AgeLess SPA job application

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

MonthDayYear
What is your work shift availability?

DaysWeekendsEveningsOpen AvailabilitySpecific Time Frames
Days you are available

SundaysThursdaysMondaysFridaysTuesdaysSaturdaysWednesdays
Personal Information
Full Name*

First NameMiddle NameLast Name
Current Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number

Area CodePhone Number
Mobile Number

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

PhoneEmailMobileAny way is fine
Education
School Name:
Attended From:

MonthDayYear
Date
Attended Until:

MonthDayYear
Date
Your Major:
Degree Received:
School Name:
Attended From:

MonthDayYear
Date
Attended Until:

MonthDayYear
Date
Your Major:
Degree Received:
School Name:
Attended From:

MonthDayYear
Date
Attended Until:

MonthDayYear
Date
Your Major:
Degree Received:
School Name:
Attended From:

MonthDayYear
Date
Attended Until

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

MonthDayYear
Date
Employed until:

MonthDayYear
Date
Work Phone:

Area CodePhone Number
Pay Rate:
Employer's Address:

Street Address

Street Address Line 2

CityState / Province

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

YesNo
Employer:
Employed from:

MonthDayYear
Date
Employed until:

MonthDayYear
Date
Work Phone:

Area CodePhone Number
Pay Rate:
Employer's Address:

Street Address

Street Address Line 2

CityState / Province

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

YesNo
References
Reference 1 Name:
Reference 1 Title:
Reference 1 Company:
Reference 1 Phone

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

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

Area CodePhone 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

Upload a File

Cancelof
In order to help us eliminate spam, please enter the code below before submitting this form. Thank you.
Enter the message as it's shown*
Should be Empty:

AgeLess SPA Job Application