ELF Home Services
Programs, services, and employment are equally available to everyone.  Please inform the HeadELF if you require reasonable accomodation for the application or interview.
Thanks for thinking of ELF Home Services!
 Employment Application   * Indicates required field
   Applicant Information
Title:
*First Name:
*Last Name:
E-Mail:
*Phone Primary:
Alternate:
   
*Address(1):
Address(2):
*City:
State:
*ZipCode:
*SSN:
*Drivers Lic.#:
D/L# State:
Position Type:
Position Desired:
Wage Req:
per Hour
Date Available:
*Are you a US Citizen?
*If you are NOT a US Citizen, Are you legally allowed to work in the US?

  
*If you are under 18, can you furnish a work permit?

 If no, please explain:
*Have you ever worked for ELF Home Services?

 If yes, when? 
*Have you ever pleaded "guilty," "no contest," or been convicted of a crime? If yes, give dates and details:
Answering "Yes" to these questions does NOT constitute an automatic rejection for employment.  Date of the offense, seriousness of the violation, rehabilitation and position applied for will be considered.
*Summarize Your Special Skills or Qualifications :
Previous Employment (begin with most recent position) :
Job #1      From:
To:
Position:
Starting Wage:
Ending Wage:
Reason for Leaving?
Contact for Reference?
Firm Name:
Address(1):
Address(2):
City:
State:
ZipCode:
Phone#:
Supervisor's Name:
Sup. Title:
Responsibilities/Duties: 
Job #2      From:
To:
Position:
Starting Wage:
Ending Wage:
Reason for Leaving?
Contact for Reference?
Firm Name:
Address(1):
Address(2):
City:
State:
ZipCode:
Phone#:
Supervisor's Name:
Sup. Title:
Responsibilities/Duties: 
Job #3      From:
To:
Position:
Starting Wage:
Ending Wage:
Reason for Leaving?
Contact for Reference?
Firm Name:
Address(1):
Address(2):
City:
State:
ZipCode:
Phone#:
Supervisor's Name:
Sup. Title:
Responsibilities/Duties: 
   References
Name Contact Phone Relationship
I certify that my answers are true and complete to the best of my knowledge.  I authorizeyou to make such investigations and inquires of my personal, employment, educational, financial and other related matters as may be necessary for an employment decision.  I hereby release employers, schools or individuals from all liability when responding to inquires in connection with my application. 

In the event I am employed, I understand that false or misleading information given in my application or interview/s may result in discharge.