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Your name:
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Age
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Address:
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Your phone number:
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Your email address:
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Postion
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Desired Shifts :
Mon Tue Wed Thur
Fri Sat
AM
PM
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If you are applying for a
position involving
evening or weekend
work, are you available
to work at those times?
Are you willing to work
overtime as requested?
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Have you ever been
dismissed or forced to
resign from any
employment?
If "yes," please explain.
(An affirmative response
will not automatically
disqualify you from being
considered for
employment).
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Tell us about yourself?
What will you bring to
Salon Bleu?
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Special Skills or
Qualifications
Describe any other special
job-related skills or
qualifications (e.g., military
experience and training,
computers, professional
associations, licenses, etc.)
that would be valuable to the
position for which you are
applying.
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Education
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High School
School Name
School City
School State
No. of Years Completed
Degree
Major Course of Study
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Vocational School
School Name
School City
School State
No. of Years Completed
Degree
Major Course of Study
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College
School Name
School City
School State
No. of Years Completed
Degree
Major Course of Study
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Employment History
In the following spaces, give a complete record of your employment, including periods of unemployment, if any.
Begin with you most recent employment, and work back in time.
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Employer 1
Employer Name
Address
City
State
Duration Employed From (Mo./Yr.) to
(Mo./Yr.)
Starting Position
Last Position
Other Positions Held
Immediate Supervisor
Starting Salary
Final Salary
Duties
Reason for Leaving
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Employer 2
Employer Name
Address
City
State
Duration Employed From (Mo./Yr.) to
(Mo./Yr.)
Starting Position
Last Position
Other Positions Held
Immediate Supervisor
Starting Salary
Final Salary
Duties
Reason for Leaving
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Employer 3
Employer Name
Address
City
State
Duration Employed From (Mo./Yr.) to
(Mo./Yr.)
Starting Position
Last Position
Other Positions Held
Immediate Supervisor
Starting Salary
Final Salary
Duties
Reason for Leaving
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References
Reference 1
Name
Phone
Occupation
Reference 2
Name
Phone
Occupation
Reference 3
Name
Phone
Occupation
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Applicant's Statement
I hereby affirm that the information provided on this application (and accompanying resume, if any) is true and complete to the
best of my knowledge. I also understand and agree that any falsified information or significant omissions may disqualify me
from further consideration for employment, and if discovered after I am hired, may result in dismissal. I also affirm that I am
making this application because I am sincerely interested in being hired by Salon Bleu ("Employer") and not for any other
purpose.
I also understand that, if employment is offered and accepted, such employment is not for any specified term and can be
terminated at any time, with or without cause and with or without notice, by either Salon Bleu or me. I further understand that this
application is not, and is not intended to be, a contract of employment and that my at-will employment status cannot be changed.
I further understand that no supervisor, manager, or other employee or representative of Salon Bleu has the authority to change
the at-will nature of my employment and that any oral promises of employment for a definite period or statements that are
otherwise contrary to my at-will status are not binding upon Salon Bleu.
In consideration of my being considered for employment, I authorize a thorough investigation of my past employment and
activities, agree to cooperate in such investigation, and release from liability or responsibility all persons or businesses
requesting or supplying such information.
I understand and agree that if I am hired I am required to read and abide by all rules and regulation of Salon Bleu governing the
conduct of its employees, including the rules which prohibit the use or possession of illegal drugs, alcoholic beverages,
firearms, or weapons of any kind in any office, work location, or facility of Salon Bleu.
I certify that I am eligible for employment in the United States and that the documents I have furnished, or will furnish, to verify my
identity and eligibility are true and correct. I further understand and agree that, if offered employment, I will have three days to
submit such documents, and that failure to submit such documents within three days will result in withdrawal of the offer of
employment or, if employment has begun, termination from employment.
I further understand and agree that Salon Bleu may verify the information that I have given by contacting any of the reference I
have provided. I hereby agree to hold Salon Bleu harmless for any action it may take with respect to this application based upon
the information provided to it by these references.
Note: This application will be retained for active consideration for employment until the position applied for is filled. After the
position applied for is filled, you will need to complete a new application if you still wish to be considered for employment in
positions that later become open.
This employer, in accordance with federal, state and local laws, does not discriminate on the basis of race, color, religion,
national origin, sex, age disability, or any other legally protected status. Applicants may request accommodation needed to
participate in the application process. This employer is an equal opportunity employer.
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Please enter your full name and today's date
below to indicate that you have read and
agree with this statement.
Full Name
*
Today's Date (mm/dd/yyyy)
*
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