Job Application - Andi's Hair Salon

Name *

First

Last *

Last

Email *

Phone *

Address *

Address

City

State/Province

Zip/Postal

Country

Are you eligible to work in the United States?

Yes

No

Are you over the age of 18?

Yes

No

Have you been convicted of or pleaded no contest to a felony within the last five years?

Yes

No

If yes, please explain:

Emergency Contact Information:

Name

First

Last Name

Last

Emergency Contact Phone

Position Availability:

Position Applied For

Hours Available:

Please list the days/hours you are availlable

What date are you available to start work?

Education

Name and Address Of School - Degree/Diploma - Graduation Date

Skills and Qualifications: Licenses, Skills, Training, Awards

Employment History (Current or Last Position)

Employer

Employer Address

Supervisor

Employer Phone

Employer Email

Position Title

Employment Date

i.e. from August 21, 2021 to August 31, 2022

Responsibilities:

Salary

Reason for leaving

May We Contact Your Present Employer?

Yes

No

Employment History (Previous Position)

Employer

Employer Address

Supervisor

Employer Phone

Employer Email

Position Title

Employment Date

i.e. from August 21, 2021 to August 31, 2022

Responsibilities

Salary

Reason For Leaving

References

Please add Name/Title, Address & Phone

Reference 1

Reference 2

Reference 3

Signature

I certify that information contained in this application is true and complete. I understand that false information may be grounds for not hiring me or for immediate termination of employment at any point in the future if I am hired. I authorize the verification of any or all information listed above.

Signature

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Date