New Attitude Salon and Day Spa

First Name

Last Name

Street Address

City

State

Zip Code

Are you 18 years or older
 Yes No

Phone

Email

Have you ever been convicted of a felony or misdemeanor
 Yes No

If yes, please explain

Position applying for
AssistantDesigner in TrainingDesigner/StylistEstheticianMassage TherapistNail TechnicianManagementOther

Date you are available to start

Salary/Hourly desired

Applying for
 Part-Time Full-Time

Hours/Days not available

Are you employed now
 Yes No

If yes, may we inquire of your present employer
 Yes No

High School

Did you graduate
 Yes No

If you are still attending high school, what grade are you currently in

College

Did you graduate
 Yes No

Trade School

Did you graduate
 Yes No

Special training, skills, or study

Present or last employer

Phone Number

Salary/Hourly wage

May we contact them
 Yes No

Job title and description of work

Previous employer

Phone Number

Salary/Hourly wage

May we contact them
 Yes No

Job title and description of work

Previous employer

Phone Number

Salary/Hourly wage

May we contact them
 Yes No

Job title and description of work

Please list three persons you are not related to, whom you have known at least one year

Reference 1 Name

Phone

Business

Years acquainted

Reference 2 Name

Phone

Business

Years acquainted

Reference 3 Name

Phone

Business

Years acquainted