"*" indicates required fieldsStep 1 of 250%PERSONAL INFORMATIONName* First Middle Last Address* Street Address Address Line 2 City StateAlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone*Email* Date of Birth* MM slash DD slash YYYY Have you been convicted of a felony?*NoYesIf Yes, Explain:EMPLOYMENT INFORMATIONPosition Desired*Position DesiredStylistMakeup ArtistReceptionManagerDate you can start* MM slash DD slash YYYY States you are LicensedAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces PacificCosmetology License NumberAre you employed now?*YesNoCompany NameIf so, may we contact your present employer?YesNoCompany Contact NameCompany Contact PhoneCompany Contact Email How long at current/previous employmentReason for leavingReferred by?EDUCATIONHigh School Degree?YesNoHave you attended College? If yes, what College?Did you graduate?YesNoWhat is your Degree in?Name of Cosmetology SchoolGENERAL INFORMATIONList any industry related advance training courses, work-shops or seminars you've attended.List any industry related professional memberships you are associated with or special skillsAre you currently in school?YesNoWhich School?Did you serve in the U.S. MilitaryNoYesWhich BranchAir ForceArmyCoast GuardMarinesNavyFavorite activities outside of workREFERENCESReference 1Company NameEmployer's Name First Last Employers TitleEmployers Contact PhoneDates you were employedPosition/Job TitleReason for leavingReference 2Company NameName First Last Employers TitleEmployers Contact PhoneDates you were employedPosition/Job TitleReason for leavingReference 3Company NameName First Last Employers TitleEmployers Contact PhoneDates you were employedPosition/Job TitleReason for leavingCOMMENTSAdditional CommentsI authorize Bubbles & Blowouts Beauty Lounge to verify any representations made by me either oral or written concerning personal employment, financial and/or other related matters as may be necessary in arriving at an employment decision. I understand that Bubbles & Blowouts Beauty Lounge may contact individuals or organizations other than these I have provided as a reference in this process. I hereby release all employers, companies, corporations, credit bureaus, law enforcement agencies, schools, or persons from any and all liability in responding to inquiries in connection with this application. In the event of my employment, I understand that false or misleading information given in this application, or interviews, may result in discharge. I understand that the prior written consent of Bubbles & Blowouts Beauty Lounge is required for participation in outside ventures or additional employment should I enter into an employment agreement with Bubbles & Blowouts Beauty Lounge.Agree to Rules and Conditions* I certify that the answers given are true and correct to the best of my knowledge.
