Date Last Name * First Name * Street Address * City * State * Zip Code * Telephone * Email * Are you a US Citizen ? * YesNo If no, are you authorized to work in the US? YesNo Have you ever been convicted of a crime? * YesNo If yes, explain number of conviction(s), nature of offense(s) leading to conviction(s), how recently such offense(s) was/were committed, sentence(s) imposed, and type(s) of rehabilitation. Date Available * How did you hear about us ? CraigslistWebsiteReferralWalkInOther Position Days Available ?(Check all those apply) * Open AvailabilitySundayMondayTuesdayWednesdayThursdayFridaySaturday Employment Desired ? * Full-Time onlyPart-Time onlyFull or Part-Time Position Applied for ? * —Please choose an option—BarberFront Desk Are you available to work nights and weekends ? * YesNo Salary Desired Education Name Of School Degree Address From To Did you graduate? YesNo Name Of School(If you attended one (1) school, go to Professional License Section.) Degree Address From To Did you graduate? YesNo Additional Information(Use if additional space is needed) Professional - License & Skills Do you have a current barber license in the State of VA? YesNoI have a cosmetology license License number(Enter N/A if this doesn't apply for the position you are applying for) License Expiration Date Skillsets ?(Check all those apply) ClipperScissorStraight Razor ShavesBeard TrimsFades - In addition to clipper skillsHair Color/Grey BlendingSkin CareOther How many years of experience do you have being a barber? Are you able to stand for long periods of time? YesNo Additional Information(Please summarize any additional information necessary to describe your qualifications for the specific position you are applying for.) Work History Please list your previous work History Professional References Please list two (2) professional references Reference* (Full Name) Relationship (How do you know your reference?) Phone(Best phone number to reach your reference?) Reference* (Full Name) Relationship (How do you know your reference?) Phone(Best phone number to reach your reference?) Disclaimer and Electronic Signature Did you complete this application yourself? YesNoOther EMPLOYMENT APPLICATION DISCLAIMER AND ACKNOWLEDGEMENT I certify that the information contained in this application is correct to the best of my knowledge. I understand that to falsify information is grounds for refusing to hire me, or for discharge should I be hired. I authorize any person, organization or company listed on this application to furnish you any and all information concerning my previous employment, education and qualifications for employment. I also authorize you to request and receive such information. In consideration for my employment, I agree to abide by the rules and regulations of the company, which rules may be changed, withdrawn, added or interpreted at any time, at the company’s sole option and without prior notice to me. I also acknowledge that my employment may be terminated, or any offer or acceptance of employment withdrawn, at any time, with or without cause, and with or without prior notice at the option of the company or myself. * YesNoOther