Makiya's Wig Studio Leasing Application
Thank you for your interest in our Salon Suites. All applicants must be at least 18 years of age and will be considered based on qualifications regardless of age, race, color, creed, sex, religion or disability and any other reason protected by law.Please complete the lease application below. Your information will be kept confidential.
Name
*
First Name
Last Name
When’s your birthday
*
-
Month
-
Day
Year
Date Picker Icon
E-mail
*
example@example.com
Phone Number
*
Format: (000) 000-0000.
Tell me about yourself
*
Address
*
Street Address
Street Address Line 2
City
State
Zip Code
What’s your Instagram handle or booking site
*
Education History
*
High School
College/University
Graduate School
Vocational/Technical School
Department of Consumer affairs board of barbering and cosmetology ("Board") to perform beauty care services to the public pursuant with,
Cosmetology/Professional License Number
Expire On:
-
Month
-
Day
Year
Date
State License In:
Business Information
Fill out all required spaces.
Business Name
*
Will you be full-time or part-time?
*
Full Time
Part Time
What date can you start?
*
-
Month
-
Day
Year
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What do you specialize in?
*
List all
Do you retail products or plan to retail (if so what?)
*
List all
In the past seven years
Background Information
Are you presently charged with any felony violations of law?
*
Yes
NO
Have you been convicted of or plead guilty to any criminal or felony offense?
*
Yes
No
If your answer is "YES" to any of the preceding questions or any part of the questions, please provide the detail below to include the date, place and nature of each such conviction(s) or pending charge(s). (The existence of a conviction or pending charge will not necessarily preclude you from leasing or employment. The nature of the crime and its relationship to the lease or position applied for, the degree of rehabilitation and the time elapsed since the crime or release from confinement will all be considered.)
Were you referred?
*
Yes
No
Other
Personal Reference and Emergency Contact
Name
*
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Upload License
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Required Signature
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Date Signed
*
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Month
-
Day
Year
Date
Submit
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