Application For Employment

Section 1 of 5: About You
Name:
Email Address:
Address:
City:
State:
Zip:
Daytime Phone (555-555-5555):
Evening Phone (555-555-5555):
Describe your style:
Describe your personality:
Why are you interested in working for Doll House Hair Salon?
Why will you be an asset to Doll House Hair Salon?
Describe a few of your goals:
Why have you not been able to achieve these goals before?
What do you like about this industry?
Are you looking for a career or a job?
Are you interested in further education? Yes
No
Maybe
If yes, in what areas?
Positions applying for: Stylist
Assistant
Receptionist
Other
Are you a licensed cosmetologist? Yes
No
If yes, how many years of experience have you had as a licensed cosmetologist?
Have you applied to our company previously? Yes
No
If yes, when?
Are you at least 18 years old? Yes
No
Are you legally eligible for employment in the United States? Yes
No
Are you able to perform the essential functions of the job position with or without reasonable accommodation? Yes
No
What reasonable accommodation, if any, would you require?

Section 2 of 5: Employment History
(1) Employer name:
Job duties:
Reason for leaving:
Beginning date of employment (month/year):
Ending date of employment (month/year):
(2) Employer name:
Job duties:
Reason for leaving:
Beginning date of employment (month/year):
Ending date of employment (month/year):
(3) Employer name:
Job duties:
Reason for leaving:
Beginning date of employment (month/year):
Ending date of employment (month/year):

Section 3 of 5: Education
High school name:
Graduation year:
Did you receive a diploma? Yes
No
College name:
Did you receive a degree? Yes
No
If yes, what area of study is your degree in?
List any other training (graduate, technical, vocational):
List awards, honors, special achievements:

Section 4 of 5: References
Name:
Phone (555-555-5555):
Relationship:
What would this person say about you?
Name:
Phone (555-555-5555):
Relationship:
What would this person say about you?
Which of the following led you to apply at Doll House Hair Salon? (Check all that apply): Received a flyer/ letter/ application in the mail
Newspaper Classifieds Ad
Mlive.com Employment Ad
from a Doll House customer
from a Studio 1 customer
I am a Doll House customer
I was a Studio 1 customer
from a Doll House employee
Doll House website
Drove by the Doll House location
Cosmetology Salon Day/ Career Day
Other
If you checked other above, list here:
If you were offered employment, when would you be able to begin working?
How many hours a week would you like to work?
Please list the hours you would be able to work for each day of the week:
Monday:
Tuesday:
Wednesday:
Thursday:
Friday:
Satruday:
Sunday:

Section 5 of 5: CERTIFICATION

I certify that the information provided on this Application is truthful and accurate. I understand that providing false or misleading information will be the basis for rejection of my Application, or if employment commences, immediate termination.

I authorize Doll House Hair Salon, inc. to contact former employers and educational organizations regarding my employment and education. I authorize my former employers and educational organizations to fully and freely communicate information regarding my previous employment, attendance, and grades. I authorize those persons designated as references to fully and freely communicate information regarding my previous employment and education.
I HAVE CAREFULLY READ THE ABOVE CERTIFICATION AND I UNDERSTAND AND AGREE TO ITS TERMS. Yes
No
Please provide your initials as your legal signature:
Today's date (dd/mm/yyyy):
Please provide any other information you believe we should know:
*Please disregard the quesitonaire on the following page.