Employment ApplicationPlease fill out the information below and take note of required fields marked with an asterisk. APPLICANT INFORMATION Name * First Name Last Name Today's Date * MM DD YYYY Email * Phone * (###) ### #### Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Date Available MM DD YYYY Social Security Number or TIN Position Applied for: Are you a citizen of the United States? * Yes No If No, are you authorized to work in the U.S.? Yes No Have you ever been convicted of a felony? * Yes No If yes, explain: EDUCATION High School * High School Address * High School From * only month year needed MM DD YYYY High School To MM DD YYYY Did you graduate? * Yes No Diploma * General Studies With Honors GED none Barber / Cosmetology School From only month year needed if applicable MM DD YYYY To only month year needed if applicable MM DD YYYY Did you graduate? Yes No Currently Enrolled Do you have a current Oklahoma Barber / Cosmetology License? * Yes No College College Address College From only month year needed if applicable MM DD YYYY College To only month year needed if applicable MM DD YYYY Did you graduate? Yes No Currently Enrolled Other relevant education: REFERENCES Please list three professional references Reference #1 First Name Last Name Relationship Company Phone (###) ### #### Reference #2 First Name Last Name Relationship Company Phone (###) ### #### Reference #3 First Name Last Name Relationship Company Phone (###) ### #### PREVIOUS EMPLOYMENT Company name (current or most recent employer) * Address Supervisor First Name Last Name Phone (###) ### #### Job Title Responsibilities From Date only month and year MM DD YYYY To Date only month and year, leave blank if currently employed MM DD YYYY Reason for Leaving May we contact your previous employer? Yes No Please contact me first. Company (2nd most recent employer) Address Supervisor First Name Last Name Phone (###) ### #### Job Title Responsibilities From date only month and year MM DD YYYY To date only month and year MM DD YYYY Reason for Leaving May we contact your previous Supervisor as a Reference? Yes No Please contact me first. Please add any other information you feel is relevant below DISCLAIMER AND SIGNATURE I certify that my answers are true and complete to the best of my knowledge. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release. Digital Signature * *enter your full name below to sign this application Today's Date * MM DD YYYY Click SUBMIT to complete application Thank you!
