Applicant Information

Full Name:

Date:

                       Last

First

M.I.

Address:

                       Street Address

Apartment/Unit #

City

State

ZIP Code

Phone:

(         )

E-mail Address:

Date Available:

Desired Salary

$

 May we contact current employer?

Position Desired:

Interested in:

Full Time

Part Time

Are you at least 18 years old?

YES

NO

Are you authorized to work in the United States?

YES

NO

Can you provide proper documentation?

YES 

NO

Have you ever worked for this company?

YES

NO

If so, when?

Have you ever been convicted of a felony?

YES

NO

If yes, explain:

Education

High School:

Address:

From:

To:

Did you graduate?

YES

NO

Degree:

College:

Address:

From:

To:

Did you graduate?

YES

NO

Degree:

Cosmetology School:

Address:

From:

To:

Did you graduate?

YES

NO

Degree:

Licensed

YES

NO

State:

References

Please list three professional references.

Full Name:

Relationship:

Company:

Phone:

(         )

Address:

Full Name:

Relationship:

Company:

Phone:

(         )

Address:

Full Name:

Relationship:

Company:

Phone:

(         )

Address:

Previous Employment – Most current first

Company:

Phone:

(         )

Address:

Supervisor:

Job Title:

Starting Salary:

$

Ending Salary:

$

Responsibilities:

From:

To:

Reason for Leaving:

Company:

Phone:

(         )

Address:

Supervisor:

Job Title:

Starting Salary:

$

Ending Salary:

$

Responsibilities:

From:

To:

Reason for Leaving:

Company:

Phone:

(         )

Address:

Supervisor:

Job Title:

Starting Salary:

$

Ending Salary:

$

Responsibilities:

From:

To:

Reason for Leaving:

Additional Questions

Number of years in the salon industry?

Advanced courses you have taken relating to the salon industry?

List areas of special interest (i.e., color, perms, etc.).

Do you have management experience in the salon industry?

Are you interested in exploring management opportunities?

What is your availability:  Sun _______   Mon _______    Tues _______   Wed _______   Thr _______   Fri _______   Sat _______   

Disclaimer and Signature

If I am employed, I understand that my employment is at-will.  I will be subject to dismissal or discipline without notice or cause, at the discretion of the employer.  I also understand that this means I am free to resign at any time. 

The facts set forth in my application for employment are true and complete.  I understand that if employed, false statements on this application shall be considered sufficient cause for dismissal.  I authorize Utopia Salon & Day Spa to contact all of my previous employers or references for full information regarding my employment history.

Signature:

Date: