Job Application
Personal Data
Your Name:
Address:
Zip Code:
Phone:
Email:
SSN:
18 years or older?
Yes
No
Convicted of a crime?
Yes
No
If you answered Yes above, please explain
Position applying for:
Position Applying for:
Stylist
Front Desk Receptionist - Full Time
Front Desk Receptionist - Part Time
Other
Salary desired per hour:
# of hours / week:
Employment History:
Current employer:
City / state:
Phone #:
Dates of employment:
Earnings per hour or salary:
Reason for leaving:
May we contact this employer?
Yes
No
Previous Employer 1:
City / state:
Phone #:
Dates of employment:
Earnings per hour or salary:
Reason for leaving:
May we contact this employer?
Yes
No
Previous Employer 2:
City / state:
Phone #:
Dates of employment:
Earnings per hour or salary:
Reason for leaving:
May we contact this employer?
Yes
No
Previous Employer 3:
City / state:
Phone #:
Dates of employment:
Earnings per hour or salary:
Reason for leaving:
May we contact this employer?
Yes
No
Education
High School:
Address:
Degree / years completed:
College:
Address:
Degree / years completed:
Trade School:
Address:
Degree / years completed:
Professional References:
Reference Name 1:
Company:
Title:
Phone:
Professional Relationship:
Reference Name 2:
Company:
Title:
Phone:
Professional Relationship:
* Required
