Job Application
Position Applying For (check one):
Massage Therapist
Esthetician
Dual-Licensed (Massage + Esthetics)
Spa Assistant/Support
Other:
Date:
-
Month
-
Day
Year
Date
How did you hear about us?
Referral
Social Media
Website
Indeed/Job Board
Other:
Referred by (name):
1) Applicant Information
Full Name:
First Name
Last Name
Preferred Name:
Pronouns (optional):
Phone:
Format: (000) 000-0000.
Email:
example@example.com
Current City/State:
Address (optional):
Are you at least 18 years old?
Yes
No
Are you legally authorized to work in the U.S.?
Yes
No
Do you have a valid driver's license?
Yes
No
State:
Do you have transportation suitable for mobile services?
Yes
No
Are you comfortable driving to client locations?
Yes
No
Languages spoken:
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2) Licenses, Certifications & Insurance
Massage Therapy License # (if applicable):
State:
Exp:
Esthetics/Cosmetology License # (if applicable):
State:
Exp:
CPR/First Aid Certified?
Yes
No
Expires:
Other certifications (e.g., prenatal, lymphatic, lash, waxing):
Do you carry professional liability insurance?
Yes
No
If yes, Carrier/Policy #:
3) Services You Can Perform (check all that apply)
Massage Modalities
Massage Modalities Options
Swedish
Deep Tissue
Sports
Prenatal
Cupping
Trigger Point
Myofascial
Lymphatic
Chair Massage
Hot Stones/Hot Towels
Stretching
LED Therapy
Other
Esthetics Services
Esthetics Services Options
Custom Facials
Acne/Teen
Anti-Aging
Dermaplaning
Nanoneedling
LED Therapy
Extractions
High Frequency
Other
Waxing (areas):
Brow/Lash (tint/lift):
Makeup
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4) Availability & Scheduling
Desired start date:
-
Month
-
Day
Year
Date
Preferred work type:
Part-time
Full-time
On-call
Weekends only
Days available (check):
Mon
Tue
Wed
Thu
Fri
Sat
Sun
Time blocks available:
Mornings
Afternoons
Evenings
Are you available for same-day/short-notice bookings?
Yes
No
Willing to travel (radius/miles):
Preferred service areas/neighborhoods:
5) Work Experience
Most Recent Employer/Business:
Role/Title:
Dates:
-
Month
-
Day
Year
Date
to
-
Month
-
Day
Year
Date
Location:
Primary services performed:
Reason for leaving:
Previous Employer/Business:
Role/Title:
Dates:
-
Month
-
Day
Year
Date
to
-
Month
-
Day
Year
Date
Location:
Primary services performed:
Link to resume (optional):
Portfolio/Instagram/Website (optional):
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6) Client Care & Professional Standards
Describe your approach to consultation and contraindications:
How do you handle draping/privacy and client comfort in a spa or mobile setting?
How do you maintain sanitation and infection control?
What's your approach to rebooking/retail recommendations (if applicable)?
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7) Mobility & Logistics (Mobile Services)
Can you safely lift/carry 35-50 lbs (table + supplies)?
Yes
No
Do you have any restrictions we should accommodate?
Yes
No
If yes, explain:
Comfortable with:
Stairs
Office visits
Residential homes
Events/Groups
8) Background & Compliance
Have you ever been convicted of a felony or misdemeanor that is job-related?
Yes
No
If yes, provide details (conviction will not automatically disqualify you):
9) References (2 preferred)
Reference #1 Name/Title:
Phone/Email:
Relationship:
Reference #2 Name/Title:
Phone/Email:
Relationship:
10) Acknowledgments & Applicant Signature
I certify that the information provided is true and complete.
I understand that any misrepresentation may result in disqualification or termination.
I understand that employment, if offered, may be contingent on verification of licensure/certifications and other lawful checks.
Applicant Signature:
Date:
-
Month
-
Day
Year
Date
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