Employment Information

Date available to begin employment

Are you eligible to work in the US?
Personal Information
First name, middle initial, and last name.
Number and street; city; state; ZIP code.
An alternate phone number through which you can be contacted; e.g. a cell phone number if your primary number is for a home phone.
General Information
Have you ever been employed by, or done contract work for, The Center for TLC?



Do you have any friends or family who are currently employed by The Center for TLC?
Are you at least 18 years of age?
Have you ever been convicted of a felony?

Work Experience


Start date

End date

Please include your three most recent employers.


Select the type of education you received.
Add information about your education, including high school, college, and other certificates. Use the button below to add a new education item.
Do you have experience in any of the following fields?
Check the boxes next to any fields in which you have experience.
If applying for an OTR, COTA, PT, PTA, or SLP position, are you currently licensed to work in the state of MI?

Work references

Work reference
Please list three individuals (other than relatives) whom we may contact for work-related references.