Curls To Cuts Children's Hair Salon

All potential employees are evaluated without regard to race, color, religion, gender, nation origin, age, marital or veteran status, the presence of a non-job related handicap or any other legally protected status.

All fields labeled with an asterisk (*) are required.

Personal Information
*Full Name:
*Address:
*City:
*State:
*Zip:
*Daytime Phone:
Evening Phone:
*E-mail:

Position Sought:

How did you hear about this position?
If referred by:
If other:
Desired Work Schedule Full-time Part-time

Please indicate the date you are available to begin work?

Are you a Citizen of the U.S. or do you have the legal right to work in the U.S.? Yes No (Any offer of employment is conditioned upon completing form I-9 and providing documents establishing identity and work authorization)

Have you ever been convicted of a felony? Yes No If yes, please describe circumstances: (The existence of a criminal record will not automatically disqualify you from employment.)

If selected for employment, are you willing to submit to a pre-employment criminal background check? Yes No
Do you have reliable transportation to and from work? Yes No

Education History
High School:	Name:
		Did you graduate? Yes No
	Year Graduated:
College/ Technical School:	Name:
		Did you graduate? Yes No
	Year Graduated:
Do you currently hold any of the following licenses?
Cosmetology: Yes No Date Obtained:
Barbering: Yes No Date Obtained:

Employment History
List all present and past employment for the past ten years, beginning with the most recent.
1.	Company Name:
	Address:
	Phone:
	Final Wage or Salary:
	Dates Employed:	From: To:
	Job Title:
	Reason for Leaving:
	Immediate Supervisor:
	Duties:
2.	Company Name:
	Address:
	Phone:
	Final Wage or Salary:
	Dates Employed:	From: To:
	Job Title:
	Reason for Leaving:
	Immediate Supervisor:
	Duties:
3.	Company Name:
	Address:
	Phone:
	Final Wage or Salary:
	Dates Employed:	From: To:
	Job Title:
	Reason for Leaving:
	Immediate Supervisor:
	Duties:

Agreement

Please read carefully.

I certify that the information contained in this application is correct to the best of my knowledge, and understand that deliberate falsification or any misstatements and omissions of material facts may be cause for refusal of employment; or, if employed, cause for dismissal.

I authorize previous employers to provide any and all pertinent information they may have, personal or otherwise. If employed, I understand that I will be required to submit verification of my identity and authorization to work in the United States.

By clicking the "Submit" button below, I certify that I have read, understand and agree to the above statements.

All fields labeled with an asterisk (*) are required.

Curls to Cuts is an Equal Opportunity Employer. Curls to Cuts does not discriminate in employment and no question on this application is used for the purpose of limiting any applicant's consideration for employment on a basis prohibited by local, state or federal law.

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