Name:
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Address:
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City, State Zip:
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Home Phone:
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Cell Phone:
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Are you older than 18?
Yes
No
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Have you ever completed professional training for the career you are applying for?
Yes
No
Graduation Date:
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What school did you attend?
State Board License #
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How did you hear about us?
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What position are you applying for?
Why?
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How far will your commute to Cary O'Briens be?
miles
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Do you smoke?
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Have you ever applied at Cary O'Brien's Design and Color Spa before?
Yes
No
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If yes explain:
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List your assets, additional training, or qualififications that you feel will assist you in this position:
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| Employment History |
May we contact your present/past employers? Yes
No
If no, please explain:
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| Last Employer #1 |
| Company:
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Location:
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| Phone #:
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Job Title:
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| Salary:
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Date & Length of Employment:
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Reason for leaving:
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| Last Employer #2 |
| Company: |
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Location: |
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| Phone #: |
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Job Title: |
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| Salary: |
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Date & Length of Employment:
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Reason for leaving:
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| Availability: |
Total Hours Available Per Week:
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| If you were to qualify for this opportunity, would any of the below be a problem and how would you feel about it? |
A. Scheduled hours are from 9:00AM till 9:00PM
B. Working Weekends?
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“I certify that the facts contained in this online application are true and complete to the best of my knowledge and understand that, if employed, falsified statements on this application shall be grounds for dismissal.
I authorize investigation of all statements contained herein and the references and employers listed above to give you any and all information concerning my past employment and any pertinent information that they may have, personal or otherwise and release the company from all liability for any damages that may result from utilization of such information.
I also understand and agree that no representative of the company has any authority to enter into any agreement for employment for any specified period from time to time, or to make any agreement contrary to the foregoing, unless it is in writing and signed by an authorized company representative.
This waiver does not permit the release or use of disability-related or medical information in a manner prohibited by the Americans with Disabilities Act (ADA) and other relevant federal and state laws.” |
Please type COB in the box the the right:
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