Legacy Salon.spa Employment Application Form

Education
High School *
Address *
From Year: *
To Year: *
Did you Graduate? *

Yes No
College
Address
From Year:
To Year:
Did you Graduate?

Yes No
Degree:
Other School
Address
From Year:
To Year:
Did you Graduate?

Yes No
Degree:

References

Please list three professional references
Name *

First Name Last Name
Relationship *
Company *
Phone Number *

Area Code Phone Number

Address

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Name

First Name Last Name
Relationship
Company
Phone Number

Area Code Phone Number

Address

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Name

First Name Last Name
Relationship
Company
Phone Number

Area Code Phone Number

Address

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Previous Employment
Company *
Phone Number *

Area Code Phone Number

Address *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Supervisor *
Job Title *
Starting Salary *
Ending Salary *
Responsibilities *
From Date

Month Day Year
Date
To Date

Month Day Year
Date
Reason for Leaving *
May we contact your previous supervisor for a reference? *

Yes No
Company
Phone Number

Area Code Phone Number

Address

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Supervisor
Job Title
Starting Salary
Ending Salary
Responsibilities
From Date

Month Day Year
Date
To Date

Month Day Year
Date
Reason for Leaving
May we contact your previous supervisor for a reference?

Yes No
Company
Phone Number

Area Code Phone Number

Address

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Supervisor
Job Title
Starting Salary
Ending Salary
Responsibilities
From Date

Month Day Year
Date
To Date

Month Day Year
Date
Reason for Leaving
May we contact your previous supervisor for a reference?

Yes No

Military Service
Branch
Date From

Month Day Year
Date
Date To

Month Day Year
Date
Rank at Discharge
Type of Discharge
If other than honorable, explain

Upload Resume
Upload Resume

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.
Signature

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