Date:
How were you referred to us? Newspaper Brochure Friend (name) Other
Type of work desired:
Available date for work:
Position desired: Full-Time Part-Time Flex-Time
When are you not available to work?
Personal Information
Last Name:
First Name:
Middle Name:
Home Phone Number:
Mobile Phone Number:
Address (current):
City:
State:
Zip:
Number of Years:
Address (previous):
City:
State:
Zip:
Number of Years:
Are you at least 18 years of age? Yes No
If you are under 18 years of age do you have a work permit? Yes No
Are you a U.S. Citizen? Yes No
If no, can you provide documentation that allows you to work in the U.S.? Yes No
Person to notify in case of an emergency:
Relationship:
Emergency Contact Number:
Have you ever been convicted of a crime other than a minor traffic violation?: Yes No
Are you currently on probation? Yes No
If yes, please explain:
Qualification
Do you understand all of the functions and duties required to perform the job for which you are applying?< Yes No
Are you able to perform all of the required duties and functions of this job? Yes No
In which state(s) do you hold a license to perform manicures?
Can you provide a copy of your license? Yes No
Education/Skills
Do you have any computer or cash register experience? Yes No
If yes, please explain:
Do you retail sales experience? Yes No
If yes, please explain:
Last school attended
Name of school:
Dates attended:
Year Graduated:
Degree received:
Specialization:
Employment Record
Do you have any friends or relatives employed by The 10 Minute Manicure? Yes No
If yes, name:
Location:
Department:
Relationship:
Have you ever been employed by
The 10 Minute Manicure?
Yes No
If yes, list location/dates:
Previous records can be located under what name?
Previous Employer
1. Name & Address of employer:
Phone Number:
Position Held:
Main Duties:
Employment Dates: From: To:
Salary:
Name of Supervisor:
Reason for leaving:
2. Name & Address of employer:
Phone Number:
Position Held:
Main Duties:
Employment Dates: From: To:
Salary:
Name of Supervisor:
Reason for leaving:
3. Name & Address of employer:
Phone Number:
Position Held:
Main Duties:
Employment Dates: From: To:
Salary:
Name of Supervisor:
Reason for leaving:
Can we contact your current employer? Yes No
Military
Have you served in the U.S. Armed forces? Yes No
If yes, please list dates of active duty/branch:
Are you a member of active Reserve or National Guard? Yes No
 

Please read carefully before signing

The 10 Minute Manicure is an equal opportuinty employer. No question on this application is asked for the purpose of limiting or excluding any applicant's consideration for employment because of his/her age, race, sex, religion, national origin, disability or veteran status.
 
In compliance with Title VI of the Consumer Credit Protection Act, we wish to advise you that a part of our procedure for processing employment applications or resumes may include an inquiry made concerning an applicant's credit standing, general reputation, character, personal characteristics, and mode of living. This information may be from previous employers, personal references, law enforcement agencies, and/or consumer reporting agencies. Upon an applicant's written request, additional information as to the nature and scope of the report will be provided if an inquiry is made.
 
I understand the above notice. I understand and agree that continued employment depends on satisfactory references, completion of training requirements and satisfactory work performance. I understand that by signing this application I permit all past employers to give any information concerning me, and releasing them from all liability in furnishing information.
 
As part of our Security program, polygraph examinations are sometimes requested for the purpose of quickly identifying and eliminating from an ongoing investigation, those innocent individuals who have had reasonable access or association with a specific loss or injury to the company. A written statement signed by a Company official, willl be provided to the employee prior to the administration of the examination. This statement will set forth: (1) the specific incident being investigated, (2) the basis for requesting a particular employee participate ina polygraph examination (3) identification of the economic loss, (4) that the employee had access to the particular property. No action will be taken against an employee solely on the unfavorable outcome of a polygraph examination or the employee's refusal to particpate in a requested polygraph examination. Negative reults of a polygraph examination or a refusal by an employee to particpate in a requested polygraph examination coupled with additional supporting evidence can result in action being taken against the employee. The company views all favorable results of polygraph examinations to the greatest advantage of the employee. Such results will normally outweigh circumstantial evidence, unsupported or hearsay information.
 
I hereby certify that all statements made by me on this application are true and correct to the best of my knowledge and agree that such statements may be investigated by The 10 Minute Manicure and/or their agent. I further agree that failure to reveal any prior employer or the giving of any false or misleading information or omission of fact by me can be grounds for refusal to hire or immediate termination if I am employed.
 
I authorize former employers, schools and other references to release any information required to determine my qualifications for the position for which I am applying, and hereby release all individuals and organizations from any liability or damages on account of having furnished such information. I waive any right to receive written notice from this organization or former employers that such information has been released.
 
I UNDERSTAND THAT THIS APPLICATION IS INTENDED FOR INFORMATION PURPOSES ONLY. NEITHER THIS APPLICATION NOR ANY OTHER COMMUNICATIONS BY THE COMPANY'S REPRESENTATIVES, WRITTEN OR ORAL, ESTABLISHES AN EMPLOYMENT CONTRACT OTHER THAN THE ONE TERMINABLE AT WILL BY THE COMPANY OR THE APPLICANT. BOTH THE COMPANY AND ITS EMPLOYEES HAVE THE RIGHT TO TERMINATE THE EMPLOYMENT RELATIONSHIP WITH OR WITHOUT CAUSE AT ANY TIME. NO COMMUNICATION OR PRACTICE LIMITS THE REASONS OR PROCEDURES FOR TERMINATION OR MODIFICATION OF THE EMPLOYMENT RELATIONSHIP.
 
 

Date:

Signature: