Job Application
Name
*
First
Last
Address
*
Phone Number
*
Email
*
Are you eligible to work in the United States?
*
Yes
No
Do you have a N.C. tanning certification?
*
Yes
No
Check all of the days you are available to work
*
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
What date are you available to begin training?
*
Employer
*
Please list your most recent employment history
Employer's Address
*
Supervisor Name
*
Employer's Phone Number
*
Position
*
Dates Employed
*
Salary
Responsibilities
Reason for leaving
*
If "quit", did you leave a two week notice?
May we contact your present/former employer?
*
Yes
No
Employer #2
*
Please list your second most recent employment history
Employer #2 Address
*
Supervisor Name
*
Employer #2 Phone Number
*
Position
*
Dates Employed
*
Salary
Responsibilities
Reason for leaving
*
If "quit", did you leave a two week notice?
May we contact your former employer?
*
Yes
No
References
Please provide Name of Reference, Relationship and Contact Information
Comment
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