Name
*
First Name
Last Name
Email
*
Phone
(###)
###
####
Address
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
What position/department are you applying for?
*
Are you looking for Full Time or Part Time?
*
Are there any days or times you are NOT available to work? Please list.
If applicable for the position you’re applying for, do you hold a valid technical license?
Can you travel if required?
Are you under age 18?
If yes, can you provide a work permit?
Are you currently employed?
If yes, date available to start work?
MM
DD
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Have you previously applied to work at Canyon River Spa & Salon?
If yes, when did you apply and did you have an interview?
Have you ever been employed at Canyon River Spa & Salon?
If yes, when?
Were you referred by a current Canyon River Spa & Salon Employee?
If yes, who?
Have you ever been convicted of a crime other than a misdemeanor?
Note that your response to the below will not automatically disqualify you from employment. The circumstances and your explanation will be considered in conjunction with the position available.
If so, please state citation, date, and place where offense occurred
Provide details of the above, including the nature of the offense and successful rehabilitation attempts since the conviction
Do you have any felony charges pending against you?
If so, please state charge, where it is pending, and current status
From
MM
DD
YYYY
To
MM
DD
YYYY
Name & Address of Employer
Position Held and Description of Duties
Final Wage/Salary
Reason For Leaving
Name & Phone of Supervisor
May we contact this employer?
From
MM
DD
YYYY
To
MM
DD
YYYY
Name & Address of Employer
Position Held and Description of Duties
Final Wage/Salary
Reason For Leaving
Name & Phone of Supervisor
May we contact this employer?
From
MM
DD
YYYY
To
MM
DD
YYYY
Name & Address of Employer
Position Held and Description of Duties
Final Wage/Salary
Reason For Leaving
Name & Phone of Supervisor
May we contact this employer?
Name and Location of High School
Did you graduate with a degree or diploma?
Subjects Studied
Name and Location of Trade School
Did you graduate with a degree or diploma?
Subjects Studied
Name and Location of College
Did you graduate with a degree or diploma?
Subjects Studied
Have you ever Been in the Armed Forces?
If yes, date entered
Are you now a member of the national guard?
If yes, Discharge Date
Specialty?
Please give the names, phone numbers, and relationship of three professional references not related to you.
What interests you about working at Canyon River Spa & Salon?
You are not required to disclose information about physical or mental limitations that you believe will not interfere with your capability to do this job. However, if you want the employer to consider special arrangements to accommodate a physical or mental impairment, you may identify that impairment in the space provided and suggest the kind of accommodation that you believe would be appropriate.
Electronic Signature (type your full name)
*
