Note: All fields are required

First Name:
Last Name:
Address:
City:
State:
Zip Code:
Telephone:
Email:
Referred by:
Position Desired:
Date available:
Salary Desired:
Are you currently employed? Yes No
If yes, may we inquire of your present emplyer? Yes No
Contact Name:
Contact Phone:
Have you ever applied to The Face and Body? Yes No
If yes, when:
Grammar School
School Name:
Location:
Yes Attended:
Did you graduate?  Yes  No
High School
School Name:
Location:
Subjects Studied:
Yes Attended:
Did you graduate?  Yes  No
College
School Name:
Location:
Subjects Studied:
Yes Attended:
Did you graduate?  Yes  No
Trade, Business, or Correspondence School
School Name:
Location:
Subjects Studied:
Yes Attended:
Did you graduate?  Yes  No
Specialized Studies:
Specialized Work:
Special Training:
Special Skills:
Starting with most recent
Date From:
Date To:
Business Name:
Contact Name:
Address:
City:
State:
Zip Code:
Telephone:
Salary:
Position:
Reason for Leaving:
Date From:
Date To:
Business Name:
Contact Name:
Address:
City:
State:
Zip Code:
Telephone:
Salary:
Position:
Reason for Leaving:
Date From:
Date To:
Business Name:
Contact Name:
Address:
City:
State:
Zip Code:
Telephone:
Salary:
Position:
Reason for Leaving:
Please give the names of three people not related to you, whom you have known at least one year. Please do not list past employers.
First Name:
Last Name:
Address:
City:
State:
Zip Code:
Telephone:
Years Known:
First Name:
Last Name:
Address:
City:
State:
Zip Code:
Telephone:
Years Known:
First Name:
Last Name:
Address:
City:
State:
Zip Code:
Telephone:
Years Known:

     

By submitting this information, I certify that the facts contained herein are true and complete to the best of my knowledge. I understand that, if associated with The Face and Body, falsified statements shall be grounds for termination of contractual agreement.

I authorize any investigation of any and all statements contained within this submission. I authorize the references and employers listed above to release to The Face and Body any and all information concerning my previous employment and any pertinent information these referring parties may have, personal or otherwise. I release The Face and Body, its owner(s), officer(s) and authorized agent(s) from any and all liability for any damage that may result from utilization of such information.

I understand and agree that any contractual agreement with The Face and Body is exempt from any specified length of contract and carries no non-compete clause upon termination of said agreement.

This waiver does not permit the release or use of disability-related or medical information in a manner prohibited by the Americans with Disabilities Act (ADA) and/or other relevant local, state and federal laws.