Online Job Application


Highest Level of Education:

Did you graduate?:

Name of School(s), Year Completed, Degree:


Please list 5 professional references (no family). Be sure to include Name, Contact Phone Number and the Number of Years they've known you.

Reference #1:

Reference #2:

Reference #3:

Reference #4:

Reference #5:

General Information

Are you a convicted felon?

Do you have a reliable vehicle?

"Do you have a valid driver's license?"

Do you have a clean MVR?

Can you work weekends?

Have you ever driven a box truck?

Do you smoke cigarettes?

Have you ever been arrested for a drug related activity?

Do you live within 10 miles of the CLS Medical office?

Upload Resume: