Personal Information

What location are you applying for?(Required)
Name(Required)
MM slash DD slash YYYY
Address(Required)

Education

Grammar School
Name
Location
From (Date)
To (Date)
Years of Credit
Degrees
 
High School
Name
Location
From (Date)
To (Date)
Years of Credit
Degrees
 
College
Name
Location
From (Date)
To (Date)
Years of Credit
Degrees
 
Other
Name
Location
From (Date)
To (Date)
Years of Credit
Degrees
 

Employment Desired

Have you ever been employed by Lighten-Up, LLC or any of its subsidiaries or divisions?(Required)
Are you employed now?(Required)
If so, may we inquire of your present employer?

Employment Record

Present Employer
Last Employer
Next to Last Employer
One Other Employer
One Other Employer
Have you ever been convicted of a felony?(Required)

U.S. Military Service

Personal Health History

Answers to all questions will be treated with strict confidence and will become a part of your permanent record.
Would you say your present health is:(Required)
The preceeding answers are true to the best of my knowledge, and I understand this will become part of my permanent record.

In making this application for employment it is understood that an investigative consumer report may be prepared whereby information concerning my character, general reputation, personal characteristics and mode of living may be obtained through personal interviews with my neighbors, friends or others with whom I am acquainted. Also an investigation may be requested to be made of my credit standing by a consumer reporting agency. I authorize both or either of such investigations to be made. I further understand that upon written request made within a reasonable period of time, I have the right to obtain additional detailed information about the nature and scope of these investigations, if made.

I authorize Lighten-UP, LLC to investigate all statements contained in this application and hereby release former employers and Lighten-UP, LLC from all liability on account of furnishing such information to Lighten-UP, LLC. It is understood and agreed that any misrepresentation by me in this application will be sufficient cause for cancellation of the application and/or for separation from the company's service if I have been employed. In the event of my employment by Lighten-UP, LLC I agree to abide by all present and subsequently issued rules of Lighten-UP, LLC.