Location applied for (Select Location) Addison, TX Apex, NC Ann Arbor, MI Ballwin (Manchester Highlands), MO Birmingham, MI Blue Springs, MO Bonita Springs, FL Brentwood, MO Cape Coral, FL Carmel, IN Central West End, MO Chandler, AZ Chesapeake, VA Chesterfield, MO Columbia, MO Coral Springs, FL Cottleville, MO Creve Coeur, MO Denver, CO Downtown Miami, FL Edwardsville, IL Fairview Heights, IL Fenton, MO Fort Myers, FL Irvine, CA Kirkwood, MO Kendall Park, NJ Lakewood Ranch, FL Lely Resort, FL Lancaster, PS Lutz, FL Manchester Highlands, MO Middletown, NJ Naperville, IL Naples, FL Naples - Lely Resort, FL Nashville, TN (Capitol View) Norfolk (Ghent Station), VA Novi, MI OFallon, MO Overland Park, KS (Bluhawk) Palm Beach Gardens, FL Palm Harbor, FL Pembroke Pines, FL Raleigh, NC Richmond (Staples Mill), VA Rock Hill, MO San Francisco (Lakeshore), CA Sarasota, FL Shrewsbury, MO Springfield, IL Southwest Ranches, FL South Tampa, FL Southlake, TX St. Charles, IL St. Charles, MO St. Louis, MO (South County) Suffolk (Harbour View), VA St. Petersburg, FL Tampa, FL Troy, MI Virginia Beach (Brenneman Farm), VA Virginia Beach (La Promenade), VA Washington, DC (NE) Wentzville, MO West Bloomfield, MI Williamsburg, VA Willowbrook, IL Winter Park, FL Wyckoff, NJ
Position applied for (Select Position) Assistant Manager Esthetician/Cosmetologist General Manager Massage Therapist Sales Consultant/Receptionist
First name
Last name
Address
Address 2
City
State
Zip
Contact Phone Number
Alternate Phone Number
Email Address
If you are under 18, and if it is required, can you furnish a work permit? yes no If no, please explain
Type of employment desired Full-Time Part-Time Educational Co-Op
Have you ever been employed here before? yes no If yes, give dates and positions
Are you legally eligible for employment in this country? yes no License #
Date available for work
Drivers license
What is your desired salary range?
Applicant Statement
I certify that all information I have provided in order to apply for and secure work with the employer is true, complete and correct. I understand that any information provided by me that is found to be false, incomplete or misrepresented in any respect, will be sufficient cause to (1) cancel further consideration of this application, or (2) immediately discharge me from the employers service whenever it is discovered. I expressly authorize, without reservation, the employer, its representatives, employees or agents to contact and obtain information from all references (personal and professional), employers, public agencies, licensing authorities and educational institutions and to otherwise verify the accuracy of all information provided by me in this application, resume or job interview. I hereby waive any and all rights and claims I may have regarding the employer, its agents, employees or representatives, for seeking, gathering and using such information in the employment process and all other persons, corporations or organizations for furnishing such information about me. I understand that the employer does not unlawfully discriminate in employment and no question on this application is used for the purpose of limiting or excusing any applicant from consideration for employment on a basis prohibited by applicable local, state or federal law. I understand that this application remains current for only 30 days. At the conclusion of that time, if I have not heard from the employer and still wish to be considered for employment, it will be necessary to reapply and fill out a new application. If I am hired, I understand that I am free to resign at any time, with or without cause and without prior notice, and the employer reserves the same right to terminate my employment at any time, with or without cause and without prior notice, except as may be required by law. This application does not constitute an agreement or contract for employment for any specified period or definite duration. I understand that no supervisor or representative of the employer is authorized to make any assurances to the contrary and that no implied, oral or written agreements contrary to the foregoing express language are valid unless they are in written and signed by the employers president. I also understand that if I am hired, I will be required to provide proof of identity and legal authority to work in the United States and that federal immigration laws require me to complete an I-9 Form in this regard.
DO NOT SUBMIT THIS FORM UNTIL YOU HAVE READ THE ABOVE APPLICANT STATEMENT.
I certify that I have read, fully understand and accept all terms of the foregoing Applicant Statement. Name*
