Employment Application

Personal Information
Name
Address
City
State
Zip
Phone
Email
Have you applied for employment with Lee Residential Care previously?
If yes, when?
Have you worked for Lee Residential Care previously?
If yes, when?
Please list the position you are applying for
Availability (please check all that apply)
Skills, Certifications, and Training (please check all that apply)
Education
Please describe your educational history, including the name of the schools you have attended, how many years you attended, whether or not you graduated and what degree you earned
Work
Please describe your work history, including the Name and Address of your previous employers, the dates you were employed, and a description of your duties.
References
Please list at least 3 references whom we may contact, two of which must be professional references. Please include address and phone numbers.

 

Residential Living

  • Two person group homes
  • 24/7 rotating staff support
  • Staff aids each person to achieve their individual goals

Supported Living

  • In-home support
  • Geared towards individual's goals and support needs
  • Flexible support hours