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First Name *

Last Name

Street Address *

City *

State/Province *

ZIP / Postal Code

Home Phone

Mobile Phone *

Email Address *

How Did You Hear About Us? *

Why Have You Selected to Apply to Salon Concrete?

What Single Strength Do You Possess That Will Be An Asset To The Team?

What Position Are You Most Interested In? *

When Are You Available To Begin Work

Are You A Licensed Cosmetologist In New Jersey *

What Type Of Weekly Schedule Are You Seeking *

Would Working Weekends Pose A Problem? If Yes, Why?

Would Working Evenings Pose A Problem? If Yes, Why?

Of The Services We Offer, Which Do You Feel Qualified To Perform? Please Indicate If Not Applicable.

Are You A High School Graduate? If Yes, Year Graduated?

Did You Attend A College Or University? If Yes, School Name, Year Graduated And Degree Earned.

Please List Past Employers, Contact Info, Position Held, Responsibilities, Salary, Employment Date And Reason For Leaving.

Are You Currently Employed? If Yes, Can We Contact Employer (Please Provide Contact Info)

Attach A Photo Of Yourself (Optional)

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Any Additional Information About You Or Comments?

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