Job Application

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What position are you applying for?
Massage Therapist
Other If other please explain:


Please give us a brief history all of which is confidential so we can better evaluate your credentials.

First Name:
Last Name:
Phone:
Email:
Address:
City:
State:
Zip Code:

Are you over 16 years of age? (For employees under 18, a work permit is required)
Yes No

Are you legally allowed to work in the US? Yes No

Have you ever been convicted of a felony?
If yes, please explain: Yes No

When are you available to start work?
Please list any special skills you feel are
pertinent to the job you are applying for
Are you licensed? Yes No

If licensed, which state?

Number of years experience in spa profession?

Do you have your own massage table? Yes No

Do you have your own massage chair? Yes No

Do you have liability insurance? Yes No
If so, by which state?

Your Availability:
Part-Time Full-Time
Our work week is 7 days a week , 8am - 8pm.

Education Experience:
Grade Completed Diploma/Degree Course/Major
High School Yes No
College Yes No Some
Graduate School Yes No
Trade/Business School Yes No
Other Training


Tell Us About The Jobs You Have Had (beginning with the most recent):

Start Date:
End Date:
Employer Name:
Employer Address:
Position:
Employer Phone:
Reason For Leaving:

Start Date:
End Date:
Employer Name:
Employer Address:
Position:
Employer Phone:
Reason For Leaving:

Start Date:
End Date:
Employer Name:
Employer Address:
Position:
Employer Phone:
Reason For Leaving:

References:

1. Name Phone
2. Name Phone
3. Name Phone

All information you provide is confidential.