Employment Application – Spa BenMarNicos

SPA BENMARNICOS EMPLOYMENT APPLICATION

Please fill out the form below with your information. We will review and respond. Thank you for your interest!

Select*

First Name*

Last Name*

Tech License #

Cell Phone*

Email*

Address*

Street Address City State / Province / Region Postal / Zip Code

How did you hear about us?*

Education*

Name/Location

Degree/Cert

Grad Year

Highest Grade Completed

High

Trade

College

Most recent employer - include supervisor's name and phone number. *

Employment Dates*

Hourly Rate/Salary*

Job Title/Duties*

Reason for Leaving*

Availablility (business hours are 8am to 8pm)*

Mon

Tues

Wed

Thurs

Fri

Sat

Sun

From:

To:

References (List the names & phone numbers of 3 past or present employers or managers). Please list their relationship to you as well.*

Extracurricular Activities (sports, volunteer work, events, organizations, etc)

Any planned vacation or time off in the next 3 months?*

Have you ever been convicted of a crime?*

Yes

Age (if under 16)

Word Verification