Application - A•Glo Spa & Salon

Personal Information

Name*

First Middle Last

Present Address*

Street Address City State ZIP Code

Is your permanent address the same as your present address?

Yes

Permanent Address

Street Address City State ZIP Code

Email*

Phone Number*

Referred By

Are you a citizen of the United States or do you have a valid work permit?*

Yes

Employment Desired

Position*

Cosmetologist (License Required)

Nail Technician (License Required)

Esthetician (License Required)

Massage Therapist (License Required)

Guest Care Representative

Apprentice

Custodian

Other

Date You Can Start*

MM slash DD slash YYYY

Salary Desired*

Full-time or Part-time?*

What hours are you available each day?*

Are You Employed*

Yes

If so, may we inquire of your present employer?

Yes

Ever applied to this salon before?*

Yes

If yes, when?

MM slash DD slash YYYY

General

Subjects of special study or interest

Community, artistic, professional or other organizations in which you are involved and which you believe would contribute to the work for which you are being considered:

Education

High School

Name and Location

Years Attended

Year Graduated

Subjects Studied

Trade, Business, or Other School

Name and Location

Years Attended

Year Graduated

Subjects Studied

College / University

Name and Location

Years Attended

Year Graduated

Subjects Studied

Former Employers

(List below last four employers, starting with most recent first)

Dates of Employment

From

MM slash DD slash YYYY

Name & Address of Employer

Position & Salary

Reason for Leaving

Name & Phone of Supervisor

Dates of Employment

From

MM slash DD slash YYYY

Name & Address of Employer

Position & Salary

Reason for Leaving

Name & Phone of Supervisor

Dates of Employment

From

MM slash DD slash YYYY

Name & Address of Employer

Position & Salary

Reason for Leaving

Name & Phone of Supervisor

Dates of Employment

From

MM slash DD slash YYYY

Name & Address of Employer

Position & Salary

Reason for Leaving

Name & Phone of Supervisor

References

Give below the names of three persons not related to you, whom you have known at least one year

Name*

Business*

Phone*

Years Known*

Name

Business

Phone

Years Known

Name

Business

Phone

Years Known

Please Sign

I authorize investigation of all statements contained in this application and my past employment and or educational history.

I release all persons and entities, including but not limited to all past employers, government agencies, credit bureaus, reporting agencies, investigative agencies or others that may provide information about me in connection with this application. I understand that misrepresentation or omission of facts is cause for dismissal. Further, I understand and agree that if employed, my employment will be at will and will be for no definite period and may, regardless of cause or period of payment of wages, be terminated at any time.

Name Typed*

First Last

Date*

MM slash DD slash YYYY

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