Community Living Connections

Our mission is to support individuals to live their
best life in their own home and in their community.

Application for Employment

Have you previously been employed by CLC?


Are you age 18 or over?

Driver's License

Do you possess a valid WI Driver's License?

Are you licensed in another state?



Education Summary

High School

Last year completed

High school diploma or equivalent


Last year completed



Are you legally authorized to work in the United States?

Work Experience (Most recent/current employer first. List all information)

Employer 1

May we contact

Employer 2

May we contact

Employer 3

May we contact

+ Click to add additional work experience

Are you related to anyone supported by CLC?

Are you related to anyone who works for CLC?

Can you perform the essential functions of the position for which you are applying?

Employment References

Criminal Record and Driving Verification

Have you ever been convicted of an offense (misdemeanor or felony)?

Application Authorization and Release

I, , understand this application may not be processed if any areas are left blank.