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Ray’s of Life is an equal opportunity employer. This application will not be used for limiting or excluding any applicant from consideration for employment on a basis prohibited by local, state, or federal law. Should an applicant need reasonable accommodation in the application process, he or she should contact a company representative.

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Applicant Information

First Name

Last Name

Address

Phone Number

Email Address

Date of Application

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Employment Position

How did you hear about this position?

What days are you available for work?

What hours or shift are you available for work?

If needed, are you available to work overtime?

On what date can you start working if you are hired?

Do you have reliable transportation to and from work?

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Personal Information

Have you ever applied to or worked for Ray’s of Life before? If yes, when?

Do you have any friends, relatives, or acquaintances working for Ray’s of Life? If yes, state name & relationship:

Are you 18 years of age or older?

Are you a U.S. citizen or approved to work in the United States?

What document can you provide as proof of citizenship or legal status?

Will you consent to a mandatory controlled substance test?

Do you have any condition which would require job accommodations?

If yes, please describe accommodations required below.

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Job Skills/Qualifications

Please list below the skills and qualifications you possess for the position for which you are applying:

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Education and Training

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High School

Name

Year Graduated

Degree Earned

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College/University

Name

Location (City, State)

Year Graduated

Degree Earned

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Vocational School/Specialized Training

Name

Location (City, State)

Year Graduated

Degree Earned

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Military

Are you a member of the Armed Services?

What branch of the military did you enlist?

What was your military rank when discharged?

How many years did you serve in the military?

What military skills do you possess that would be an asset for this position?

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Previous Employment

Employer Name

Job Title

Supervisor Name

Employer Address

City, State and Zip Code

Employer Telephone

Dates Employed

Reason for leaving

Employer Name

Job Title

Supervisor Name

Employer Address

City, State and Zip Code

Employer Telephone

Dates Employed

Reason for leaving

Employer Name

Job Title

Supervisor Name

Employer Address

City, State and Zip Code

Employer Telephone

Dates Employed

Reason for leaving

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References

Please provide 1 personal and professional reference(s) below:

Reference

Contact Information

Additional Information:

AT-WILL EMPLOYMENT

AT-WILL EMPLOYMENT

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The relationship between you and the Ray’s of Life is referred to as "employment at will." This means that your employment can be terminated at any time for any reason, with or without cause, with or without notice, by you or the Amor Purus. No representative of Ray’s of Life has authority to enter into any agreement contrary to the foregoing "employment at will" relationship. You understand that your employment is "at will," and that you acknowledge that no oral or written statements or representations regarding your employment can alter your at-will employment status, except for a written statement signed by you and either our Executive VicePresident/Chief Operations Officer or the Company's President.

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