PERSONAL INFORMATION:
Date:
Name:
Name you would like to be called:
Address:
City:
State:	Select a State (US Only) Alabama Alaska Arizona Arkansas California Colorado Connecticut District of Columbia Delaware Flordia Georgia Hawaii Iowa Idaho Illinois Indiana Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
Zip:
Home Phone:
Other Phone:
Email Address*: (required)
In case of emergency notify (Name)
(Address, telephone #)
Are you able to perform the essential functions for the position for which you are applying, either with or without reasonable accommodation(s)? Yes No Do you have the legal right to work and be employed in the U.S.? (Proof of identity and legal authority to work in the U.S. is a condition of employment) Yes No Are you at least 18 years of age? (Proof of age and work permits may be required prior to hiring) Yes No Do you have reliable means of transportation to and from work? Yes No
EMPLOYMENT DESIRED
Position
Date you can start Part Time Full Time
Are you currently employed? Yes No May we inquire your present employer? Yes No
Why have you applied to Visions? Have you ever worked in a salon before?
Have you had any advanced experience or training in cosmetology? Yes No
If so, please describe your experience
Do you have a current Maryland cosmetology or barber license? Yes No
GENERAL
What are some of the things you would like to achieve in the next year of your profession? What would you contribute to Visions?
Do you have computer experience? Yes No
What are your long-term professional goals?
Do you have a problem with any of the conditions for employment listed below?
1. Hours from 9:00 a.m. to 6:00 p.m. Yes No 2. Hours from 12:00 p.m. to 9:00 p.m. Yes No 3. Be at work 15 before your start time Yes No 4. Make up all sick days Yes No 5. No personal calls on business phone (front desk) Yes No 6. Training classes in addition to regular work hours Yes No
If you answered yes to any questions 1-6, please explain:
Have you ever been convicted of a crime other than a traffic violation? (NOTE: a conviction is not an automatic bar to employment. Each case will be considered on its own merits.) Yes No
If yes, please explain and state court, date and disposition of case
EMPLOYMENT HISTORY Please list your last 3 jobs starting with your most recent or present employer.
COMPANY INFO Name Address Phone Supervisor Length of Employment Starting Salary Ending Salary Position/Duties: Reason for leaving:   COMPANY INFO Name Address Phone Supervisor Length of Employment Starting Salary Ending Salary Position/Duties: Reason for leaving:   COMPANY INFO Name Address Phone Supervisor Length of Employment Starting Salary Ending Salary Position/Duties: Reason for leaving:
PLEASE READ CAREFULLY I hearby certify that the information contained In this application is true and correct to the best of my knowledge and agree to have any statements verified by Visions. I authorize the references listed above, as well as all other individuals whom the company contacts, to provide Visionswith all employment and job-related information they may have. Further, I release all parties and persons from any and all liability for any damages that may result from furnishing such information to the company as well as from the use or disclosure of such information by the company or any of it's agents, employees or representatives. I understand that any misrepresentation, falsification or material omission of information on this application may result in my failure to receive this offer or, if I am hired, dismissal from employment. If hired, I agree to conform to the rules and standards of the company. I further agree that my employment and compensation can be terminated at will, with or without reason, and with or without notice, at any time, either at my option or at the option of the company. I understand that no employee or representative of the company, other than the president, has the authority to enter into any agreement for employment for any specified period of time, or make any express or implied agreement for a specified time unless the president and I both sign a written agreement that clearly and expressly specifies intent to do so. I agree that this shall constitute a final and fully binding integrated agreement with respect to the at-will nature of my employment relationship and that there is no oral or collateral agreements regarding this issue. I also understand that all offers of employment are conditioned on the company's receipt of satisfactory responses to reference requests and the provision of satisfactory proof of applicants identity and legal authority to work in the United States. Offers of employment may also be conditioned on the satisfactory completion of a post-offer medical examination.
Date of Birth
Visions is an equal opportunity employer. Visions does not discriminate on the basis of race, color, sex, sexual orientation, age, disability that does not prohibit the performance of essential job functions with or without reasonable accommodations, religion, national origin, marital status, status as a veteran or any other status or condition protected by applicable state and/or federal laws.

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123rd St. Sinepuxent Plaza | 12207H Coastal Hwy | Ocean City, MD 21842
410-250-5188 / 800-390-3562 / info@visionsdayspa.com

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