Position Desired
  Date of Application

Personal Information

  First Name
  Middle Name
  Last Name
  Address
  City
  State
  Zip
  Phone
  Email Address
  Date Available
to Begin Work
  Full or Part Time? Full Time
Part Time
  Salary Desired
  How did you learn
about this position?
  Are you over
18 years of age?
Yes
No
  Have you ever been
employed with us?
Yes
No
  If "yes," when?
  Are you currently
employed?
Yes
No
Have you ever been convicted of a felony, pleaded guilty or "no contest" to a felony, and/or received deferred adjudication for a felony offense?
Yes
No
If "yes," please explain. (An affirmative response will not automatically disqualify you from being considered for employment).
If you are applying for a position involving evening or weekend work, are you available to work at those times?
Yes
No
(A negative response will not automatically disqualify you from being considered for employment).

Educational Data

High School

  School Name
  School City
  School State
  No. of Years Completed
  Degree
  Major Course of Study

College

  School Name
  School City
  School State
  No. of Years Completed
  Degree
  Major Course of Study

Vocational / Special training School

  School Name
  School City
  School State
  No. of Years Completed
  Degree
  Major Course of Study

Employment History

In the following spaces, give a complete record of your employment, including periods of unemployment, if any. Begin with you most recent employment, and work back in time.
 

Employer 1

 
  Employer Name
  Address
  City
  State
  Zip
  Duration Employed From (Mo./Yr.) to (Mo./Yr.)
  Position
  Duties
  Reason for Leaving
 

Employer 2

 
  Employer Name
  Address
  City
  State
  Zip
  Duration Employed From (Mo./Yr.) to (Mo./Yr.)
  Position
  Duties
  Reason for Leaving

Special Skills or Qualifications

Describe any other special job-related skills or qualifications (e.g., salon techniques, experience and training, computers, professional associations, licenses, etc.) that would be valuable to the position for which you are applying.

References

 

Reference 1

 
  Name
  Phone
  Occupation
 

Reference 2

 
  Name
  Phone
  Occupation

Applicant's Statement

I hereby affirm that the information provided on this application (and accompanying resume, if any) is true and complete to the best of my knowledge. I also understand and agree that any falsified information or significant omissions may disqualify me from further consideration for employment, and if discovered after I am hired, may result in dismissal. I also affirm that I am making this application because I am sincerely interested in being hired by Square One Salon ("Employer") and not for any other purpose.

In consideration of my being considered for employment, I authorize a thorough investigation of my past employment and activities, agree to cooperate in such investigation, and release from liability or responsibility all persons or businesses requesting or supplying such information.

I understand and agree that if I am hired I am required to read and abide by all rules and regulation of Square One Salon governing the conduct of its employees, including the rules which prohibit the use or possession of illegal drugs, alcoholic beverages, firearms, or weapons of any kind in any office, work location, or facility of Square One Salon.

I certify that I am eligible for employment in the United States and that the documents I have furnished, or will furnish, to verify my identity and eligibility are true and correct. I further understand and agree that, if offered employment, I will have three days to submit such documents, and that failure to submit such documents within three days will result in withdrawal of the offer of employment or, if employment has begun, termination from employment.

I further understand and agree that Square One Salon may verify the information that I have given by contacting any of the reference I have provided. I hereby agree to hold Square One Salon harmless for any action it may take with respect to this application based upon the information provided to it by these references.

Please enter your full name and today's date below to indicate that you have read and agree with this statement.

Full Name
*

Today's Date (mm/dd/yyyy)
*

 
This employer, in accordance with federal, state and local laws, does not discriminate on the basis of race, color, religion, national origin, sex, age disability, or any other legally protected status. Applicants may request accommodation needed to participate in the application process. This employer is an equal opportunity employer.
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