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Application
Position Applying For
Full-time Instructor
Part-time Instructor
Substitute Positions
Receptionist
Full Name
Address
City
State
Zip Code
Phone
Email
Social Security #
Are you a U.S. citizen or otherwise authorized to work in the U.S. on an unrestricted basis? (You may be required to provide documentation.)
Yes
No
Have you ever been convicted of a felony? (This will not necessarily affect your application.)
Yes
No
If yes, please describe conditions.
How did you hear of this opening?
Have you ever applied for employment here?
Yes
No
When - Where?
Have you ever been employed by this company?
Yes
No
When - Where?
Are you presently employed?
Yes
No
Are you available for full-time work?
Yes
No
Are you available for part-time work?
Yes
No
Date you can start
Desired position
Desired starting salary
Please list applicable skills
High School
Address
Years Attended
Did you graduate?
Yes
No
College
Address
Years Attended
Did you graduate?
Yes
No
Major/Minor
Trade/Beauty School
Address
Years Attended
Did you graduate?
Yes
No
Employer Name
Start Date - End Date
Address
Commission or Booth Rental
Position
Reason for leaving
Employer Name
Start Date - End Date
Address
Commission or Booth Rental
Position
Reason for leaving
Reference 1: Name
Address
Business
Years known
Reference 2 : Name
Address
Business
Years known
Reference 3 : Name
Address
Business
Years known
Emergency Contact Name
Address
Phone
Emergency Contact Name
Address
Phone
If you are human, leave this field blank.
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