Join Our Growing Team

Welcome! We're pleased that you're interested in becoming part of our team. If you're passionate about making a difference in people's lives, we'd love to hear from you.

Application Form

Fields marked with * are required. Submitting this application does not guarantee employment.

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Applicant Information

Must be 18 years or older, have a High School diploma or GED, and have a valid driver's license to apply.

Date*

First Name*

Last Name*

Email*

Phone*

Best time to contact you?

Do you have a valid driver's license?*

Yes

Do you currently have auto insurance?*

Yes

I confirm that I am 18 years of age or older.*

Position & Availability

Position applying for*

Availability*

Full-time

Part-time

Either

Hours available for work*

Weekdays

Weekends

Overnight Awake

Overnight Asleep

Background Questions

Have you lived in the Commonwealth of Pennsylvania for 2 consecutive years?*

Yes

Were you ever convicted of a criminal offense, or collateral in connection with a criminal offense?*

Omit minor traffic violations, or crimes committed as a minor adjudicated in juvenile court or under youth offender law. Conviction of a criminal offense does not automatically bar employment. Each case is considered on its merits.

Yes

Referral Information

Do you have any family currently employed by Independent Living?*

Yes

How did you hear about us?*

Acknowledgement

I hereby certify that all my statements are full and correct to the best of my knowledge and belief. I am aware all statements herein will be verified and that willful misrepresentation is cause for dismissal.

Independent Living LLC

Compassionate, person-centered support services empowering individuals and families to thrive with dignity.

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Contact

230 Carey Ave, Suite 4
Wilkes-Barre, PA 18701
570-904-7139
h.smith@independentlivingllc.com
Mon-Fri, 9:00 AM - 5:00 PM

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