|
Kathy Adams Salon
Kathy Adams Salon thanks you for your interest. Please take your time in completing this
application so that we obtain a clear understanding of your qualifications, background, and
work history. Feel free to use the back of application for additional information that you feel
will aid us in making our decision.
* The following must be read before completing this application:
The Civil Rights Act of 1964 prohibits discrimination because of race, color, sex, or national
origin. Federal law also prohibits discrimination on the basis of age with respect to certain
individuals. The laws of most states also prohibit some or all of the above types of
discrimination as well as some additional types such as discrimination based upon ancestry,
marital status or physical or mental handicap or disability. DO NOT answer any questions you
feel will violate your rights.
Position Applying For:___________________________ Date:____________________
Desired schedule:
Day/Time Sunday
Monday Tuesday
Wednesday Thursday
Friday Saturday
Morning
Evening
Personal Information
Full Name____________________________________________
SS#______________________________________
Present
Address__________________________________________________________________________________________
Tel#_________________________ Emergency Tel#___________________________
Relationship______________________
How long have you lived at your present address?________________ Date of Birth_______________
Sex: Male___ Female___
Have you ever been convicted of a crime, excluding misdemeanors, in the past 10 yrs? If yes,
describe in full. ___________________________________________________________
_________________________________________________________________________________
Do you have any physical condition, which may prevent you from performing certain salon-related
work? If yes, describe the condition and related work
limitations.____________________________________________________________________________________________
Have you had a major illness in the past 5 yrs.? If yes, describe in full.
_______________________________________________________
Have you received compensation for any injuries? If yes, describe in full.
_____________________________________________________
Date you can start______________ Salary desired_____________ Are you employed now? If so may we
inquire of your present employer? _
______________________________________________________________________________________
How did you here about our
salon?________________________________________________________
Education
High School____________________________ Location________________________ Did you
graduate?________________
College_______________________________ Location________________________ Did you
graduate?________________
Trade School___________________________Location________________________ Did you
graduate?________________
Cosmetology School______________________ Location________________________ Hours
Completed________________
Date Licensed___________________ State first licensed in___________________________
Advanced courses you have taken relating to the salon industry? State subject, year and
source.
1. ___________________________________________________________________________
2. ___________________________________________________________________________
3. ___________________________________________________________________________
Employment History
Number of yrs. In salon industry?____________ List areas of special interest (ex. Cutting,
color)_________________________________
Do you have any management experience in the salon industry___________ Are you interested in
exploring management opportunities? __
_______________________________________________________________________________
Former and/or current employers (please list below 3 employers, starting with last one
first):
Name and Address Dates(from-to) Salary Reason for leaving Tel#
1.
2.
3.
Which of these jobs did you like the best? And
why?____________________________________________________________________________
Please read the following and sign below
The facts set forth in my application for employment at this salon are true and complete. I
understand that if employed, false statements on this application shall be considered
sufficient cause for dismissal. I give you authorization to make any inquiries of my personal
history in establishing my credibility for employment at this salon. This includes any personal
interviews with past employers and references as to my personal character and general
reputation. I understand that I have the right to make a written request within a reasonable
period of time to receive additional information regarding such inquires.
Signature of Applicant___________________________________________ Date________________
--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Please do not write below this line
Interviewed by____________________________ Date__________________
Remarks______________________________________________________________________
Employer contacted_______________________________________________
Comments____________________________________________________________________
Schools contacted_________________________________________________
Comments____________________________________________________________________
Hired?_________________ Date_________________ Position________________________
Wage_________________________
(770) 831 - 7874
|