LifeWorks Community Services                Application for Employment
The job description for the job/position for which I am applying has been given to me or explained sufficiently. I understand the qualifications and essential functions of this job/position. I also understand all of the requirements that are necessary to perform this job/position in a safe and satisfactory manner.
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Date of Application
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DD
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YYYY
Where do you prefer to work
What position/job are you interested in
Full Legal Name *
Address, City, State, Zip *
Telephone Number, Email Address *
Please list any other names you can be identified by related to school or employment to verify the information on this application:
Have you ever filled out an application with LifeWorks Before?  *
Have you ever been employed by LifeWorks Before? *
Are you currently employed? *
Do you know anyone who works at LifeWorks?  If yes, please list here.
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On what date would you be available to work?
MM
/
DD
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YYYY
Are you available to work:
When are you able to work? *
Required
Are you currently on a "lay off" status subject to recall?
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