AgeLess SPA job application

AgeLess SPA Job Application
Position you are applying for: *
Available Start Date

Month Day Year
What is your work shift availability?

Days Weekends Evenings Open Availability Specific Time Frames
Days you are available

Sundays Thursdays Mondays Fridays Tuesdays Saturdays Wednesdays
Personal Information
Full Name *

First Name Middle Name Last Name
Current Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Phone Number

Area Code Phone Number
Mobile Number

Area Code Phone Number
Email Address *
How do you prefer we contact you?

Phone Email Mobile Any way is fine
Education
School Name:
Attended From:

Month Day Year
Date
Attended Until:

Month Day Year
Date
Your Major:
Degree Received:
School Name:
Attended From:

Month Day Year
Date
Attended Until:

Month Day Year
Date
Your Major:
Degree Received:
School Name:
Attended From:

Month Day Year
Date
Attended Until:

Month Day Year
Date
Your Major:
Degree Received:
School Name:
Attended From:

Month Day Year
Date
Attended Until

Month Day Year
Date
Your Major:
Degree Received:
Other training, certifications or licenses held:
Employment History
Employer:
Employed from:

Month Day Year
Date
Employed until:

Month Day Year
Date
Work Phone:

Area Code Phone Number
Pay Rate:
Employer's Address:

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Position Held:
Duties Performed (Describe Briefly)
Supervisor's Name and Title:
Reason for leaving (Describe Briefly)
May we contact them?

Yes No
Employer:
Employed from:

Month Day Year
Date
Employed until:

Month Day Year
Date
Work Phone:

Area Code Phone Number
Pay Rate:
Employer's Address:

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Position Held:
Duties Performed (Describe Briefly)
Supervisor's Name and Title:
Reason for leaving (Describe Briefly)
May we contact them?

Yes No
References
Reference 1 Name:
Reference 1 Title:
Reference 1 Company:
Reference 1 Phone

Area Code Phone Number
Reference 2 Name:
Reference 2 Title:
Reference 2 Company:
Reference 2 Phone

Area Code Phone Number
Reference 3 Name:
Reference 3 Title:
Reference 3 Company:
Reference 3 Phone

Area Code Phone Number
Acknowledgment & Authorization

Please read and answer each question
I Certify that all answers are given herein are true and complete to the best of my knowledge.
*

True And Complete
I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision.
Authorize Investigation *

Yes
In the event of employment, I authorize AgeLess SPA to conduct a background check on me at their discretion which contains name only searches which may result in a report being generated containing criminal history records. I hereby release and agree to hold harmless from liability AgeLess MMC, LLC employees, and any other person or organization that may provide such information.
Background Check Authorization *

Yes
Your Resume

If you would like to upload a resume to us, you may do so at this time.

Note: Your resume attachment must be 500k or smaller. If your resume file is larger than this you may email it to us directly at michellezcilip@agelessspas.com
Upload Resume
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AgeLess SPA Job Application