Name:
*
First Name
Last Name
What are your pronouns?
Do you have a preferred name you go by?
Birth Date
Please select a month
January
February
March
April
May
June
July
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Month
Please select a day
1
2
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31
Day
Please select a year
2024
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1920
Year
Phone Number:
*
-
Area Code
Phone Number
E-mail Address:
Address:
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
How were you referred to us?
*
Walk-In
Employee
Facebook
Other (please specify)
Instagram
Tiktok
Others:
Upload Resume:
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Job Skills & Training
Describe your skills:
*
Training or Certifications; Are you a licensed esthetician or cosmetologist in the state of Pennsylvania?
How many years of experience do you have performing facials?
HOW MANY YEARS OF WAXING EXPERIENCE DO YOU HAVE?
How confident are you in providing services to all genders?
Are you currently working elsewhere? If so, where?
Do you currently have social media for your work, if so please post your links below.
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