Apply Now

Ready to join our team? Use the form below to apply today.


Please fill out all required fields and hit the submit button to apply immediately. If you prefer to fill out a print application, you can download or print a copy here.

Applicant Info

Referral Info

How did you learn about us? *


Are you age 18 or older? *
Are you legally eligible for employment in the US? *
Have you lived outside of Pennsylvania at anytime during the last twenty-four months? * If Yes, you will be required to submit an FBI Clearance.
Have you been convicted of a crime (excluding misdemeanors and summary offenses) that has not been annulled, expunged, or sealed by a court? * Conviction will not necessarily disqualify an applicant from employment.
Have you ever worked for us or filed an application with us before? *


What hours/days of the week are you available to work? *  


Do you have a high school diploma or GED? *

Business/Trade/Technical School

Did you graduate?


Did you graduate?


Did you graduate?

Special Skills/Qualifications

Employment Questionnaire

Do you have a valid PA driver’s license? *
Have you had a physical done within the last 12 months? *
Have you had a criminal clearance submitted within the last 12 months? *
Have you had a child abuse clearance submitted within the last 12 months? *
Have you had any moving violations or accidents in the past 5 years? (If yes, specify below.) *

Employment Experience

Please list your employment experience starting with your present or last job. Include any job related or military service assignments and volunteer activities.

Employer #1

May we contact this employer?

Employer #2

May we contact this employer?

Employer #3

May we contact this employer?



Do you have any relatives or friends currently working with Lifestyle Support Services, Inc.? * If Yes, please list below.


I hereby certify that the information provided by me in this application is true, correct, and complete. I understand that I may be refused employment or terminated from employment due to my falsification or my failure to provide complete information. I authorize the investigation of all statements contained in this Application for Employment as may be necessary in arriving at an employment decision and release Lifestyle Support Services, Inc. from any and all liability associated with such an investigation. I authorize the companies, schools, and persons named herein to release any employment and background information they have regarding me, whether or not it is in their records, and hereby release said companies, schools, and persons from all liability for releasing such information.

I understand that Lifestyle Support Services, Inc. has an obligation to all its employees, customers, and the public at large to ensure safety in the workplace, on company premises, and in the delivery of its services. Therefore, I hereby consent to post-offer, pre-employment screening. I understand that successful completion of the post-offer, pre-employment screening is required, including the submission of applicable criminal history and child abuse clearances. I understand that to be minimally eligible for employment I must be over the age of 18, possess a high school diploma/GED, and have a valid PA driver’s license.

I understand that if I am employed by Lifestyle Support Services, Inc., I am not guaranteed employment for any specified period of time and that my employment may be terminated by Lifestyle Support Services, Inc. or myself at any time, for any reason, with or without notice. I understand that Lifestyle Support Services, Inc. does not offer any contract or guarantees of employment, express, implied or otherwise and therefore, any such perceived agreement would be null and void unless recorded in writing and signed by myself and the President of Lifestyle Support Services, Inc. I also understand that completion of this application, which will remain in effect for ninety days, does not indicate positions are open or obligate Lifestyle Support Services, Inc. in any way.

I have read and agree with this statement. *