LRCS Job Application

We are an equal opportunity employer. We do not discriminate in hiring, promotion, or other employment decisions on the basis of race, sex, color, pregnancy, religion, disability, age, veteran status, or any other basis protected by law. Equal access to programs, services, and employment is available to all persons. Those applicants requiring reasonable accommodation in the application and or interview process should notify a representative of the Human Resources Department.

Please note that this is an abbreviated application form, and at time of interview you will be expected to fill out the appropriate application for Lakes Region Community Services.

Personal Details:

Full Name:
Address:
Telephone:
Are you 18 years or older? Yes   No
Have you ever worked for our Agency or Any Related Agencies before? Yes  No If yes, when? Reason for leaving?

General Information:

What position are you applying for?
When are you most available to work?	Full-Time   Part-Time   Maximum Part-Time Hours Per Week
Days and hours available to work:
Which area are you interested in working?	Laconia   Tilton   Plymouth
How many miles you are willing to travel?	0   5   10   15   20   25+
You are applying for a position that requires the following: (Please indicate if you have these items) Valid State of NH Driver's License Yes   No Reliable Vehicle Yes   No Motor Vehicle Insurance Yes   No Are you authorized to work in the US? Yes   No

Education and Applicable Skills:

	Name	City/State	Degree Received	Type of Degree
High School
College
Other

Skills and Qualifications:
Please list any skills and qualifications that relates to the position that you are applying for.

 

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