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Employment Application

Which business are you applying for?

Applicant Information

Name*

First Middle Initial Last

Address*

Street Address Address Line 2 City State ZIP Code

Phone*

Email*

Desired Position

Desired Salary

Date Available

Are you a citizen of the United States?

Yes

Are you authorized to work in the U.S.?

Yes

Have you ever worked for this company?

Yes

When did you work for this company?

Have you ever been convicted of a felony?

Yes

Please explain:

Education

High School:

Address:

From

Did you graduate?

Yes

Diploma:

College:

Address:

From

Did you graduate?

Yes

Degree:

Other:

Address:

From:

To:

Did you graduate?

Yes

Degree:

References

Please list 3 professional references.

Reference #1

Full Name:

Relationship:

Company:

Phone:

Address:

Reference #2

Full Name:

Relationship:

Company:

Phone:

Address:

Reference #3

Full Name:

Relationship:

Company:

Phone:

Address:

References

Please list 3 professional references.

Previous Employer #1

Company

Job Title:

Address:

Supervisor:

Phone:

Starting Salary:

Ending Salary

Responabilities:

From:

To:

Reason for leaving:

May we contact your previous supervisor for a reference?

Yes

Previous Employer #2

Company:

Job Title:

Address:

Supervisor:

Phone:

Starting Salary:

Ending Salary:

Responsibilities:

From:

To:

Reason for leaving:

May we contact your previous supervisor for a reference?

Yes

Previous Employer #3

Company:

Job Title:

Address:

Supervisor:

Phone:

Starting Salary:

Ending Salary:

Responsibilities:

From:

To:

Reason for leaving:

May we contact your previous supervisor for a reference?

Yes

Add More Previous Employer

Previous Employer #4

Company:

Job Title:

Address:

Supervisor:

Phone:

Starting Salary:

Ending Salary:

Responsibilities:

From:

To:

Reason for leaving:

May we contact your previous supervisor for a reference?

Yes

Previous Employer #5

Company:

Job Title:

Address:

Supervisor:

Phone:

Starting Salary:

Ending Salary:

Responsibilities:

From:

To:

Reason for leaving:

May we contact your previous supervisor for a reference?

Yes

Previous Employer #6

Company:

Job Title:

Address:

Supervisor:

Phone:

Starting Salary:

Ending Salary:

Responsibilities:

From:

To:

Reason for leaving:

May we contact your previous supervisor for a reference?

Yes

Military Service

Have you served in the military?

Yes

Military Service Details

Branch:

From:

To:

Rank at discharge:

Type of discharge:

If other than honorable, explain:

Massage Envy

How did you hear about Massage Envy Spa?

Have you ever used a different name(s) other than stated above?

Yes

Please indicate all other name(s):

Have you ever been terminated or asked to resign from a job?

Yes

Please Explain:

Schedule Availability

Monday*

Tuesday*

Wednesday*

Thursday*

Friday*

Saturday*

Sunday*

Are you licensed or certified in the state in which you are applying to work for the type of work which you are applying for (i.e massage therapy or as an esthetician)?*

Yes

What is the license number?*

What is the license expiration date?*

Have you applied for a license?*

Yes

If applicable, have you passed testing required for licenser?

Yes

Please list all modalities you are qualified to perform, and all specifications and special certifications you possess:*

ARK Pest Control Disclaimer

Disclaimer*

I understand that misrepresentation, or false information connected with my application for employment will be sufficient cause in itself for disqualification from employment opportunities or dismissal from employment when discovered. I certify that the answers I have given on this application are true and complete to the best of knowledge.

By signing in the space provided below, I agree and understand that all employment at Ark Pest Control and Prevention is on an “at will” basis. This means that an employee is free to end the employment relationship at anytime with or without reason or cause, and with or without prior notice. This also means that Ark Pest Control and Prevention is free to end the employment relationship at any time with or without reason or cause, and with or without prior notice. Nothing communicated or provided to the applicant is intended or shall be interpreted to alter the at will nature of the employment relationship. Nothing communicated or provided to the applicant is intended or shall be interpreted to constitute a contract of continuing employment or a contract for term of employment.

I also understand that Ark Pest Control and Prevention or one of its affiliates, reserves the right to perform a background check on all applicants (mandatory for practitioners) including contacting former employers and by signing below, I agree to this process.

Ark Pest Control and Prevention is an equal opportunity employer. Ark Pest Control and Prevention does not discriminate on any basis protected by applicable federal and state laws, including discrimination on the basis of race, color, gender, age, national origin, protected disability, pregnancy, or veteran status. affords equal employment opportunity in all aspects of the relationship, including hiring, wages, benefits, promotion, discipline, and discharge.

I certify that my answers are true and complete to the best of my knowledge.

If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.

I have read and agree to the terms of the above disclaimer.

Massage Envy - Applicant's Certification

Privacy Consent

I agree to the Privacy Policy.

Name

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