Application for Employment

Thank you for your interest in employment with TLC Associates, Las Cruces. Please fill out the application below as completely as possible. We will be in touch with you as soon as we have had an opportunity to evaluate your qualifications.
Application for Employment

If you would like to be considered for employment, please fill out the application below. We will be in touch once we have your completed application on file.
Full Name*

First Name Middle Name Last Name
E-mail*
Primary Phone Number*

Area Code Phone Number
Available Start Date*

Month Day Year
Address*

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Please Attach Your Cover Letter Here:

Browse Files

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Please Attach Your Resume Here:

Browse Files

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Employment History

Please provide information on your most recent employer. If you have no employment history, simply enter "not applicable".
Title
Company Name
City, State
Start Date of Employment (month and year)
Last Date of Employment (month and year)
Reason for leaving
May we contact this employer?

YESNO
Second Most Recent Employer (NOTE: If you do not have any other employers to list, you may skip this page.)
Title
Company Name
City, State
Start Date of Employment (month and year)
Last Date of Employment (month and year)
Reason for leaving
May we contact this employer?

YESNO
Next Most Recent Employer: (NOTE: If you do not have any other employers to list, you may skip this page.)
Title
Company Name
City, State
Start Date of Employment (month and year)
Last Date of Employment (month and year)
Reason for leaving
May we contact this employer?

YESNO

Candidate Screening

Please answer the following screening information:
Are you looking for Full or Part-time employment? *

Full-timePart-time
Are you 18 years of age or older?*

YESNO
Have you ever been employed at TLCA, either as a permanent employee or on a temporary basis through a staffing agency?*

YESNO
If you are not a US citizen, does your visa or immigration status permit lawful employment?*

YESNO
Please list the highest level of education that you have completed and/or any military experience.*

Please select your Referral Source:
Please select your referral source

Facebook Job AdInstagram Job AdOnline AdTLCA WebsiteIndeedCurrent Employee Referral
If Current Employee Referral :
Please Spell Out Full Name & position

Sign and Date
IMPORTANT:PLEASE READ THE FOLLOWING AND SIGN/DATE

It is understood and agreed upon that any misrepresentation by me in the application or subsequent interview process will be sufficient cause for cancellation of this application and/or separation from the employer's services if I have been employed. Furthermore, the electronic signature below authorizes the employer to conduct background checks related to any arrests or convictions that are a matter of public record. I give the employer the right to investigate all references and to secure additional job related information about me. I hereby release from any liability the employer and its representatives to seek such information and all other persons, corporations or organizations for furnishing such information.

TLC & Associates is an Equal Opportunity Employer, and as such does not discriminate in employment and no question on this application is used for the purpose of limiting or excusing any applicant's consideration for employment on any basis prohibited by local, state, or federal law.

By indicating "yes" below, I acknowledge that I accept and agree to the terms of the employment statement above.
I accept and agree to the terms of the employment statement above:*
Full Name (Note: this will serve as your electronic signature) *
Please date your application. (Note: application date must be entered to be considered valid.)*

MonthDay Year
Date
Please verify *
Should be Empty: