Form Test | Sober Escorts

Employment Application

"*" indicates required fields

Are you a new applicant, or are you updating your information?*

Please provide your legal first, last and middle name, as it appears on your government issued ID.

Name*

First Last

Middle Name

For travel arrangements, we require your legal middle name, as it appears on your ID, unless your middle name does not appear on your ID.

Do you go by a different first name?

Name you go by, if different than your first name as it appears on your ID.

(If you go by your middle name, a nickname, or a name other than what is printed on your ID.)

Gender, as it appears on your ID:*

Email*

Mobile Phone*

Home Address*

Street Address City State/Region/Province (if State, please enter two letter abbreviation. example: FL for Florida) Postal / Zip Code

Date of Birth*

Type your date of birth as MM/dd/yyyy or select from calendar drop-down, selecting birth month first, then the year, and then select the day from the calendar

Select which applies to your personal recovery:

What is your sobriety date?

Type your sober date as MM/dd/yyyy or select from calendar drop-down, selecting your birth month first, then the year, and then selecting the day from the calendar.

What type of work are you available for?*

Check all that apply. To select multiple items, hold the CRTL key or the Command key on a Mac. For more information on our services, please go to this page on our web site: https://www.soberescorts.com/services/

Which best describes the advance notice you need for assignments?*

Are you willing to travel on assignment?*

Please describe your current schedule and availability:*

Do you have a valid Driver's License?*

Drivers License number:

Do you have a car?*

Please list the make, model & year of your car:

Do you have a valid passport?*

Passport number

Please select all items below that you are highly famliar with and have a working knowledge of:*

Check all that apply. To select multiple items, hold the CRTL key or the Command key on a Mac.

Do you have First Aid or CPR Certification?*

Check all that apply. To select multiple items, hold the CRTL key or the Command key on a Mac.

Please select all the languages in which you are fluent:*

Check all that apply. To select multiple items, hold the CRTL key or the Command key on a Mac.

Education*

Higher education areas of study, if applicable:

Do you have any prior experience providing recovery services?*

Please describe your specific experience:*

Have you completed a Recovery Coach Training?*

Please list the Recovery Coach Training you have completed:

Would you be willing to complete Recovery Coach Training within the next 6 months?*

Please list any certifications or licenses you hold (if applicable):

Please describe your unique and personal qualifications, and why you are interested in this line of work:*

If you have a resume, you can upload it here.

Max. file size: 128 MB.

Please tell us how you heard about us:

Please describe how you heard about us.