Employment Application Form

Life Recaptured Inc. Employment Application

Fill-in the form below indicating your qualifications for the position.
Name:*

First NameLast Name
Birth Date*

MonthDayYear
Phone Number:*
E-mail Address:*
example@example.com
Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
How were you referred to us?*

Walk-InFacebookEmployeeInstagram PostOther (please specify)
Other:
Title of Position Applying for:*
Desired position
Upload Resume:

Cancelof
Job Skills & Training
Describe your skills:*
Training or Certifications:
References

Please list two (2) references that are familiar with your work life.
Reference 1
Name:*

First NameLast Name
Phone Number*
Reference Email*
example@example.com
Years Known:*
Reference 2
Name:*

First NameLast Name
Phone Number*
Reference Email*
example@example.com
Years Known:*
How did you become aware of Life Recaptured?
What is your heart behind the mission of ending sex trafficking?
By clicking the "Submit Application" button below, I affirm and certify that all the information and answers to questions herein are complete, true, and correct to the best of my knowledge and belief.

I understand that any misrepresentation, falsification, or omission of any facts called for in the application may render this application void and will be cause for termination, whenever discovered.

I authorize Life Recaptured Inc. to conduct any investigation it deems appropriate
concerning my application.

I hereby authorize and request former employers, personal references, schools, government agencies, and all other persons and organizations to disclose a criminal record, employment, and any other information that may be sought in connection with this employment application.

I hereby release all of the above-mentioned from all liability in connection with those disclosures.

I agree to a background check before a final offer of employment can be established. I acknowledge every candidate is screened for a background check prior to final offer of employment is established.

I will review and determine for myself to sign the Life Recaptured Inc. Confidentiality Agreement upon receiving an offer for employment letter, but prior to final employment can be established and employee onboarding.
Signature of Applicant

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Life Recaptured Inc. Employment Application