The Groom Room 101 Application Form

Legal Name*

First NameLast Name
Birth Date

MonthDayYear
Phone Number*

Area CodePhone Number
Emergency Contact Number (Can NOT be yourself)*

Area CodePhone Number
Emergency Name Contact*

First NameLast Name
Your relationship to emergency contact :*
Email
example@example.com
Home Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
EnglishSpanishBilingualOther
GroomerBatherReceptionistAny Position available
Walk-InReferralNewspaper AdFacebookTwitterLinkedInOther (please specify)
Full - TimePart - TimeSeasonal
All week (Monday - Sunday)Only week days (Monday-Friday)Only Weekends (Saturday-Sunday)
Desired Pay *
How many years of Grooming experience do you have?*
Have you ever worked at a grooming salon before ? If yes , where did you work and what was your position in your past job ? (If this does not apply to you simply put “N/A”)*
Resume and Files

Upload a File

Cancelof
Name of Employer 1
Former Employment

Date StartedDate Ended
Reason for Leaving
Name of Employer 2
Former Employment

Date StartedDate Ended
Reason for Leaving
References

Please list two (2) references that are familiar with your work life.
Reference
Reference
Should be Empty: