Please fill out this pre-application form completely:

Name:	*
Address:	*
City:
State:		- - Choose One - - AB AK AL AR AZ BC CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MB MD ME MI MN MO MS MT NB NC ND NE NH NJ NL NM NS NT NU NV NY OH OK ON OR PA PE PR QC RI SC SD SK TN TX UT VA VT WA WI WV WY YT
ZIP:
Phone Number:	*
Email Address:	*
Are you 18 years or older?:		Yes No
If you are under 18, do you have working papers?:		Yes No
If you are under 18, you MUST bring working your working papers to your interview.
Position applying for:
Date available to start:
Salary Requirement:
Referred By:
Are you currently employed? If yes, please explain:
Are you a citizen of the United States?		Yes No
If No, do you have papers to work in the United States?		Yes No
Employment History:		Cut and paste in your Employment History or Upload using the browse button.
If you are a licensed professional (hair, nail, skin and massage departments), you need to bring a copy of your current license with you to the interview.
Do you have a current NYS license?		Yes No
Education:		Cut and paste in your Education History or Upload using the browse button below.
Summarize your special skills or qualifications:		Cut and paste in your Special Skills or Upload using the browse button below.
Please select the shifts you are willing to work:		Massage Department: Morning Massage Department: Afternoon Skin Department: Morning Skin Department: Afternoon Nail Department: Morning Nail Department: Afternoon Hair Department: Morning Hair Department: Afternoon Front Desk Laundry Housekeeping
Days of the week you could work:		SUNDAY MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY SATURDAY
Why do you believe Kimberley's A Day Spa Ltd. should hire you?
Upload Resume:
AUTHORIZATION: By submitting this form, I certify that the facts contained in this application are true and complete to the best of my knowledge and understand that, if employed, falsified statements on this application shall be grounds for dismissal. I authorize investigation of all statements contained herein and the references and employers listed above to give you any and all information concerning my previous employment and any pertinent information that they may have personal or otherwise, and release the company from all liability for any damage that may result from utilization of such information.