Today's Date*
PERSONAL INFORMATION
Your Name First and Last*
Your Address*
Your City*
Your State* Illinois - ILAlabama - ALAlaska - AKArizona - AZArkansas - ARCalifornia - CAColorado - COConnecticut - CTDelaware - DEFlorida - FLGeorgia - GAHawaii - HIIdaho - IDIndiana - INIowa - IAKansas - KSKentucky - KYLouisiana - LAMaine - MEMaryland - MDMassachusetts - MAMichigan - MIMinnesota - MNMississippi - MSMissouri - MOMontana - MTNebraska - NENevada - NVNew Hampshire - NHNew Jersey - NJNew Mexico - NMNew York - NYNorth Carolina - NCNorth Dakota - NDOhio - OHOklahoma - OKOregon - ORPennsylvania - PARhode Island - RISouth Carolina - SCSouth Dakota - SDTennessee - TNTexas - TXUtah - UTVermont - VTVirginia - VAWashington - WAWest Virginia - WVWisconsin - WIWyoming - WY
Your Zip Code*
Your Mobile Number*
Your Email*
Position Applying For*:
MARKETING
How did you hear about us?* GoogleFacebookInstagramReferralYelpOtherIndeed
If Referral, Who?
OBJECTIVE
What is prompting you to apply to Premier and make a career change?*
Are you legally eligible to work in the United States?* YESNO
Are you over the age of 18 years?* YESNO
Can you with or without reasonable accommodation perform the essential functions of this job? * YESNO
Have you ever been convicted of a felony? (A conviction will not necessarily disqualify you.)* YESNO
If yes, please explain.
Do you have a valid driver's license?* YESNO
Have you been convicted of any moving violations in the past five years?* YESNO
If yes, Please Explain.
COMPENSATION
What salary or rate of pay do you expect to receive if employed?*
How did you determine this?*
Have you ever been asked to resign from a job?* YESNO
AVAILABILITY
What date would you be available to start work?*
Days and Hours Available: (If employed, I will notify my supervisor in writing, should my availability change.)*
Please specify if you have open availability on each day and/or designate the times that you are available for work. Please be specific.
TUESDAY: Our Hours are 9-9
WEDNESDAY: Our Hours are 9-9 THURSDAY: Our Hours are 9-9
FRIDAY: Our Hours are 9-5 SATURDAY: Our Hours are 9-6 SUNDAY: Our Hours are 9-5
PRIMARY EDUCATION
Elementary School Name and Location(City,State)
High School Name and Location(City,State)
SECONDARY EDUCATION
Trade School Name and Location(City,State)
License or Specialty Obtained
College Name and Location(City,State)
Course or Degree Obtained
EXTRA CERTIFICATIONS & EXPERIENCES
Please list any academic honors, scholarships, offices held, etc. (Do not list any which reflect your race, color, religion, gender, national origin, age, disabilities or veteran status.)
Describe any specialized training, apprenticeships, licenses, or skills.
EMPLOYMENT HISTORY (Begin with current or most recent employer. Include any applicable temporary employment attach another sheet if necessary.)
Company Name
Address of Company
Phone Number of Company
Employment Start
Employment End
Reason For Leaving and Explanation
Name of your Supervisor
Describe Your Duties
Please provide any other information that you feel will help us in considering your application for employment.
REFERENCES
Please list three persons, who are not related to you or previous supervisors, who can provide professional references.
Name(First and Last)
Phone Number
Occupation
Years Known
I hereby certify that all of the information provided by me in this application (or any other accompanying or required documents) is correct, accurate and complete to the best of my knowledge. I understand that the falsification, misrepresentation or omission of any facts in said documents will be cause for denial of employment or immediate termination of employment regardless of the timing or circumstances of discovery.
I understand that submission of an application does not guarantee employment. I further understand that, should an offer of employment be extended by A Premier Massage & Day Spa that such employment with A Premier Massage & Day Spa is at will, for no specified duration and may be terminated by either A Premier Massage & Day Spa or myself at any time, with or without cause or notice. I understand that none of the documents, policies, procedures, actions, statements of A Premier Massage & Day Spa or its representatives used during the employment process is deemed a contract of employment real or implied. I understand that no representative of A Premier Massage & Day Spa except the President has the authority to enter into any agreement guaranteeing any conditions of employment or any agreement contrary to the foregoing statements and that any such agreements must be made in writing and signed by the A Premier Massage & Day Spa.
In consideration for employment with A Premier Massage & Day Spa, if employed, I agree to conform to the rules, regulations, policies and procedures of A Premier Massage & Day Spa at all times and understand that such obedience is a condition of employment. I understand that due to the nature of A Premier Massage & Day Spa business, attendance and punctuality are considered essential requirements of every job at A Premier Massage & Day Spa and that poor attendance or tardiness will result in disciplinary action.
I understand that if offered a position with A Premier Massage & Day Spa, I may be required to submit to a pre-employment medical examination, drug screening and background check as a condition of employment. I understand that unsatisfactory results from, refusal to cooperate with, or any attempt to affect the results of these pre-employments tests and checks will result in withdrawal of any employment offer or termination of employment if already employed. I hereby authorize any and all schools, former employers, references, courts and any others who have information about me to provide such information to A Premier Massage & Day Spa and/or any of its representatives, agents or vendors and I release all parties involved from any and all liability for any and all damage that may result from providing such information. I understand that this application is considered current for three months. If I wish to be considered for employment after this period I must fill out and submit a new application.
BY CHECKING THIS BOX, I ACKNOWLEDGE THAT I HAVE READ, UNDERSTOOD AND AGREE TO THE ABOVE STATEMENTS.
A Premier Massage & Day Spa IS PROUD TO BE AN EQUAL OPPORTUNITY EMPLOYER. ALL QUALIFIED APPLICANTS WILL RECEIVE CONSIDERATION WITHOUT REGARD TO RACE, COLOR, RELIGION, GENDER, NATIONAL ORIGIN, AGE, DISABILITY, VETERAN STATUS OR ANY OTHER STATUS PROTECTED BY LAW.
Your Name First and Last as your digital signature*
