First Name

Last Name

Street Address

City

State
AK-Alaska AL-Alabama AR-Arkansas AZ-Arizona CA-California CO-Colorado CT-Connecticut DC-District of Columbia DE-Delaware FL-Florida GA-Georgia HI-Hawaii IA-Iowa ID-Idaho IL-Illinois IN-Indiana KS-Kansas KY-Kentucky LA-Louisiana MA-Massachusetts MD-Maryland ME-Maine MI-Michigan MN-Minnesota MO-Missouri MS-Mississippi MT-Montana NC-North Carolina ND-North Dakota NE-Nebraska NH-New Hampshire NJ-New Jersey NM-New Mexico NV-Nevada NY-New York OH-Ohio OK-Oklahoma OR-Oregon OT-Other PA-Pennsylvania RI-Rhode Island SC-South Carolina SD-South Dakota TN-Tennessee TX-Texas UT-Utah VA-Virginia VT-Vermont WA-Washington WI-Wisconsin WV-West Virginia WY-Wyoming

Zip

Phone Number

Email

Name

Phone

Education (Most recent) High School College/University Beauty/Barber School Trade/Business School Graduate School Other

Position Applying For

Desired Salary

Date Available

Previously employed by Timeout at Shannon's? Yes No

Do you have a valid license? (If applying for a stylist/barber position) Yes No

Are you currently employed? Yes No

If so, may we inquire of your present employer? Yes No

Have you ever been convicted of a crime in the past 7 years, excluding misdemeanors and summary offenses, which have not been anulled, expunged or sealed by a court? (A conviction record will not necessarily be a barrier to employment.) No Yes

If "Yes," please explain and describe in detail:

Can you verify your legal right to work in the U.S. by providing a birth certificate, proof of citizenship, or by some other means? Yes No

If you are under 18 years of age, are you able to furnish a work permit? I'm Over 18 Yes No

What would you ultimately like to achieve in your career and how do you think Timeout at Shannon's can support you?

Based on what you know about Timeout at Shannon's, how would you describe the personality of the salon?

What kind of professional and positive contribution can you make to the Timeout at Shannon's environment?

Any additional remarks?

I certify that, to the best of my knowledge and belief, the answers given by me to the aforementioned questions, and the statements by me in this application are correct and complete. I understand that misrepresentation or omission of facts in this application may lead to my discharge.

If employed, I understand and agree that such employment may be terminated at any time without prior notice, and that my employment will not be governed by any expressed or implied contract, but is at will.

I understand and agree.