Personal Information

Name (*)

Street Address (*)

City / State / Zip (*)

Daytime Telephone Number (*)

Email (*)

Recruitment Information

Position Desired: (*) Choose all that apply
 Hair Stylist  Esthetician  Massage Therapist  Nail Technician  Front Desk
Other:

Location Desired: (*) Choose all that apply
 Spanish Fort, AL  Orange Beach, AL
 Pensacola Beach, FL  Sandestin, FL  Panama City Beach, FL

Available to work?: (*)
 Part-Time (less than 30 hours per week)  Full-Time (30 or more hours per week)

List hours and days that you are available to work below:

How did you hear about us?: (*)
 Job posting Employee Referral Job Fair Aveda Institute Other

If you have worked with us before, please specify dates, location and position held in the space below

Education

For each level of school listed, please specify the school name, city and state where it is located and the degree or diploma you received.

HIGH SCHOOL:

College:

Graduate School:

Business, Trade or other Schools:

Work History

Starting with your current or most recent employer, please list the following information for the last three places you have worked:

Name of Employer 1: (*)

Employer's Address:

Dates Employed:

Job Title(s) Held:

Job Responsibilities:

Name of Immediate Supervisor:

Name of Employer 2: (*)

Employer's Address:

Dates Employed:

Job Title(s) Held:

Job Responsibilities:

Name of Immediate Supervisor:

Name of Employer 3:

Employer's Address:

Dates Employed:

Job Title(s) Held:

Job Responsibilities:

Name of Immediate Supervisor:

Professional References

Please list the requested information for three professional (non-family member) references.

Name, Job Title, Company:

Address, Telephone Number:

Work Relationship to Reference:

Name, Job Title, Company:

Address, Telephone Number:

Work Relationship to Reference:

Name, Job Title, Company:

Address, Telephone Number:

Work Relationship to Reference:

Applicant Consent

Please read each of the following statements and place your initials by each one to indicate that you understand and agree to the terms stated, then type your name at the bottom of this form and click submit.

I certify that all information I have supplied on this form is correct to the best of my knowledge. I understand that omissions or deliberate misinformation will disqualify my application and if hired, would serve as grounds for dismissal. (*)
Initials:

I consent to have Fusion Spa.Salon contact the people listed on this form as references and authorize these individuals to provide truthful information regarding my qualifications for employment or previous work. I also agree to waive liability against persons named as references provided the information they supply is honest, factual and delivered without malice. (*)
Initials:

Date:

Please provide your Social Security Number:

Please provide your drivers license number and state it is in:

Have you ever been convicted of a felony? If yes, please explain

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