Application for employment



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APPLICATION FOR EMPLOYMENT



Our policy is to provide equal employment opportunity to all qualified persons without regard to race, creed, color, religious belief, sex, age, national origin, ancestry, physical or mental disability, or veteran status.

POSITION(s) APPLYING FOR:__________________________________DATE:_____________________



PERSONAL INFORMATION (all areas must be completed)

Name:____________________________________________________________________________________

Last First Middle
Address:___________________________________________________________________________________________________

Street City State Zip Code


Home Telephone:______________________________ Other Telephone:_______________________________
Email:_______________________________________ Social Security # :______________________________
Driver’s License #:_____________________________ Issuing State:__________________________________
Are you legally authorized to be employed in this country? ___Yes ___ No
Are you at least 18 years old? ___Yes ___ No
Have you ever been convicted of a felony? ___Yes ___ No
If yes, please explain: ________________________________________________________________________

__________________________________________________________________________________________



POSITION INFORMATION / AVAILABILITY



Position you are applying for? ___ Barber ___Receptionist ___Shoe Shine


Do you have any restrictions which may prohibit you from performing the functions of the job for which you are applying? ___Yes ___ No
If Yes, please explain: _______________________________________________________________________
__________________________________________________________________________________________

Employment status desired: ___Full-time ___Part-time


How did you hear about this position? __________________________________________________________
If hired, when can you start? __________________________________________________________________

EDUCATION



School Name and Location Year Major Degree

High School _____________________________________________________/_________/______________
College ________________________________________________________/_________/______________
Post-College ____________________________________________________/_________/______________
Other Training ___________________________________________________/_________/______________
In addition to your work history, are there other skills, qualifications, or experience that we should consider?
_________________________________________________________________________________________
_________________________________________________________________________________________

LICENSURE / EXPERIENCE (Barber applicants only)



Are you licensed in the State of Florida? ___Yes ___ No


License Type? ___Barber ___Cosmetologist
License Number: ________________________________ Expiration Date: ____________________________
Name of school attended: ___________________________________________________________________
Please describe your experience cutting men’s hair: _______________________________________________
_________________________________________________________________________________________

EMPLOYMENT HISTORY (start with most recent employer)





Employer: ______________________________________________________________________________
Address: _______________________________________________Telephone: _______________________
Date Started: __________________________________ Date Ended: _______________________________
Supervisor Name: ___________________________________________ May we contact? ___Yes ___ No
Reason for leaving: _________________________________________________________________________

Employer: ______________________________________________________________________________
Address: _______________________________________________Telephone: _______________________
Date Started: __________________________________ Date Ended: _______________________________
Supervisor Name: ___________________________________________ May we contact? ___Yes ___ No
Reason for leaving: _________________________________________________________________________

Employer: ______________________________________________________________________________
Address: _______________________________________________Telephone: _______________________
Date Started: __________________________________ Date Ended: _______________________________
Supervisor Name: ___________________________________________ May we contact? ___Yes ___ No
Reason for leaving: _________________________________________________________________________

Employer: _______________________________________________________________________________
Address: _______________________________________________Telephone: _______________________
Date Started: __________________________________ Date Ended: _______________________________
Supervisor Name: ___________________________________________ May we contact? ___Yes ___ No
Reason for leaving: _________________________________________________________________________

AUTHORIZATION



I certify that the facts set forth in this application for employment are true and complete to the best of my knowledge. I understand that if I am employed, false statements on this application shall be considered sufficient cause for disqualification from further consideration or dismissal from employment.


I authorize the company to make any investigations of my prior educational and employment history references as needed to research my qualifications for this position.

I understand that employment at this company is “at will,” which means that either I or this company can terminate the employment relationship at any time, with or without prior notice, and for any reason not prohibited by statute. All employment is continued on that basis. I understand that no supervisor, manager, or executive of this company, other than the president, has any authority to alter the foregoing.


____________________________________________ _____________________________

SIGNATURE OF APPLICANT DATE

Rev 5/2010





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