employment opportunities at

Living Opportunities

What it's Like to Work for Living Opps

Living Opportunities is an equal opportunity employer and, as such, considers individuals for employment according to their abilities and performance. Employment decisions are made without regard to race, age, religion, color, gender, national origin, disability, sexual orientation, marital or veteran's status.

Living Opportunities has fulfilled all requirements to be recognized as a "Drugs Don't Work Here" certified workplace. Drug testing will be conducted at the time of hire.

Job Openings

Complete the Application Below and we will contact you as soon as we can.

Living Opportunities is an equal opportunity employer and, as such, considers individuals for employment according to their abilities and performance. Employment decisions are made without regard to race, age, religion, color, gender, national origin, disability, sexual orientation, marital or veterans status.

Living Opportunities has fulfilled all requirements and is recognized as a "DRUGS DON'T WORK HERE" certified workplace. Drug testing will be conducted at the time of hire.

Please complete all portions of the application. Incomplete applications will not be accepted.

Personal Information

Job Applying For:
First Name Last Name Middle Name
Present Address
City State Zip Code
E-mail Address Confirm E-mail
Home Phone Number (ex:(555)555-5555)
Work/Cell Phone Number (ex:(555)555-5555)
Social Security Number (ex:555-55-5555)

Driver's License

Driver's License Number
Expiration Date
State of Issue

Employment Information

(If hired you will be required to submit identification in accordance with Immigration and Naturalization Service requirements.)

Date you can start Desired Salary/Wage

Availability(Check all that apply)

Full Time Part Time Temporary Substitute Days Evenings Nights

Are you currently employed?

yes no

If so, may we contact your present employer?

yes no

Have you ever applied at Living Opportunities agency before?

yes no

If yes, when

Under what name(s)?

Education

High School

High School Name Diploma yes no
High School Address

College

College Name Degree/Certificate yes no
College Address

Training, Skills, and Life Experience

Describe any other Training, Skills, and Life Experience which you feel are relevant to the position.


Employment History

Please start with your present or most recent job. Include accurate and complete information for your last four employers or volunteer placements.)

Job #1:

Employer Name and Address

Telephone Number Supervisor's Name
Job Title
Starting Wage/Salary: Final Wage/Salary
Employment Dates: From To

Work Performed


Reason for Leaving


Job #2:

Employer Name and Address

Telephone Number Supervisor's Name
Job Title
Starting Wage/Salary: Final Wage/Salary
Employment Dates: From To

Work Performed


Reason for Leaving


Job #3:

Employer Name and Address

Telephone Number Supervisor's Name
Job Title
Starting Wage/Salary: Final Wage/Salary
Employment Dates: From To

Work Performed


Reason for Leaving


Job #4:

Employer Name and Address

Telephone Number Supervisor's Name
Job Title
Starting Wage/Salary: Final Wage/Salary
Employment Dates: From To

Work Performed


Reason for Leaving


References

Please give the name, address, and telephone number of (3) references who are not already listed, are not related to you and have knowledge of your skills & abilities (ex.teacher, pastor, youth coordinator, volunteer, volunteer coordinator).

Reference #1

Reference #2

Reference #3

In submitting this application, I Certify that answers given herein are true and complete to the best of my knowledge. I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision. I hereby understand and acknowledge that, unless otherwise defined by applicable law, any employment relationship with this organization is of an "at will" nature, which means that the employee may resign at any time and the employer may discharge the employee at any time with or without cause. It is further understood that this "at will" employment relationship may not be changed by any written document or by conduct unless such a change is specifically acknowledged in writing by an authorized executive of this organization. In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge. I understand also, that I am required to abide by all rules and regulations of the employer.

I also understand that any job offer made to me will be contingent on results from a drug screen, physical and functional placement exams, state records check for substantiated instances of abuse & neglect and criminal history check including fingerprints. Additionally my driving record will be checked if job requires driving a vehicle.


United Way Charter Communications

861 Valley View Dr. • PO Box 1105 • Medford OR 97501 • phone 541-772-1503 • fax 541-772-4116 •
©2012 Living Opportunities, Inc. All Rights Reserved

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