Join the L.Y.F.E. Team

Leading Youth For Excellence — Careers that change lives.

Position & Contact

Position Applying For

Date of Application

How did you hear about this position?

Last Name

First & Middle Name

Phone

Home Address (City, State, Zip) Previous Addresses (last three) — include dates

Start Date (mm/dd/yyyy)

End Date (mm/dd/yyyy)

Street

City

State

Zip

Start Date (mm/dd/yyyy)

End Date (mm/dd/yyyy)

Street

City

State

Zip

Start Date (mm/dd/yyyy)

End Date (mm/dd/yyyy)

Street

City

State

Zip

How many addresses in last 5 years?

…in last 10 years?

Availability

Driver Information

Valid Driver’s License?

License Number

State

Expiration Date

Any traffic violation points?

If yes, how many?

Insured with unrestricted access to a vehicle with ≥ $100,000/$300,000 liability coverage? Any accidents in the last three years? If yes, provide dates and damage/injuries.

Education & Training

High School — Name

High School — Location

College/University — Name

College — Location

Postgraduate — School

Postgraduate — Location

Extracurricular activities & awards Business/office related experience (equipment, software, proficiency)

Employment History (last 3)

I give permission to contact former employers listed above.

Attach Resume (PDF/DOC, max 10MB)

Optional Cover Letter (PDF/DOC)

References

Provide one personal reference and two professional references.

Personal Reference

Professional Reference 1

Professional Reference 2

Statement & Additional Information Hobbies, interests, special skills, life/volunteer experiences, and career goals relevant to working with youth and families

By signing, you attest that the information provided is true and authorize L.Y.F.E./BCL Partners, LLC to verify employment/education and contact references.

Type Full Name (Signature)

Signature Date