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Tell us about yourself

Name

Email Address

Phone Number

Street Address

City

State

Zip Code

Are you a citizen of the United States?

YesNo

Have you ever been convicted of a crime?

YesNo

How did you find out about us?

What position are you applying for?

What date are you available to start?

What makes you want to be part of Visage Team?

Type of employment desired?

Part TimeFull TimeTemporarySeasonal

Salary requirements?

Education

High School

City

State

Cosmetology / Massage Therapy School (if applicable)

City

State

College / University

City

State

Employment History

Employer 1

Employer 1 Phone Number

Employer 1 Start Date

Employer 1 End Date

Employer 1 Start Salary

Employer 1 End Salary

Employer 1 job responsibilities

Employer 1 reason for leaving

May we contact this employer?

YesNo

Employer 2

Employer 2 Phone Number

Employer 2 Start Date

Employer 2 End Date

Employer 2 Start Salary

Employer 2 End Salary

Employer 2 job responsibilities

Employer 2 reason for leaving

May we contact this employer?

YesNo

Employer 3

Employer 3 Phone Number

Employer 3 Start Date

Employer 3 End Date

Employer 3 Start Salary

Employer 3 End Salary

Employer 3 job responsibilities

Employer 3 reason for leaving

May we contact this employer?

YesNo

References

Please indicate three personal references other than family members. Indicate their relationship to you (previous employer, co-worker, etc.) and remember to provide a current phone number.

Reference Name 1

Reference 1 Relationship

Reference 1 Phone Number

Reference Name 2

Reference 2 Relationship

Reference 2 Phone Number

Reference Name 3

Reference 3 Relationship

Reference 3 Phone Number

I certify that my answers are true and complete to the best of my knowledge. I authorize you to make such investigations and inquiries of my personal employment, educational, financial and other related matters as may be necessary for an employment decision. I hereby release employers, schools or individuals from all liability when responding to inquiries in connection with my application. In the event I am employed, I understand that false or misleading information given in my application or interview(s) may result in discharge.

Yes, I understand

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Employment

Tell us about yourself

Education

Employment History

References

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