address*
City, State, Zip*
Supervisor's Full Name*
Supervisor's Direct Number*
Reason for Leaving*
Job Description*
Position
Current/Ending Salary
Employment Dates (From/To)
Company Name
Telephone Number
Hours Worked per Week
Address
City, State, Zip
Supervisor's Full Name
Supervisor's Direct Number
Job Description
Reason for Leaving
Position
Current/Ending Salary
Employment Dates (From/To)
Hours Worked per Week
Telephone Number
City, State, Zip
Supervisor's Direct Number
Company Name
Address
Supervisor's Full Name
Job Description
Reason for Leaving
Drivers License/State Id #
*GED/Diploma
School Name
City, State
Completed
Degree/Diploma
List in order of most recent
Creative Living Services
Date Available to Start
Best Time to Contact
Authorization/Signature
Date:
