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Royal Image Salon & Spa
506 South 13 Street
Norfolk, Nebraska 68701
(402) 371-9992
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Royal Image Salon & Spa
HOME
HAIR
SKIN CARE
MASSAGE
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Date:
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Name
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First Name
Last Name
Age:
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Phone Number:
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Email
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Street Address:
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City, State, Zip:
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When are you available for work:
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DD
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Position Applying For:
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Cosmetologist
Barber
Esthetician
Massage Therapist
Front Desk Receptionist
Desired Salary:
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$
How many hours per week?
What days are you available to work:
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Please select all that apply
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
What hours are you available to work?
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Education
Do you have a high school diploma? (If yes, please list school attended and what year you graduated)
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If you do not have a high school diploma please type "no" in the box below.
Did you attend college? (If yes, please list college attended and what degree you currently hold)
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If you did not attend college, please type "no" in the box below.
Any other schooling?
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If you have additional schooling, please list it here.
Work Experience
Please list your work experience for the last 5 years beginning with your most recent job held.
Employer Name:
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Employer Address:
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Please list: Street address, city, state, zip
Employer Phone Number:
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Employment Dates:
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Start Date
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DD
YYYY
End Date
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DD
YYYY
List the jobs you held, duties performed, skills used or learned, and any advancements or promotions while you worked at this company.
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Starting Salary:
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$
Ending Salary:
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$
Reason for Leaving:
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Name of Supervisor:
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May we contact this employer?
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Yes
No
If yes to the above question, please provide the best contact number.
(###)
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Employer Name:
*
Employer Address:
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Please list: Street address, city, state, zip
Employer Phone Number:
*
(###)
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Employment Dates:
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Start Date
MM
DD
YYYY
End Date
*
MM
DD
YYYY
List the jobs you held, duties performed, skills used or learned, and any advancements or promotions while you worked at this company.
*
Starting Salary:
*
$
Ending Salary:
*
$
Reason for Leaving:
*
Name of Supervisor:
*
May we contact this employer?
*
Yes
No
If yes to the above question, please provide the best contact number.
(###)
###
####
Employer Name:
Employer Address:
Please list: Street address, city, state, zip
Employer Phone Number:
(###)
###
####
Employment Dates:
Start Date
MM
DD
YYYY
End Date
MM
DD
YYYY
List the jobs you held, duties performed, skills used or learned, and any advancements or promotions while you worked at this company.
Starting Salary:
$
Ending Salary:
$
Reason for Leaving:
Name of Supervisor:
May we contact this employer?
Yes
No
If yes to the above question, please provide the best contact number.
(###)
###
####
References
Please list two references other than relatives or previous employers.
Name:
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Company Name & Position Held:
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Address:
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Pleast list: Street Address, City, State, Zip
Phone Number:
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(###)
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Name:
*
Company Name & Position Held:
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Address:
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Please list: Street Address, City, State, Zip
Phone Number:
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(###)
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####
An application form sometimes makes it difficult for an individual to adequately summarize a complete background. Use the space below to summarize any additonal information necessary to describe your full qualifications for the specific position for which you are applying.
Thank you! Your application has been successfully submitted.