Innovations Salon & Spa

Personal Data
Email
Last Name	First Name		Middle Initial	Date
Street Address				Home Phone
City		State	Zip	Business Phone
Age, if minor or over 65	Social Security			Position Desired
Have you ever applied for employment with us?		How did you hear about us?		Employment Term
Do you have any family, business, health or social obligations that would prevent you from: Working Consistently Yes No Working Overtime Yes No Hours & Directions				Minimum Salary per
Who would you like us to notify in an emergency?
Name	Relationship	Home Phone	Business Phone

General Data
Have you ever been convicted of a felony?	If yes, please explain:
Do you have any friends or relatives in our employ, or with any competitors?	If yes, please explain:
Do you have a valid drivers license? State License Number Type
List all traffic convictions over the last 3 years:	Has your drivers license ever been revoked?

Education
High School Attended	High School	Year Graduated
College Attended	College	Year Graduated	Subjects
Tech School Attended	Tech School	Year Graduated	Programs
Beauty & Wellness Industry Schools	Beauty School	Please check attended schools: Hair Skin Massage Nails None

Actual or Expected Graduation Date(s)	Please Provide License(s) #:
Additional educational, certificates, special skills, professional memberships, civic organizations or awards:

Please provide an accurate, complete full-time and part-time employment history. Begin with your most recent employer.

Employment History
Company Name	Telephone
Address	Term Employed to
Name of Supervisor	Salary per
State job title and description of work	Reason for Leaving May we contact this employer? Yes No

Employment History
Company Name	Telephone
Address	Term Employed to
Name of Supervisor	Salary per
State job title and description of work	Reason for Leaving May we contact this employer? Yes No

Employment History
Company Name	Telephone
Address	Term Employed to
Name of Supervisor	Salary per
State job title and description of work	Reason for Leaving May we contact this employer? Yes No

Employment History
Company Name	Telephone
Address	Term Employed to
Name of Supervisor	Salary per
State job title and description of work	Reason for Leaving May we contact this employer? Yes No

Personal References
Name Years Acquainted	Relationship Phone
Name Years Acquainted	Relationship Phone
Name Years Acquainted	Relationship Phone

Please read and understand this statement before signing your application:

The information I have provided in this Application for Employment is true, correct and complete. False, incomplete or misrepresented information of any kind, will be sufficient cause for my application to be rejected or, if discovered after I am employed, cause for immediate termination of my employment.

I authorize the employer to contact and obtain information about me from previous employers,
educational institutions and "references" I provided, and any other party necessary to verify the accuracy of information I disclosed in this application, a related employment resume or a personal interview. To assist in the processing of my Application, I waive all rights and claims I may otherwise have against the employer or its representatives, for seeking, and using information to evaluate my employment request and all other persons, corporations or organizations who provide information for this purpose.

This application is not an employment agreement. If I accept and offer of employment I understand
the employer may terminate my employment at any time, with or without cause and without prior notice, unless required by law. I understand that no one, other than an executive officer of the employer, has authority to enter into any employment agreement with the terms contrary to the foregoing and then only in writing signed by such officer.

I fully understand and accept all terms and conditions in the above statement.

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