Employment Application Form
  • Employment Application

  • Format: (000) 000-0000.
  • Is it okay to text you at this number?*
  • How were you referred to us?*
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  • Tell us about your

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  • Format: (000) 000-0000.
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  • Format: (000) 000-0000.
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  • Are you legally authorized to work in the United States?*
  • Will you now, or in the future, require visa sponsorship in order for you to be employed?*
  • Are you available to work Monday through Friday from 9:00 am to 5:30 pm EST*
  • Are you willing to work evenings as needed?*
  • Are you willing to work Saturdays as needed?*
  • Do you have a valid driver's license?*
  • How frequently are you willing and able to travel per year?*
  • Based on your experience, please provide a ranking of your current knowledge, skills and abilities in each of the categories below

  • Do you stand for LGBTQIA+ rights, believe Black Lives Matter, value inclusion and equity and want to help us make a deep impact on families and communities to build legacy?*
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  • References  Please list two (2) references that are familiar with your work life.
  • Reference 1
  • Format: (000) 000-0000.
  • Reference 2
  • Format: (000) 000-0000.
  • I hereby certify that this application contains no falsification or misrepresentation and that the information given by me is true and complete to the best of my knowledge and belief. I am aware that should investigation at any time disclose any misrepresentation, falsification or concealment as to a material fact, it will be sufficient ground for rejection of my application and/or removal from employment.

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