BLHC Enrollment Application

BLHC Employee Application
Full Name

FirstMiddleLast
Name

First NameLast Name
Date of Birth

MonthDayYear
Date
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email Address
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Driver's License Number
Gender
Please Specify:
Preferred Pronouns
Position of Interest
What services do you currently offer?
N/A if applying for a non-stylist related position
Desired Salary or Hourly Wage
Social Media Handle(s)
If listing multiple handles, please specify which platform it pertains to. Example Instagram: @insertname here, TikTok @insertaname here, etc
U.S Citizen (Select One)
Are you authorized to work in the U.S?
Have you ever worked for this company?
If yes, when?

MonthDayYear
Date
Have you ever worked in a salon?
Name of Previous Salon
N/A if you have no salon experience
Have you ever been convicted of a felony?
If yes, explain
EDUCATION:
Did you graduate high school?
Start Date

MonthDayYear
Date
End Date

MonthDayYear
Date
Are you a licensed cosmetologist in the state of Michigan?
Cosmetology School Attended
Did you graduate?
College
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Start Date

MonthDayYear
Date
End Date

MonthDayYear
Date
Cosmetology School
Did you graduate?
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Start Date

MonthDayYear
Date
End Date

MonthDayYear
Date
Did you graduate?
REFERENCES:

Please list at least two professional references.
Name

First NameLast Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Company
Relationship
Name

First NameLast Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Company
Relationship
Name

First NameLast Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Company
Relationship
EMPLOYMENT HISTORY:
Company
Job Title
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Starting Salary or Hourly Wage
Ending Salary or Hourly Wage
Responsibilities
Responsibilities
Start Date

MonthDayYear
Date
End Date

MonthDayYear
N/A if this is your current employer
Reason for leaving
N/A if this is your current employer
Reason for leaving
May we contact the employer?
Company
Job Title
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Starting Salary or Hourly Wage
Ending Salary or Hourly Wage
Responsibilities
Start Date

MonthDayYear
Date
End Date

MonthDayYear
Date
Reason for leaving
MILITARY SERVICE
Have you ever served in the U.S. Armed Forces?
Are you currently:
If yes, what branch did you serve in?
If yes, what branch did you serve in?
What was your rank and/or job title?
Start Date of Active Duty

MonthDayYear
Date
End Date of Active Duty

MonthDayYear
Date
Type of Discharge
If other than honorable, explain
SUPPORTING DOCUMENTS:
Cosmetology License

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Resume

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Submit Your Portfolio

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Upload Your Cover Letter

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DISCLAIMER AND SIGNATURE
I certify that my answers are true and complete to the best of my knowledge.

If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.
Applicant Signature
Should be Empty:

BLHC Employee Application

EDUCATION:

REFERENCES:

EMPLOYMENT HISTORY:

MILITARY SERVICE

SUPPORTING DOCUMENTS:

DISCLAIMER AND SIGNATURE