Career – Integrity living center

Instructions

Please complete all sections of this form accurately and thoroughly. All fields are required unless otherwise noted. This information helps us determine your qualifications for the job you are applying for.

Required Documents

Please upload the following documents (all are required):

Valid Texas Driving License Social Security Card High School Diploma / GED Employment Authorization (If applicable)

Letters of Reference

Provide 3 letters of reference from individuals (non-relatives) who have known you for at least 3 years.

Reference Letter 1 Reference Letter 2 Reference Letter 3

Personal and Employment Information

Application Date Name Social Security Number Address Zip Code Telephone Alternate Phone/Cell Are you legally eligible for employment in the USA? Are you at least 18 years of age? Position Applied For Position Status Desired If Part Time or PRN, specify availability Do you consent to working overtime, holidays, and weekends if required? Were you previously employed by us? If yes, when?

Pre-Employment Background Checks

Authorize Criminal Background Check? Pre-employment and Random Drug Test? Employee Misconduct Registry Record?

Experience and Education

Date Available Position You Are Applying For Previous Experience & Skills

Education History

High School – Name & Address Course of Study Did You Graduate? Last Year Completed Diploma or Degree College Name & Address Vocational Training (Specify)

Employment History (Most Recent First)

Company Name & Address Type of Business From (MM/YYYY) To (MM/YYYY) Describe the work you did Starting Salary Last Salary Reason for Leaving Supervisor Name Phone Number

Integrity Living Center, Inc. – Employment Application