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EMPLOYMENT APPLICATION

Please complete the entire application then press Submit!

Full Name *

Home Address *
City/State/Zip *

Daytime Phone *

Mobile Phone *

Email *

Job Position Applied For? *

Salary Desired Per Week? *

If you are offered employment, when would you be available to begin work? *

What is your current work availability? *

Skills

Rate your skill and comfort level in each of these catagories 1 to 5. (The number 1 represents poor ability, while the number 5 represents exceptional ability.)

Answering Telephones 1 - 5 *

Customer Service 1 - 5 *

Computer Experience 1 - 5 *

How would you best describe yourself using 4 words? *

Describe the work environment you thrive best in? *

If applying for a service provider position, describe what you believe would be your ideal salon to begin your career at? *

Employment History

List your current or most recent employment first. Please list all jobs (including self-employmentand military service) which you have held, beginning with the most recent, and list and explain any gaps in employment.

Employer Name:

Supervisor Name:

Address:

City/State/ZIP:

Job Duties:

Reason for Leaving:

Dates of Employment (Month/Year):

Employer Name

Supervisor Name:

Address:

City/State/ZIP:

Job Duties:

Reason for Leaving:

Dates of Employment (Month/Year):

Employer Name:

Supervisor Name:

Address:

City/State/ZIP:

Job Duties:

Reason for Leaving:

Dates of Employment (Month/Year):

Education and Training

College/University Name and Address:

Did you receive a degree?

YesNo

If yes, degree(s) received:

High School/GED Name and Address:

Did you receive a degree?

YesNo

Other Training (graduate, technical, vocational):

Please indicate any current professional licenses or certifications that you hold:

Awards, Honors, Special Achievements:

Please provide any other information that you believe should be considered, including whether you are bound by any agreement with any current employer:

CERTIFICATION

I certify that the information provided on this application is truthful and accurate. I understand that providing false or misleading information will be the basis for rejection of my application, or if employment commences, immediate termination.

I authorize Lotus Salon to contact former employers and educational organizations regarding myemployment and education. I authorize my former employers and educational organizations to fully and freely communicate information regarding my previous employment, attendance, and grades. I authorize those persons designated as references to fully and freely communicate information regarding my previous employment and education.

I HAVE CAREFULLY READ THE ABOVE CERTIFICATION AND I UNDERSTAND

AND AGREE TO ITS TERMS.

By Checking This Box You Agree To The Above Terms. *

Todays Date: *