How did you hear about this position?*
What days are you available to work?*
What hours or shift(s) are you available to work?*
If needed, are you available to work overtime?*
What is the earliest day you are available to start working?*
Do you have reliable transportation to get to and from work?
Have you ever applied to work at "Lillies Hands of Love"? If yes, please provide the date(s).
Do you have any friends, relatives or acquaintances working at "Lillies Hands of Love"? If yes, state name & relationship.
Are you 18 years of age or older?*
Are you a U.S. citizen or approved to work in the United States?*
What document of proof can you provide as proof of citizenship or legal status?
Will you consent to our mandatory controlled substance test?*
Will you consent to our mandatory background check?*
Do you have any condition which would require job accommodations?*
If yes, please describe the accommodations required below.
Have you ever been convicted of a criminal offense (felony or misdemeanor)?*
If yes, please state the nature of the crime(s), when and where convicted and disposition of the case:
Job Skills / Qualifications Please list below the skills and qualifications your posses for the position for which you are applying for:*
(Notes: Lillie's Hands of Love complies with the ADA and considers reasonable accommodation measures that may be necessary for eligible applicants/employees to perform essential functions. It is possible that a hire may be tested on skill / agility and medical examination conducted by a medical professional.)
High School Name, Location & Year Graduated, Degree Earned
College/University Name, Location & Year Graduated, Degree Earned
Vocational School/Specialized Training Name, Location & Year Graduated, Degree Earned
Are you a member of the Armed Services?
Please provide 3 personal and professional reference(s) below:*
Please Upload Your Resume*
Please Upload Your CPR Certification
Please Upload Any Vocational Training Certificates
The relationship between you and the Lillie's Hands of Love is referred to as "employment at will." This means that your employment can be terminated at any time for any reason, with or without cause, with or without notice, by you or the Lillie's Hands of Love. No representative of Lillie's Hands of Love has authority to enter into any agreement contrary to the foregoing "employment at will" relationship. You understand
that your employment is "at will," and that you acknowledge that no oral or written statements or representations regarding your employment can alter your at-will employment status, except for a written statement signed by you and either our Executive Vice-President/Chief Operations Officer or the Company's President.