I was referred by (enter their name below so we can give them proper credit!):

What's your first and last name?*

What's your street address? (Include street number, city, state, ZIP.)*

What's your email address?*

What's your phone number?*

What date are you available to start?*

How many hours per week do you desire?*

What days/hours are you available to work?*

Previous Employer Information

What is the name of your current or most recent employer?*

Are you still employed there?*

May we contact this employer?*

How many years were/are you employed there?

What is/was your position or title?

Please provide information about one more previous employer (either spa/salon or not). *Optional.

What's the name of this employer?

What dates were you employed there?

What was your position or title?

What was your rate of pay?

Your commission (if applicable)?

What was your reason for leaving?

How many years have you worked in the industry?

Are you currently licensed or certified in the state of Minnesota for the following? (Select all that apply.)

Education and Training

Do you currently have a high school diploma or GED?*

What is the name of your cosmetology or massage school?*

What date did you graduate?

Please provide two references. *Optional.