Please mail your application to the following address:
1905 Smith Street
Radford, VA 24141
Name:______________________________________________________________
Address:_____________________________________________________________
Phone Number:_______________________________________________________
Date of Birth:_________________________________________________________
Position Applying For:___________________________________________________
Have you ever been convicted of a felony?_____________________________________
(If so, Explain)________________________________________________________
Employment History:
Employer___________ Occupation_____________ Phone Number___________
Start Date_______ End Date_________ Reason for Leaving_________________
Employer___________ Occupation_____________ Phone Number___________
Start Date_______ End Date_________ Reason for Leaving_________________
Employer___________ Occupation_____________ Phone Number___________
Start Date_______ End Date_________ Reason for Leaving_________________
Employer___________ Occupation_____________ Phone Number___________
Start Date_______ End Date_________ Reason for Leaving_________________
References:
Name___________________________Relation______________________________
Years Known_______________________Phone Number________________________
Name__________________________ Relation______________________________
Years Known____________________ Phone Number__________________________
Name___________________________ Relation_____________________________
Years Known____________________ Phone Number__________________________
Please list all qualities you possess that would make you an asset to the Day Spa:
___________________________________________________________
___________________________________________________________
