Imprés Salon, Inc. Employment Application

* Indicates required field
PERSONAL

*Applicant’s name (first,middle,last):
*Date:

*Email address:

*Address (street, city, state, zip):

*Telephone # (include area code): Best time to call:

Social Security # : - -

Have you ever been previously employed by our organization? Yes No
If yes, When?

Have you previously submitted an application under your current name or different name? Yes No

If yes, when and under what name did you apply?

Are you 18 years or older? Yes No

If no, please list age 

Are you legally authorized to work in the United States? Yes No

DESIRED EMPLOYMENT Do you prefer: full-time part-time other

Position(s) applied for:

If part time or other, please specify hours and days

Mon. Tues. Wed. Thurs. Fri. Sat. Sun.

Salary desired for position: $ Date available to begin:

Please check all skill areas you
possess or have experience in:

Clerical

Collection

Skin and Nails

Masseuse

Stylist

Nail Technician

Apprentice

Other (list below)

P.C. Software skills: Lotus Excel Windows Other

How did you hear about us?

Walk In Newspaper Television Solicitation Other

EDUCATION

High School

Name:

Location:

Years Completed (1-4)

Diploma/Degree

Courses of Study

College

Name:

Location:

Years Completed (1-4)

Diploma/Degree

Courses of Study

Graduate

Name:

Location:

Years Completed (1-4)

Diploma/Degree

Courses of Study

Vocational and/or Certification

Name:

Location:

Years Completed (1-4)

Diploma/Degree

Courses of Study

CRIMINAL RECORD

Have you been convicted of a felony or misdemeanor crime? Yes No

If the answer to this question is yes, please give details including date, location (city/town), nature of offense(s) and disposition.

A conviction record will not necessarily preclude you from an offer of employment.

ADDITIOAL INFORMATION

Military Service Record

Are you a United States Veteran? Yes No

If yes, please list experience and special education received in the military:

Are you currently in the reserves? Yes No

General Information

Are you able to be bonded? Yes No

If hired, do you have reliable transportation to and from work? Yes No

Do you have any friends or relatives working at Imprés Salon Spa? Yes No If yes, please list name(s):

Name of contact in the event of an emergency?

WORK HISTORY Complete the following in chronological order, beginning with your most recent employment.

Employer #1

Employer:

Address:

Job title:

Supervisor:

Reason for leaving:

Hourly Rate/Salary

Starting: Final:

Dates employed

Beginning: End:

Work Responsibilities:

Employer #2

Employer:

Address:

Job title:

Supervisor:

Reason for leaving:

Hourly Rate/Salary

Starting: Final:

Dates employed

Beginning: End:

Work Responsibilities:

Employer #3

Employer:

Address:

Job title:

Supervisor:

Reason for leaving:

Hourly Rate/Salary

Starting: Final:

Dates employed

Beginning: End:

Work Responsibilities:

If you are currently working, may we contact your current employer? Yes No

REFERENCES

Name:

Address:

Phone #:

Number of years
known:

personal professional

Name:

Address:

Phone #:

Number of years
known:

personal professional

Name:

Address:

Phone #:

Number of
years known:

personal professional

Agreement and Acknowledgement

I hereby affirm that the information provided on this application (and accompanying resume, if any) is true and complete. I also agree that any false information, misrepresentations, or omissions, whether oral or written, may disqualify me from further consideration for employment and may result in discipline or dismissal if discovered at a later date.

I authorize a thorough investigation of all statements and references contained in this application and of my employment history, including discipline and attendance records, and agree to cooperate in such investigation. I consent to and release from all liability and responsibility all persons and corporations requesting or supplying such information and waive my right to notice of such disclosure.

I give my consent to Imprés Salon, through an authorized testing service of its choice, to collect blood, tissue, urine or saliva samples from me to conduct any other necessary medical tests to determine the presence of alcohol, drugs, or controlled substances. Further, I give my consent for the release of the test results and other relevant medical information to authorized Imprés Salon management members for appropriate review. If I am accepted for employment by Imprés Salon, I consent to be tested in the above manner during my employment, when in the Company’s judgment, such testing is appropriate. I acknowledge that remaining free of illegal drugs and complying with Imprés Salon's substance abuse policy is a condition of my employment.

Should I receive an offer of employment, I agree to submit to any physical or psychological medical examination. I further authorize any physician or entity conducting such medical examination to release the results of such examination to Imprés Salon.

I understand that if I have a protected disability that affects my ability to apply for a position with Imprés Salon or to perform the job I seek, I may ask Imprés Salon to attempt to make a reasonable accommodation for it. I must let Imprés Salon know about the need for my accommodation as soon as possible.

I understand that either party may terminate the employment relationship, with or without cause, at any time, for any reason, and further agree that this arrangement may only be altered in writing directed to me personally and signed by the Owners of Imprés Salon. I agree that I shall be bound by the rules, policies, regulations, terms and conditions of employment of Imprés Salon as they are from time to time changed, and no additional obligations can be imposed on Imprés Salon except those which have been acknowledged in writing, by the Owners of Imprés Salon or their designated representatives.

I hereby authorize Imprés Salon to deduct from each and every pay period any amounts necessary to offset damages caused by me or the value of property or money trusted to me, or owed by me to Imprés Salon during the course of my employment.

I further agree that if I should bring any legal action or claim out of my employment against Imprés Salon in which Imprés Salon prevails, I will pay to Imprés Salon any and all costs incurred by Imprés Salon in defense of said claims or actions, including but not limited to attorney fees and court costs.

NOTE: Before submitting form, please print out a copy for your records in case issues arise in the submission to Imprés Salon.