Job Application

Natural Lice Removal Application

Fields marked with an asterisk (*) must be filled out before submitting.


To begin the hiring process, choose the geographic area closest to you *
Name *
Street Address *
City, State, Zip: *
Cell Phone *
Home Phone
Email *
Available days/ hours to work for Natural Lice Removal *
Do you have access to your own transportation? * Yes
Do you keep your cell phone with you at all times so you can immediately respond to text messages * Yes
NLR technicians are independent contractors who need to spend about $35 in start-up supplies including 2 lice removal combs (to resell to the client at a profit). Can you manage these start-up costs? * Yes
Briefly explain how you have seen and dealt with lice before, even if informally such as with your children? *
In addition to your previous experience with lice, please list here why you think you are a good fit for this position? *
Have you been convicted of or pleaded no contest to a felony within the last five years? Yes
If yes to previous question, please explain.


Upload Resume/CV
May we contact your present, or most recent, employer? * Yes
I certify that information contained in this application is true and complete. I understand that false information may be grounds for not hiring me or for immediate termination at any point in the future. I authorize the verification of all information. * Yes
Signature *
Date *


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