212 Salon Employment Application

212 Salon, Spa & Barbershop 2827 US Hwy 52 West, Suite C West Lafayette, IN 47906 765/884-1450

Date of birth

Date

Last Name

First Name

Middle Name

Date of Birth

Date

Street Address

City

State

Zip Code

Home Phone

Cell Phone

Email

example@example.com

Are you a United States Citizen or legally eligible to work in the U. S.?YesNo (if hired, you will be required to provide documentation that you are eligible to work in the U.S

Yes

No

Are you 18 or over?

YesNo

Title of Position Applying For

Date Available to Work

Date

Are you employed now?

If so, may we contact your present employer?

High School/ # Years Complete/ Major Area of Study/Degree, Diploma

College/ # Years Complete/ Major Area of Study/Degree, Diploma

Graduate School/ # Years Complete/ Major Area of Study/Degree, Diploma

Technical or Certificate Programs/ # Years Complete/ Major Area of Study/Degree, Diploma

Employment HistoryPlease provide the following information for your previous three employers, beginning with the most recent: (Please attach an additional page if necessary)

Employer 1

From

To

Job Title

Address

Telephone

Weekly Pay (Start/Final)

Reason for Leaving

Job Duties

Employer 2

From

To

Job Title

Address

Telephone

Weekly Pay (Start/Final)

Reason for Leaving

Job Duties

Employer 3

From

To

Job Title

Address

Weekly Pay (Start/Final)

Telephone

Reason for Leaving

Job Duties

Describe your qualifications for the type of employment you are seeking: (Please include skills, special training, etc.)

Please list any special awards, honors, scholarships, or offices held.

Please list names of 3 supervisors, managers, or others who can comment directly on your abilities: Relationship/Occupation

I certify that the facts set forth in this application for employment are true and complete to the best of my knowledge. I understand that if employed, false statements on this application shall be considered sufficient cause of dismissal. You are hereby authorized to make investigation of my personal references.

Name/Address/Phone #/ Relationship,Ocupation/ Years Know

Facebook Link

Instagram Link/Username

Signature of Applicant

Date