SOUTH FLORIDA RECOVERY CENTER, LLC

APPLICATION FOR EMPLOYMENT

Employees of South Florida Recovery Center, LLC and applicants for employment shall be afforded equal opportunities in all aspects of employment without regard to race, color, religion, political affiliation, sexual orientation, national origin, disability, marital status, gender or age.








EMPLOYMENT DESIRED:







YesNo


EDUCATION:

NAME AND LOCATION OF SCHOOL DATES ATTENDED DID YOU GRADUATE DEGREE
GRAMMAR SCHOOL:
HIGH SCHOOL:
TRADE, BUSINESS OR
CORRESPONDENCE SCHOOL:
COLLEGE:
GRADUATE / PROF:
IF YOU EXPECT TO COMPLETE AN EDUCATIONAL PROGRAM IN THE NEAR FUTURE, PLEASE INDICATE WHAT TYPE OF DEGREE OR PROGRAM AND EXPECTED COMPLETION DATE:

PREVIOUS EMPLOYMENT: (BEGIN WITH THE MOST RECENT)


































LICENSE / CERTIFICATIONS:

TYPE LICENSE/CERTIFICATION # EXPIRATION DATE GRANTED BY

REFERENCES: (LIST NAMES, ADDRESSES AND RELATIONSHIPS OF THREE PERSONS NOT RELATED TO YOU WHO KNOW YOUR QUALIFICATIONS

NAME ADDRESS PHONE RELATIONSHIP

SUMMARIZE YOUR SPECIAL SKILLS OR QUALIFICATIONS:

CERTIFICATION: I certify that my answers are true and complete to the best of my knowledge and I agree and understand that any falsification of information herein, regardless of time of discovery, may cause forfeiture on my part of any employment with South Florida Recovery Center, LLC I understand that all information on this application is subject to verification. I also consent to references and former employers and educational institutions listed being contacted regarding this application.


FOR HR USE ONLY


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