Thank you for your interest in Nu Era Salon.  We ask that you complete the following application, 
and bring a printed copy with you to the interview.  Please call (704) 567-8988 for an appointment.

Application for Employment

Name:
Last__________________ First __________________ Middle Initial ____

Social Security Number: ________________________

Address: _____________________________________ 
City: __________________ State: ____ Zip: ________

Phone Numbers:
Home: _______________ Business: ______________

Beauty school attended: ________________________
Address: _____________________________________ 
City: __________________ State: ____ Zip: ________

State in which you hold valid operator license(s):
State: ___ License Number: _____________________

Advance Training Competition and Awards.  List any specialized or advanced training you have
received in the beauty field and any styling competitions you have won or awards you received:

Type of training/competition:
__________________________________________________________________________________________
Location:
__________________________________________________________________________________________
Date:
__________________________________________________________________________________________

Type of training/competition:
__________________________________________________________________________________________
Location:
__________________________________________________________________________________________
Date:
__________________________________________________________________________________________

Type of training/competition:
__________________________________________________________________________________________
Location:
__________________________________________________________________________________________
Date:
__________________________________________________________________________________________

 

Cosmetology references

Name:
__________________________________________________________________________________________
Address:
__________________________________________________________________________________________
Phone Number:
__________________________________________________________________________________________

Name:
__________________________________________________________________________________________
Address:
__________________________________________________________________________________________
Phone Number:
__________________________________________________________________________________________

Name:
__________________________________________________________________________________________
Address:
__________________________________________________________________________________________
Phone Number:
__________________________________________________________________________________________

Co-workers references

Name:
__________________________________________________________________________________________
Address:
__________________________________________________________________________________________
Phone Number:
__________________________________________________________________________________________

Name:
__________________________________________________________________________________________
Address:
__________________________________________________________________________________________
Phone Number:
__________________________________________________________________________________________

Name:
__________________________________________________________________________________________
Address:
__________________________________________________________________________________________
Phone Number:
__________________________________________________________________________________________

 

Employment history
Start with the most recent position.

Employer 1:
__________________________________________________________________________________________
Supervisor's name/title:
__________________________________________________________________________________________
Employed (month, year):
__________________________________________________________________________________________
Address:
__________________________________________________________________________________________
Phone Number:
___________________________     May we contact: Y / N
Brief description of duties:
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
Reason for leaving:
__________________________________________________________________________________________
__________________________________________________________________________________________

Employer 2:
__________________________________________________________________________________________
Supervisor's name/title:
__________________________________________________________________________________________
Employed (month, year):
__________________________________________________________________________________________
Address:
__________________________________________________________________________________________
Phone Number:
___________________________     May we contact: Y / N
Brief description of duties:
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
Reason for leaving:
__________________________________________________________________________________________
__________________________________________________________________________________________

Important - please read the following statement carefully before you sign and return this application.

I understand that this application is not a contract, offer, or promise of employment and that if hired;
I will be able to resign at any time for any reason.  Likewise (Saramurz corporation) Nu Era Salon can
terminate my employment at any time with or without cause.  I authorize persons, school, my current
employer (if applicable), and previous employers and organizations named in this application (and
accompanying resume, if any) to provide any relevant information that may be required to arrive at an
employment decision.

I hereby affirm that the information provided on this application (and accompanying resume, if any) is 
true and complete to the best of my knowledge.  I also agree that falsified information or significant 
omissions may disqualify me from further consideration for employment and may be considered 
justification for dismissal if discovered at a later date.

Signature                                                                    Date

__________________________________________________________________________________________