The Barbershops

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Personal Information
First name
Middle name
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Date Available to Start
Salary Requirements

If you are under 18 years of age, can you provide a work permit?

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If no, please explain

Have you ever worked for this company?

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Are you authorized to work in the US?

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Type of employment desired:

Full-Time Part-Time Temporary Seasonal

Have you ever pleaded guilty, no contest, or been convicted of a crime?

Yes No

If Yes, give dates and details:

Answering yes to these questions does not constitute an automatic rejection for employment. Date of the offense, seriousness and nature of the violation, rehabilitation and position applied for will be considered.

Summarize Your Special Skills or Qualifications

Previous Employment (begin with most recent position)

Most Recent Employer

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Position(s) Held:
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Starting Salary and Title:
Ending Salary and Title:
Reason For Leaving:

May we contact this employer for a reference?

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Second Most Recent Employer

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Third Most Recent Employer

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Position(s) Held:
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Supervisor:
Title:
Responsibilities:
Starting Salary and Title:
Ending Salary and Title:
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May we contact this employer for a reference?

Yes No

I certify that my answers are true and complete to the best of my knowledge. I authorize you to make such investigations and inquires of my personal, employment, educational, financial, and other related matters as may be necessary for an employment decision. I hereby release employers, schools, or individuals from al liability when responding to inquiries in connection with my application.

In the event I am employed, I understand that false or misleading information given in my application or interview(s) may result in discharge.

Signature of Applicant:
Date:

The Barbershop - A Hair Salon For Men

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