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Call Us:

(123) 456-789-00

Email:

info@newlifecares.com

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Employee Application

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Applicant Info

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Date/Time *

Address*

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Date Available:*

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Desired Salary:$*

Position Applied for:*

Are you a citizen of the United States?*

If no, are you authorized to work in the U.S.?

Have you ever worked for this company?*

If yes, when?

Have you ever been convicted of a felony?*

If yes, explain:

Who We Are

New Life Care operates several modern group homes for adults & adolescents with disabilities in Northern Virginia

Contact Us

Call Us: (123) 456-789-00

Email: info@newlifecares.com

Adress: 123 Main Street, Anytown, USA

Hours: Mon-Thurs: 9am-7pm, Fri 9am-6pm

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