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    A Premier Massage & Day Spa is collaborative hybrid salon and spa. We offer both Booth Rent and Employee structures to best suit your needs.

    Today's Date*

    PERSONAL INFORMATION

    Your Name First and Last*

    Your Address*

    Your City*

    Your State*

    Your Zip Code*

    Your Mobile Number*

    Your Email*

    IL Beauty License #*:

    MARKETING

    How did you hear about us?*
    IndeedFacebookInstagramReferralOtherIndeed

    If Referral, Who?

    OBJECTIVE

    What is prompting you to inquire about Booth Rental at Premier?*

    Are you legally eligible to work in the United States?*
    YESNO

    Current Work Situation:

    What is your current work situation?*
    Self-EmployedEmployee

    Do you currently have an established client base that will follow you?*
    YESNO

    How many years have you been in the industry?*

    AVAILABILITY

    What date would you be ready to start renting?*

    Days and Hours Interested in:*

    Our staffed hours are Tuesday-Thursday 9am-9pm, Fridays 9am-5pm, Saturdays 9am-6pm, and Sundays 9am-5pm.

    Please be specific. On days you want off just specify off.

    TUESDAY

    WEDNESDAY

    THURSDAY

    FRIDAY

    SATURDAY

    SUNDAY

    Your Online Presence:

    Professional Instagram:

    Professional Facebook:

    Website Address:

    Business Credentials:

    Do you currently have professional liability insurance?*
    YESNO

    Do you currently have a Federal Tax ID number?*
    YESNO

    Do you currently have a merchant account?*
    YESNO

    If yes, which company is it with?

    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

    Name(First and Last)

    Phone Number

    Occupation

    Years Known

    Name(First and Last)

    Phone Number

    Occupation

    Years Known

    Your Name First and Last as your digital signature*