CAREER – Integrity living center

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Contact Form Demo

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

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Social Security Card

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High School Diploma/ GED

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Employment Authorization (if applicable)

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Letters of Reference

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

Reference Letter 1

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Reference Letter 2

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Reference Letter 3

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Personal and Employment Information

Please provide accurate personal and employment details. This section is required to assess your qualifications and work history.

Application Date

First Name

Last Name

Social Security Number

Address

Address Line 1

Address Line 2

City

State

Zip Code

Country

Phone/Mobile

Alternate Phone/Mobile

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?

When?

Pre-Employment Background Check

This section collects information required to conduct a background check prior to employment. Please complete all fields truthfully and thoroughly.

Employee Misconduct Registry Record?

Pre-employment and Random Drug Test?

Experience and Education

Please provide details of your work experience and educational background relevant to this position. Accuracy and completeness are important.

Date Available

Position You Are Applying For?

Previous Experience & Skills

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)

List your most recent employment first. Include all relevant work experience, starting and ending dates, and supervisor contact information.

Company Name & Address

Type of Business

From

Describe the work you did

Starting Salary

Last Salary

Reason for Leaving

Supervisor Name

Phone Number