I was referred by (enter their name below so we can give them proper credit!):

What's your first and last name?*

What's your street address? (Include street number, city, state, ZIP.)*

What's your email address?*

What's your phone number?*

What position are you applying for?*

What is your availability? (Select all that apply.)*

What date are you available to start?*

How many hours per week do you desire?*

What days/hours are you available to work?*

Are you available evenings and some weekends?*

Previous Employer Information

What is the name of your current or most recent spa/salon employer?*

Are you currently employed at this salon/spa?*

What is their phone number?

May we contact this employer?*

How many years were/are you employed there?

What is/was your position or title?

Please provide information about one more previous employer (either spa/salon or not).

What's the name of this employer?

What is the address? (Include street number, city, state, ZIP.)

What is their phone number?

What was your supervisor's name and title?

What dates were you employed there?

What was your position or title?

What was your rate of pay?

Your commission (if applicable)?

What was your reason for leaving?

How many years have you worked in the industry?

Are you currently licensed or certified in the state of Minnesota for the following? (Select all that apply.)

Please list out any advanced training, educational workshops, or conferences attended (include dates, if possible).

Education and Training

Do you currently have a high school diploma or GED?*

How many years of post-secondary education did you take, if any? (University, College, Tech College, etc.)*

What is the name of your cosmetology or massage school?*

What is this school's address? (Include street number, city, state, ZIP.)

What date did you graduate?

Please provide two references.