Please fill out the following application as completely as possible. A comment space is provided at the end. When you are finished, click the SUBMIT button.
City:
Date:
Position Desired:
Date Available:
Hours Available:
  Full Time
Part Time
First Name:
Last Name:
Email Address:
Telephone:
Address:
City:
State:
Zip:
Country:
Length at Address:
License or ID#:
Are you at least 18 years old?
(Hiring is subject to verification that you are of legal age.)		 YES
NO
If hired can you present evidence of U.S. citizenship or proof of your legal right to live and work in this country? YES
NO
Have you ever been convicted of a felony? YES
NO
If yes, explain
Are you bondable? YES
NO
If no, explain
How were you referred to us?
Please give us some detail on your education.
High School
Grade Completed
College
Grade Completed
Technical School
Grade Completed
Other School
Grade Completed
Military branch and rank
Are you in the reserves? YES
NO
Please give details of your employment history.
Employment Dates #1
Employer Name
Employer Address
Employer Supervisor Name
Job Description
Reason for Leaving
**********
Employment Dates #2
Employer Name
Employer Address
Employer Supervisor Name
Job Description
Reason for Leaving
Do you have any physical limitations that might interfere with, or be aggravated by your work? YES
NO
If yes, explain
What are your hobbies or interests?
In case of emergency, contact:
Please read carefully before submitting:
Midtowne Spa, Inc. does not condone, permit or accept the sale, use or possession of drugs or alcohol while on company property. All employees will be expected to adhere to this requirement without exception. Midtowne Spa is committed to a safe and healthful environment for all employees all of the time. We will not have anyone on company property under the influence of drugs or alcohol that will jeopardize our commitment to this policy. In applying for a position with Midtowne Spa, Inc. you understand that you may be asked to submit a urine test to determine drug and alcohol use. This test may be part of a pre-employment screening process. You further understand that if employed by Midtowne Spa, Inc. we reserve the right to test for drugs and alcohol when circumstances warrant. This may be in the area of work related injuries.

By submitting this application, I certify that the information I have provided is true and correct to the best of my knowledge, and that no attempt has been made to conceal information. I authorize my former employers and schools to provide any information, as necessary regarding me. I understand that if any information given by me is found to be false or misleading that I will be subject to dismissal at any time during the term of my employment. I agree to hold Midtowne Spa, Inc. blameless in that event. If employment is obtained under this application, I will comply with all rules and regulations of the company. I agree to be responsible for company property and equipment issued me by the company. I agree to submit to a physical examination, if required by the company.

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