- Riversong Spa

Employment Application

Riversong Spa & Salon - Application for Employment (rev. 2/8/2015)

Riversong is an Equal Opportunity Employer. We comply with all applicable Federal, State, and local laws concerning discrimination in employment. No question in this application is intended to elicit information in violation of any such law or will any information obtained in response to any question be used in violation of any such law.

Note: [
*
] denotes mandatory field

Last Name [
*
]

First Name [
*
]

Middle Name

Address [
*
]

City [
*
]

State [
*
]

Zip [
*
]

Telephone [
*
]

Email [
*
]

Application Date [
*
]

Position Applied for [
*
]

Employment type:

Full-Time

Part-Time

Seasonal

Temporary

Other (explain)

(check all applicable)

Were you previously employed by Riversong

YES

(when?)

List all relatives working for Riversong and relationship

WORK EXPERIENCE - LIST PRESENT AND FORMER EMPLOYERS BEGINNING WITH MOST RECENT

Previous Employment #1

Position Held

Reason for Leaving

Company Name

Company Address

Phone Number

Supervisor Name and Title

Last Salary

Employed From

Employed to

Work Duties

Previous Employment #2

Position Held

Reason for Leaving

Company Name

Company Address

Phone Number

Supervisor Name and Title

Last Salary

Employed From

Employed to

Work Duties

Previous Employment #3

Position Held

Reason for Leaving

Company Name

Company Address

Phone Number

Supervisor Name and Title

Last Salary

Employed From

Employed to

Work Duties

Previous Employment #4

Position Held

Reason for Leaving

Company Name

Company Address

Phone Number

Supervisor Name and Title

Last Salary

Employed From

Employed to

Work Duties

May we contact the above employers?

YES

(If any are "no" please explain)

Please list any major word processing or graphics software programs you have worked with
Please list any other job related special skills or experience

EDUCATION - LIST ALL EDUCATION AND TRAINING BEGINNING WITH MOST RECENT

School #1

School Name

School Address

Course of Study

Number of Years

Degree Earned

Year Completed

School #2

School Name

School Address

Course of Study

Number of Years

Degree Earned

Year Completed

School #3

School Name

School Address

Course of Study

Number of Years

Degree Earned

Year Completed

School #4

School Name

School Address

Course of Study

Number of Years

Degree Earned

Year Completed

REFERENCES - LIST THREE NON-RELATED INDIVIDUALS WE CAN CONTACT

Reference #1

Full Name [

]

Address [

]

Phone [

]

Years Known [

]

Reference #2

Full Name [

]

Address

Phone

Years Known

Reference #3

Full Name [

]

Address

Phone

Years Known

MISCELLANEOUS INFORMATION

If offered employment, when can you start work?

Are you able to perform the job you are applying for?

List if any work location preference.

If applying for a professional position requiring state licensing you will need to provide proof of your licensure status and in some cases liability insurance. Please indicate whether you meet these requirements. (If "NO" to either, can you provide prior to employment? Explain below)

Licensure:

YES

(if required for our job, you must provide your license for posting)
Insurance:

YES

(if required, you must provide proof of any required insurance before you can provide services)

Employees must be able to provide acceptable documentation of their legal status as a citizen, or their non-citizen status giving them a legal right to work. Can you provide such documentation?

YES

Some employment restrictions may apply for those under age 18

ADDITIONAL REMARKS CONCERNING EMPLOYMENT TRAINING AND/OR QUALIFICATIONS:

APPLICANT'S CERTIFICATION - PLEASE READ CAREFULLY BEFORE SIGNING

I certify that, to the best of my knowledge and belief, the answers given by me to the foregoing questions and the statements made by me in this application are correct and complete. I understand that misrepresentation or omission of facts in this application may lead to my discharge. If employed, I understand and agree that such employment may be terminated at any time, without prior notice, and that my employment will not be governed by any expressed or implied contract but is at-will, unless and at which time as such an expressed contract is agreed to in writing. I hereby grant authorization for the contacting of references and others noted on this application for the purpose of verifying my statements.

TERMS OF ACCEPTANCE and SIGNATURE

I warrant the truthfulness of the information provided in this application.

Electronic Signature *

Please type your First and Last Name.

I understand that checking this box constitutes a legal signature confirming that I acknowledge and agree to the above Terms of Acceptance.

DATE: 12/10/2019