Career at Michele's
| The following is our Employment Application. You may print it out and mail or fax it back to us! Fax: 609-967-1143 Mail: 2345 Dune Drive Avalon, NJ 08202 Name:________________________ SS#:_________________ DOB:___________ Street Address:_______________________________________________________ City:__________________________ State:___________ Zip:_______________ Home Phone:___________________ Cell Phone:_______________________ Position Applied For:____________________________ When are you available to start:___________________ Any reasons preventing you from working nights/weekends?________________________ _________________________________________________________________________ _________________________________________________________________________ Please complete the Educational Section below as it applies to you. High School Attended:_____________________________ Year Graduated:____________ College:_______________________________________ Business School:________________________________ Beauty School:_________________________________ Any other specialized training or education that would be a benefit to the position that you are applying for? _________________________________________________________________________ __________________________________________________________________________ Former Employment Most Recent Employer:__________________________ Location:____________________ Phone #:_______________ Position:________________ Supervisor:_______________ Dates Worked From:____________ To:__________ Salary:_____________ Reason For Leaving:___________________________________________________ 2nd Most Recent Employer:________________________ Location:__________________ Phone #:_______________ Position:________________ Supervisor:_______________ Dates Worked From:____________ To:__________ Salary:_____________ Reason For Leaving:___________________________________________________ Professional References Please list three people other than family that you have known for one year or more and have worked with professionally. (Example: ex-boss, manager, co-worker, teacher) Name:_______________________________ Phone:_______________________ Occupation:________________________ Relationship:___________________ Name:_______________________________ Phone:_______________________ Occupation:________________________ Relationship:___________________ Name:_______________________________ Phone:_______________________ Occupation:________________________ Relationship:___________________ Are you presently employed?___________________________________________ If yes, may we contact your present employer?_____________________________ Any health problems or physical defects which could affect your employment? ________________________________________________________________ I certify that the information contained in this application is correct to the best of my knowledge and understand that deliberate falsification of this information is grounds for dismissal. I authorize references listed above to give you any information regarding my employment application. I release all parties from any and all liability for any damage that may result from furnishing this information to you. Date:______________ Signature:_________________________________________ |
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