Lash District Employment Application
285 Main St. West Orange, NJ 07052
Name
*
First Name
Last Name
E-mail
*
example@example.com
Phone Number
*
Format: (000) 000-0000.
Date of Birth
*
-
Month
-
Day
Year
Date
Address
*
Street Address
Street Address Line 2
City
State
Zip Code
Are you authorized to work in the United States?
*
Please Select
Yes
No
Please upload your ID (e.g., driver’s license, passport).
*
Browse Files
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Choose a file
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of
Please upload your professional license (e.g., cosmetologist, esthetician).
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
What’s your Instagram handle
*
What date can you start?
*
-
Month
-
Day
Year
Date Picker Icon
Applicant Signature
I certify that the information provided in this application is true and complete to the best of my knowledge. I understand that providing false information may result in disqualification or termination of employment.
Required Signature
*
Date Signed
*
-
Month
-
Day
Year
Date
Submit
Submit
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