Employment Application

Thank you for your interest in working with our team at Community Living Services. Please read the Privacy Statement below carefully.

Please complete entire application to ensure processing.

Community Living Services understand the importance of protecting your personal data. The personal data you submit will be used by the company solely for the purpose of the administration, evaluation and management of your file.

Your personal data may be transmitted to and used by the company and/or third parties that assist the company to administer, evaluate and manage your file, and will only be transmitted and used for these purposes, unless otherwise required by applicable local law. The company and/or third parties that may receive your personal data may be located outside the country from which you provide your data, potentially in a country with different standards for data protection.

The company will keep your information secure and confidential at all times, and will utilize appropriate security measures to protect your personal data, in compliance with applicable local law.

By entering your data into the tool, you agree that you have read, understand and consent to the processing of your personal data as outlined in this Privacy Statement.

If you do not consent to the processing of your personal data as outlined in this Privacy Statement, do not enter your personal information. As a result, the company will not be able to process your application at this time. You must complete this entire application, even if attaching a resume or submitting a resume through the web. Community Living Services offers reasonable accommodation in the employment process for individuals with disabilities. If you need assistance, you may request an accommodation at any time by contacting Human Resources Department in your local area.

    Personal Details

    • Contact Information

    • Qualifications

    • Personal References

    List professional references you have known for at least one year, other than former employers and relatives.

    For each reference, put their name, relationship to you, years you have known them and their phone number.

    • Employment History

    List employers from current to most recent

    • Previous Employer

    • Additional Previous Employer

    • Terms and Conditions

    By signing your name electronically below, you agree to the following terms and conditions listed below. Please read them carefully and thoroughly, then date and sign your name below.


    1. The agency has my authorization to thoroughly investigate my work and personal history. I will hold no person liable for giving or receiving information in this investigation.

    2. In consideration of my employment, I agree to conform to the rules and regulations of the Agency and I understand that no department head or representative of the Agency, other than the President of the Board or the Executive Director of the Agency, has any authority to enter into any agreement for employment for any specified period of time or to make any agreement contrary to my at-will employment status.

    3. The needs of the Agency may make the following conditions mandatory: overtime, reduction of work hours, shift work, a rotating work schedule, an administrative transfer, or a work schedule other than Monday through Friday. I accept these conditions of employment.

    4. If employed, I understand that my employment is for no definite period of time, and if terminated, the Agency is liable only for wages or salary earned as of the date of termination.

    5. After a job offer has been made, I realize that I am required to submit to a physical examination, a drug test, and a TB Test, which will confirm that I am free of communicable diseases and am able to perform job duties.

    6. I realize that I am required to sign a release of information form that will be sent to a private investigation firm for a background check, and that my prospective hire and/or continued employment will be contingent upon the findings of this check.

    7. I understand I am required to submit a copy of my driving record within 30 days of employment.

    8. I understand that an offer of employment from Community Living Services, will be contingent on my ability to prove that I am authorized to work in the United States, as required by the Immigration Reform and Control Act of 1986. I further understand and agree that this documentation must be provided to Community Living, Inc. within three days of the commencement of my employment.

    9. I, the undersigned, certify that I have read and fully comprehend this application in its entirety and that the information herein provided is true and complete to the best of my knowledge. I understand that, should any statement I have made prove to be false, misleading or erroneous it may result in the rejection of my application and, if discovered at a later date, be considered justification for dismissal.

    10. I, the undersigned, acknowledge that I have reviewed the job description for the position I am applying for and I am able to perform the functions of the position.

    11. In submitting this application, I further understand that it becomes the property of Community Living Services and will not be returned.
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