CAREERS

EMPLOYMENT APPLICATION

Step 1/5 EMPLOYMENT APPLICATION THIS FORM PROVIDED FOR THE EXCLUSIVE USE OF SMART FOR LIFE WEIGHT MANAGEMENT CENTERS™
[*] - Required
*Application Type:

*First Name:	Middle:
*Last Name:

*Street Address:
Apt./Suite #:
*Country:
State:	*Zip Code:
*City:
*Phone Number:	Mobile:
*Email:

Social Security #:
Driver's License #:
State Issued:	Exp. Date:

*Date available to start work:

*Have you ever worked for Smart for Life before?		YesNo

*Are you able to work flexible hours (Evenings/Weekends)?		YesNo
*Are you able to stand for long periods of time?		YesNo
*Are you able to lift 35 lbs?		YesNo
*Have you ever been convicted of a felony or misdemeanor?		YesNo

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