Emidio Vincenzo Escape Salon Job Application form

Application for Employment
Full Name*

First NameMiddle InitialLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
E-mail*
Phone Number*

Area CodePhone Number
Applying for the Position of:
Available start date:*

MonthDayYear
Do you have a valid driver's license?

YesNo
Are you authorized to work and remain in the United States?

YesNo
Were you ever discharged or forced to resign from any position?

YesNo
If Yes, Explain:
Position:
Department:
Have you served in the U.S. Armed Forces?

YesNo
If Yes, Branch:
Date Entered Active Duty:

MonthDayYear
Date Released Active Duty:

MonthDayYear
Have you ever been convicted of any violation of the law? (Exclude traffic violations) A conviction will not necessarily disqualify an applicant from the position sought.

YesNo
If Yes, Explain:
Education:
Are you a High School Graduate?

YesNo
High School Equivalency?

YesNo
Are you presently attending school?

YesNo
Type of Education
Name of Instiution
Field of Study
Type of Degree
Did you Graduate?

YesNo
Do you have additional education to enter?

YesNo
Additional Type of Education
Name of Instiution
Field of Study
Type of Degree
Did you Graduate?

YesNo
Professional License or Certificate, If Required
Type
Serial Number
Date Issued
Expiration Date

MonthDayYear
Skills
List Salon, Sales, Retail, and Computer Background and Years of Experience:
Employment History

Beginning with your present or most recent experience, account for all employment during the past five (5) years. To elaborate, a supplemental sheet or resume may be attached, but cannot be substituted for a completed application.
Name of Employer:
Job Title:
Phone Number

Area CodePhone Number
Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Supervisor:
Ending Salary Per Month:
Date started

MonthDayYear
Date ended

MonthDayYear
Reason for Leaving:
Description of Duties:
Do you have additional employers to enter?

YesNo
Name of Employer:
Job Title:
Phone Number

Area CodePhone Number
Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Supervisor:
Ending Salary Per Month:
Date started

MonthDayYear
Date ended

MonthDayYear
Reason for Leaving:
Description of Duties:
May we contact your present employer?

YesNo
May we contact your former employers?

YesNo
Personal References
Full Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Business or Occupation
Phone Number

Area CodePhone Number
APPLICANT’S STATEMENT AND AUTHORITY TO RELEASE INFORMATION

(Required for ALL Positions)

By submitting this form, i hereby certify that the above information, to the best of my knowledge, is correct. I understand that falsifacation of this information may prevent me from being hired or lead to my dismissal if hired. I also provide consent for former employers to be contacted regarding work records.
Full Name
Phone Number

Area CodePhone Number
Date

MonthDayYear
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
How did you learn about this position?

SchoolNewspaperInternetWebsiteWalk-InOther
Attach Resume

Upload a File

Cancelof
Should be Empty:

Application for Employment

Education:

Professional License or Certificate, If Required

Skills

Employment History

Personal References