• Lifetime Recovery Employment Application

    Please complete the application and return to Human Resources. Copies of your Driver License or State ID and Social Security Card are also needed. The hiring supervisor will be in contact if further processing will be pursued. You will be advised when this is necessary. Thank you for applying for employment at Lifetime Recovery! The mission of Lifetime Recovery is changing lives through comprehensive treatment of substance abuse.
  • How did you hear about the position for which you are applying?*

  • As part of the application process Lifetime Recovery will conduct background checks on applicants.

    Equal Opportunity Employer. It is the policy of Lifetime Recovery to adhere to all federal, state and local laws prohibiting employment discrimination based solely on a person's race, color, religious creed, sex, national origin, ancestry, citizenship status, pregnancy, childbirth, physical disability, mental disability, age, military status or status as a Vietnam-era or special disabled veteran, marital status, registered domestic partner or civil union status, gender, medical condition, generic information, sexual orientation, or any other protected status except where a reasonable, bona fide occupational qualification exists.
  • Today's Date*
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  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Date available for work*
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  • Type of hours are you available to work*
  • Are you subject to any type of agreement with a current of former employer that would restrict your ability to work at the position to which you have applied (e.g., non-compete, confidentiality, non-disclosure)?*

  • Education and Training

  • School Name: *
    City & State: *
    Degree/Diploma/Major of Study:   *   

  • List the area of study or degree/diploma received from an unaccredited college, as well as any other education, training, special skills or certificates/licenses that you have related to the position you are applying towards.

  • If you are applying for a position involving driving a motor vehicle as part of your duties, please Indicate whether you have a valid driver's license.*
  • Can you verify you are authorized to work in the United States?*
  • Are you 16 years old or over?*
  • Were you previously employed by Lifetime Recovery?*
  • If yes, please give previous start date:
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  • If yes, please give end date:
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  • Can you perform the essential functions of the position you are applying for?*

  • Work History

    (List all positions for the last ten years beginning with your most recent position). Please account for gaps in the work history.

  • Employer 1 Information

  • Format: (000) 000-0000.
  • Type of Employment*
  • May we contact employer?*
  • Employment Start Date*
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  • Employment End Date*
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  • Employer 2 Information

  • Format: (000) 000-0000.
  • Type of Employment*
  • May we contact employer?*
  • Employment Start Date*
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  • Employment End Date*
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  • Business References

    (List two people, in addition to listed employment references, known to you for at least 3 years)

  • Agreement (Please read the following information very carefully).

    I hereby affirm that the information provided on this application (and included resume, if any) is true and complete to the best of my knowledge, I also agree that falsification, or leaving out required information, requested in this application or in the application process may disqualify me from further consideration for employment and may be cause for dismissal if discovered at a later date.

    I authorize all people listed above, and on the resume, to give Lifetime Recovery any and all information concerning my previous employment and education and any pertinent information they have, personal or otherwise, and release all parties, and Lifetime Recovery from liability for an damage that may result from furnishing information to Lifetime Recovery.


    If employed, I agree to abide by, and sign for, the policies and procedures, which include anti-harassment. I further understand that my employment can be terminated, with or without cause or notice, at the direction of Lifetime Recovery or myself. I further understand that no manager or representative of Lifetime Recovery has any authority to enter into agreement, oral or written on behalf of Lifetime Recovery, for a term of employment or to make assurance or promise of continued employment.


    I understand and agree that, subject to applicable law, I might be required to take an alcohol or drug screening test. I hereby give my voluntary consent for a urine or blood sample to be collected from me and submitted for testing. I also consent to the release of the results to Lifetime Recovery. I understand that a positive drug or alcohol result may preclude my employment.


    The needs of the employer may make the following conditions mandatory: overtime, shift work, rotating work schedules, or a work schedule other than Monday through Friday. I accept these conditions of employment.

  • Date Submitted
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  • Should be Empty: