| personal information |
| name |
* |
| e-mail |
* |
| phone |
* |
| address |
* |
| city |
* state* zip* |
| ss# |
* |
| can you provide documentation to verify your identity and legal authority to work in this country? YES NO |
| |
|
| position applying for |
for what position or type of work are you applying (list up to three):
|
are you interested in:
full-time
part-time
temporary
summer |
| have you ever worked in a salon before?
YES
NO |
| If YES, from |
to |
| date available to start |
|
| day/hours available |
|
| will you relocate? |
YES
NO willing to work overtime?
YES
NO |
what prompted you to apply at hair by Scott & Company?
advertisement
agency/search firm
job fair
walk-in
friend
other
|
| if applying for a service position, are you currently licensed?
YES
NO
|
| if not, when will you be licensed
|
| have you ever been granted security clearance?
YES
NO |
| if yes, indicate level of clearance, date granted and where employed: |
| has clearance ever been revoked or refused?
YES
NO |
| work history |
| present employer |
| employer |
employer name |
| |
type of business |
| |
address |
| |
phone |
| |
job title |
| |
salary or wages
hours per week |
| |
incentive earnings? YES NO |
| |
nature of duties
|
| |
reason for leaving or seeking change
|
| first previous employer |
| employer |
employer name |
| |
type of business |
| |
address |
| |
phone |
| |
job title |
| |
salary or wages
hours per week |
| |
incentive earnings? YES NO |
| |
nature of duties
|
| |
reason for leaving or seeking change
|
| |
|
| second previous employer |
| employer |
employer name |
| |
type of business |
| |
address |
| |
phone |
| |
job title |
| |
salary or wages
hours per week |
| |
incentive earnings? YES NO |
| |
nature of duties
|
| |
reason for leaving or seeking change
|
| activities / experience |
list any activities, experiences, achievements or other special skills not mentioned elsewhere that related to this position(s)
(presentation/selling skills)
|
| education |
| name of high school |
|
| diploma or GED? |
YES
NO |
| advanced education (college, university, vocational/technical) |
| #1 |
name of institution |
| |
location |
| |
number of years attended |
| |
degree of certificate granted |
| |
primary areas of study |
| |
major / minor |
| |
did you graduate? YES NO |
| |
| #2 |
name of institution |
| |
location |
| |
number of years attended |
| |
degree of certificate granted |
| |
primary areas of study |
| |
major / minor |
| |
did you graduate? YES NO |
| |
| #3 |
name of institution |
| |
location |
| |
number of years attended |
| |
degree of certificate granted |
| |
primary areas of study |
| |
major / minor |
| |
did you graduate? YES NO |
| |
|
| other training |
list other courses of training you received which you feel would be useful in evaluating your qualifications for this position(s)
|
| references |
| |
provide the names of three persons not related to you whom you have known at least one year. |
| #1 |
name
address
zip
years acquainted |
| #2 |
name
address
zip
years acquainted |
| #3 |
name
address
zip
years acquainted |
have you ever been convicted of a misdemeanor, felony, or in a military court martial?
(omit minor traffic violations)
YES
NO |
if yes, give date and explain
|
| any additional comments you would like to add to your application |
| additional comments: |
|
| authorization, acknowledgment and release |
i authorize hair by Scott & Company to make inquiries of my past and present employers, personal references, schools and all other information sources of which hair by Scott & Company becomes aware during the pre-employment investigation of me. i waive any confidentiality privilege i may have as to any information which is the subject of hose inquiries. i release from all liability those providing and receiving such information about me and i release hair by Scott & Company from any claims i might have or that might arise from its inquiries, in exchange for hair by Scott & Company considering me for employment.
i understand an acknowledge that full-time employment will be conditioned upon a favorable health evaluation process, which may include a physical examination. i understand that there may be a health evaluation process for part-time and other types of employment as well. i understand that future chemical screening may be required after employment.
i understand and acknowledge that if any misrepresentation or omission of material facts has been made by me or the results of any investigation are not satisfactory for any reason, any consideration, offer or actual employment by hair by Scott & Company may be terminated immediately without obligation or liability to me other than payment of the rate agreed upon for service actually rendered if i had been employed.
i understand that nothing contained in this employment application or the granting o an interview, and no company policies, procedures or handbooks that i might receive, are intended to create an employment contract between hair by Scott & Company and myself for either employment or for the providing of any benefit. no promises regarding employment have been made to me and i understand that no such promise or guarantee is binding upon hair by Scott & Company unless made in writing. if an employment relationship is established, i understand that i have the right to terminate my employment at any time and that hair by Scott & Company retains a similar right. i also understand that if i am hired, i will be required to sign an employment agreement as a condition of my employment. |
|
|
Thank you for submitting an on-line application, please come into to the hair by Scott & Company, we want to meet you. |
