Newport Salon Management - Sculptures Salons

Newport Salon Management - Sculptures Salons

262 Brocket Street  Newington, Connecticut 06111 860-224-9421

Employment ApplicationToday’s Date______

Full Name: ______

Address: ______

______

Telephone: ______Social Security Number: ______

Are you legally authorized to work in the United States? [ ] Yes [ ] No Are you 18 years old or older? [ ] Yes [ ] No

Date of birth: _____/_____/_____ Email Address:______

What position are you applying for? ______

If you are hired, when can you start work? ______

If Hairstylist, please provide your license number ______

Emergency Contact Name: ______Telephone: ______

If a Stylist: Current Weekly Gross Sales in your Chair: ______Current Gross Retail Sales______

What do you currently charge for the following?

Men’s Haircut $______Permanent Color $______Do you conduct wax services? _____

Woman’s Haircut $______Highlights (Full) $______Do you conduct makeup services? _____

Any other skills that you would like to tell us about? ______

______

EDUCATION

High School

Name of School: ______

Location: ______

Number of years attended: ______

Did you graduate? [ ] Yes [ ] No Date of graduation: ______

Trade School

Name of School: ______

Location: ______

Number of years attended: ______Did you graduate? [ ] Yes [ ] No Date of graduation:

EDUCATION CONTINUED

College

Name of School: ______

Location: ______

Number of years attended: ______

Did you graduate? [ ] Yes [ ] No Date of graduation: ______

What degree did you earn? ______

Other

Name of School: ______

Location: ______

Number of years attended: ______

Did you graduate? [ ] Yes [ ] No Date of graduation: ______

What degree did you earn? ______

EMPLOYMENT HISTORY

Beginning with your most recent employment and working back in time, please give the following information:

Employer 1

Employer: ______

Address: ______

Job Title: ______

Duties: ______

Dates of Employment: ______

Supervisor: ______

Reason for Leaving: ______

EMPOYMENT HISTORY CONTINUED

Employer 2

Employer: ______

Address: ______

Job Title: ______

Duties: ______

Dates of Employment: ______

Supervisor: ______

Reason for Leaving: ______

Employer 3

Employer: ______

Address: ______

Job Title: ______

Duties: ______

Dates of Employment: ______

Supervisor: ______

Reason for Leaving: ______

PERSONAL REFERENCES

Please provide the names of two references that have not employed you and are not related to you.

Reference 1

Name: ______

Address: ______

Telephone Number: ______

Relationship: ______

Reference 2

Name: ______

Address: ______

Telephone Number: ______

Relationship: ______

ADDITIONAL QUALIFICATIONS

Please tell us about any other training, education, skills or achievements that you feel should be considered.

______

______

______

______

My answers are true and complete. I understand that if I am hired, any false or incomplete statements in this application will be grounds for immediate discharge.

______

Applicant's Signature: Date:

Newport Salon Management -Employment Application- HR-2105-COR-0510 Revised Page 1 of 4