First Name :

Last Name :

City :

State :

Zip :

Contact Person :

Email :

Contact No :

Address :

What position are you applying for :

Why have you chosen to apply here?

Why do you feel you would be an asset to?

Are you a licensed cosmetologist/barber? :

licensed no. :

State :

If so have you attended advance training? :

Please list any advanced training :

Have you held any leadership positions? I.e. school, employment, clubs etc. If yes, briefly describe :

What are some of your goals?

If you were able to qualify for this opportunity, would any of the below be a problem and why? Scheduled hours once we have decided your schedule?

Working weekends :

Working evenings :

Show up to work on time?

Training classes outside of working hours? :

Providing own model for classes? :

Standing on feet?

If licensed, of the services we offer which do you not feel qualified to perform? :

What do you consider your strongest points? :

What do you consider your weakest points?

What method of transportation will you use to get to?

Education

High School :

# of years attended

Graduate :

What Year

Name of Cosmetology/Barber School attended :

Graduate?

If Yes, Month/Year?

If Not?

College/trade/other :

Business Name

Address

Dates employed From

Dates employed to

Supervisors Name

Job Title

Final Rate to Pay

Responsibilities

Reason for leaving

Are you employed now?

If yes can we contact your employer?

References not related to you that you have known for 1 year.(Name, Phone, Business Years known)

I certify that the facts contained in this application are true and complete to the best of my knowledge and understand that, if employed, falsified statements on this application could be grounds for dismissal. I authorize investigation of all statements and agree references listed above may give any information regarding my fitness for employment. I release all parties from all liability for any damage that may result from furnishing this information.