Changing the world
one Person at a time

225 Main Avenue
Passaic Park, NJ 07055
(973) 859-0300
Fax: (973) 859-0299
contact@EnigmasHairStudio.com

  
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Employment Application :


Applicant Information

Last Name

First

M.I.

Date

Street Address

Apartment/Unit #

City

State

ZIP

Phone

E-mail Address

Date Available

Social Security No. (fill in at interview)

Position Applied for

Desired Salary

Are you a citizen of the United States?

YES 

NO 

If no, are you authorized to work in the U.S.?

YES 

NO 

Have you ever been convicted of a felony?

YES 

NO 

If yes, explain

 

Education

High School

Address

From

To

Did you graduate?

YES 

NO 

Degree

College

Address

From

To

Did you graduate?

YES 

NO 

Degree

Other

Address

From

To

Did you graduate?

YES 

NO 

Degree

 

References

Please list three professional references.

Full Name

Relationship

Company

Phone

Address

Full Name

Relationship

Company

Phone

Address

Full Name

Relationship

Company

Phone

Address

Previous Employment

Company

Phone

Address

Supervisor

Job Title

Starting Salary

$

Ending Salary

$

Responsibilities

From

To

Reason for Leaving

May we contact your previous supervisor for a reference?

YES 

NO 

 

Company

Phone

Address

Supervisor

Job Title

Starting Salary

$

Ending Salary

$

Responsibilities

From

To

Reason for Leaving

May we contact your previous supervisor for a reference?

YES 

NO 

 

Company

Phone

Address

Supervisor

Job Title

Starting Salary

$

Ending Salary

$

Responsibilities

From

To

Reason for Leaving

May we contact your previous supervisor for a reference?

YES 

NO 

 

 

Military Service

Branch

From

To

Rank at Discharge

Type of Discharge

If other than honorable, explain

 

Disclaimer and Signature

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.

Signature

Date

 

What days of the week are you available for an interview?

To select multiple days drag over the days, to select altnernate days Ctrl-click on the days you are available.

How do you prefer to be contacted?

If your are not using Internet Exployer and are having a problem sending, you may print and fax to 973-859-0299
Or Click here to download PDF form to fill out and Fax back

Privacy Policy: the information you provide will not be shared it is only for the use in our selection of potential employees.