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Lighthouse Job Application

Screen people who want to join the team using their work history, personal circumstances, health and background, plus two references. Applicants explain why they want the job and sign a declaration.

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In the Claude connectors directory

Full Name

First Name

Last Name

Address

Street Address

City

State / Province

ZIP / Postal Code

Phone Number

Email Address

Date of Birth

Resume/CV

Max 10 MB per file

Cover Letter

LinkedIn Profile (optional)

Marital Status

Single Married Domestic partnership Separated Divorced Widowed

Accommodation

Own home Renting Living with family I need accommodation

How would you describe your health?

Excellent Good Fair Poor

Do you have any physical impairment, chronic illness or disability?

Yes No

If yes, please give details

Do you drink alcohol?

Never Occasionally Regularly

Have you ever had mental or emotional health problems?

Yes No

Have you ever seen a psychiatrist?

Yes No

Are you currently under psychiatric care?

Yes No

Are you prescribed medication for mental or emotional health?

Yes No

Have you ever had an eating disorder or self-harmed?

Yes No

Do you have a criminal record?

Yes No

If yes, please provide details

Are you subject to any statutory supervision or probation?

Yes No

In your own words, explain why you want to work here

Reference 1: Name

First Name

Last Name

Reference 1: Profession

Reference 1: Phone Number

Reference 1: Email

Reference 2: Name

First Name

Last Name

Reference 2: Profession

Reference 2: Phone Number

Reference 2: Email

Applicant declaration

Name

First Name

Last Name

Date of Birth

I confirm the information provided is true

Signature

Sign here

Date

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