Online Employment Application

 
 Please Note: It is important that you complete all parts of the application. If your application is incomplete or does not clearly show the experience and/or training required, your application may not be accepted. If you have no information to enter in a section, please enter N/A.
 

 
First Name: * Last Name: *
 
Date Of Birth: *     
 
Telephone Number: *
Include Area Code
 
E-Mail Address: *
 
 

Address:

 
Street Address: *
 
City: *
 
State: *
 
Postal Zip Code: *
 
Country: *
 
How Were Your Referred To Us: *
Walk-In
Newspaper Ad
Twitter
FaceBook
Craigslist
Current Employee
Other (Please Specify Below)
Other Referral:
 
Job For Which You Are Applying: *
Receptionist
Stylist
Manager
 

 

Availability (Indicate Below The Days and Times That You Are Available)

We will be open M-F from 8 – 7 and Saturday from 9 -4


 
Monday:
Indicate Hours Available
 
Tuesday:
Indicate Hours Available
 
Wednesday:
Indicate Hours Available
 
Thursday
Indicate Hours Available
 
Friday
Indicate Hours Available
 
Saturday
Indicate Hours Available
 

 

Education:


 
High School Name: *
 
 High School Address:
 
Street Address:
 
City: *
 
State: *
 
Postal Zip Code:
 
Country: *
 
Did You Graduate: *
Yes
No
 

 
College Or Business / Trade School Name:
 
 Address To College, Business, or Trade School:
 
Street Address:
 
City:
 
State:
 
Postal Zip Code
 
Country:
 
Did You Graduate:
Yes
No
 
Number of Years Attended:
 

 

Military Service:


 
Have You Ever Been In The Military:
Yes
No
 
If Yes, What is the Date You Entered:
 
Date Discharged:
 
Honorably Discharged:
Yes
No
 

 

Work Experience:


 
Upload Resume
 
Company #1 Name And Address
Your Most Recent Job Held
 
Name Of Supervisor And Phone Number
 
Hours Per Week
 
Start Date:
 
End Date:
 
Position Title:
 
Reason For Leaving:
 
May We Contact This Employer:
Yes
No
 
List the Duties You Performed Or Skills You Used.
 

 
Company #2 Name And Address
Other Job Held
 
Name Of Supervisor And Phone Number
 
Hours Per Week
 
Start Date:
 
End Date:
 
Position Title:
 
Reason For Leaving:
 
May We Contact This Employer:
Yes
No
 
List the Duties You Performed Or Skills You Used.
 

 

Job Skills And Training:


 
Describe Your Skills: *
 
Training Or Certifications:
 

 

References:


 

 Reference #1:

 
First Name: * Last Name: *
 
Telephone Number: *
 
Years Known: *
 
 Reference #1 Address:
 
Street Address:
 
City:
 
State:
 
Postal Zip Code:
 
Country:
 

 Reference #2

 
First Name: * Last Name *
 
Telephone Number: *
 
Years Known *
 
 Reference #2 Address:
 
Street Address
 
City:
 
State:
 
Postal Zip Code:
 
Country:
 

 
 I certify that I have never been convicted of, or entered a plea of guilty, no contest, or had a withheld judgment to a felony. 
Yes
No
 
 I certify that all answers and statements on this application are true and complete. I understand that, should this application contain any false or misleading information, my application may be rejected or my employment with this company terminated. 
Yes
No
 
 I authorize any of the persons or organizations referenced in this application to give you any and all information concerning my previous employment, education, or any other information they might have, personal or otherwise, with regard to any of the subjects covered by this application, and I release all such parties from all liability from any damages which may result from furnishing such information to you.
Yes
No
 
 I understand that I am submitting this Online Employment Application for employment consideration and typing my name will constitute my Electronic Signature for possible employment.
Yes, this will constitute my Electronic Signature
 
 Name (Typed Electronic Signature):
 
Complete Typed Electronic Signature *