The Defining Line Salon

Online Employment Application for The Defining Line Salon


Personal Information *Required Field	Name*
	Current Address*
	City*
	State*
	Zip*
	Phone number*
	Alternate phone number
	Are you 18 years or older?*	Yes No
	Are you legally authorized to work in the United States?*	Yes No
	Email address*

Desired Employment *Required Field	Position*
	Date you can start*
	Where did you hear about the position?

Education Leave blank any fields that are not applicable.	High School
	Name, City, and State of High School
	Graduated	Yes No
	Date graduated
	Cosmetology School
	Name, City, and State of cosmetology school
	School phone number
	Name of lead instructor
	Graduated	Yes No
	Date graduated
	College
	Name, City, and State of College
	Degree or primary field of study
	Graduated	Yes No
	Date graduated
	Other School or Training
	Please describe any other training, schooling, or certification you have received.


License You may skip this if you are applying for a non-licensed position.	Do you have a current cosmetology, nail technician or esthetician license?	Yes No
	If no, please explain
	Issuing state
	License number
	Have you ever allowed your license to lapse or has it ever been revoked?	Yes No
	If yes, please explain
	Please list any other professional licensing you currently hold

Employment History
	Employer 1
	Name of your most recent or present employer
	Address
	City
	State
	Zip
	Starting date
	Leaving date
	Position
	Starting wage/salary
	Ending wage/salary
	Name of supervisor
	Supervisor's job title
	Supervisor's phone number
	May we contact your supervisor?	Yes No
	Describe your job
	What was your reason for leaving?

	Employer 2
	Name of previous employer
	Address
	City
	State
	Zip
	Starting date
	Leaving date
	Position
	Starting wage/salary
	Ending wage/salary
	Name of supervisor
	Supervisor's job title
	Supervisor's phone number
	May we contact your supervisor?	Yes No
	Describe your job
	What was your reason for leaving?

	Employer 3
	Name of previous employer
	Address
	City
	State
	Zip
	Starting date
	Leaving date
	Position
	Starting wage/salary
	Ending wage/salary
	Name of supervisor
	Supervisor's job title
	Supervisor's phone number
	May we contact your supervisor?	Yes No
	Describe your job
	What was your reason for leaving?


Professional References Please provide PROFFESIONAL references. Do not list family members.
	Reference #1
	Name
	Phone
	Relationship
	Years known

	Reference #2
	Name
	Phone
	Relationship
	Years known

	Reference #3
	Name
	Phone
	Relationship
	Years known


Background	Have you ever been convicted of, plead guilty to, or had a suspended imposition of sentance for any offense (other than a minor traffic violation)?	Yes No
	If yes, please explain
		(A conviction record will not necessarily exclude you from consideration. This information will be used only for job-related purposes and only to the extent permitted by law)

Schedule Fill out your availability for each day.	Monday
	Tuesday
	Wednesday
	Thursday
	Friday
	Saturday
	Please list, in detail, any current or anticipated scheduling conflicts with what you listed above (other job, schooling, child care,etc.)

Authorization Please read carefully and select I Agree or I Do Not Agree. *Required Field	“I CERTIFY THAT THE FACTS CONTAINED IN THIS APPLICATION ARE TRUE AND COMPLETE TO THE BEST OF MY KNOWLEDGE AND UNDERSTAND THAT, IF EMPLOYED, FALSIFIED STATEMENTS ON THIS APPLICATION SHALL BE GROUNDS FOR DISMISSAL. “I AUTHORIZE INVESTIGATION OF ALL STATEMENTS CONTAINED HERIN AND THE REFERENCES AND EMPLOYERS LISTED ABOVE TO GIVE YOU ANY AND ALL INFORMATION CONCERNING MY PREVIOUS EMPLOYMENT AND PERTINENT INFORMATION THEY MAY HAVE, PERSONAL OR OTHERWISE AND RELEASE THE COMPANY FROM ALL LIABILITY FOR ANY DAMAGE THAT MAY RESULT FROM UTILIZATION OF SUCH INFORMATION. “I ALSO UNDERSTAND AND AGREE THAT NO REPRESENTATIVE OF THE COMPANY HAS ANY AUTHORITY TO ENTER INTO ANY AGREEMENT FOR EMPLOYMENT FOR ANY SPECIFIED PERIOD OF TIME, OR TO MAKE ANY AGREEMENT CONTRARY TO THE FOREGOING, UNLESS IT IS IN WRITING AND SIGNED BY AN AUTHORIZED COMPANY REPRESENTATIVE. “THIS WAIVER DOES NOT PERMIT THE RELEASE OR USE OF DISABILITY-RELATED OR MEDICAL INFORMATION IN A MANNER PROHIBITED BY THE AMERICANS WITH DISABILITIES ACT (ADA) AND OTHER RELEVANT FEDERAL AND STATE LAWS.”
	Please check one*	I Agree I Do Not Agree

	Please review your application before submiting it. Remember that all fields marked with a "*" are required fields. Once you are satisfied that your application is correct and ready to send, press the 'Submit Application' button only once.