610.558.4247
800.221.9407

610.444.1644

WEST CHESTER, PA
Dilworthtown Crossing
610.455.0906

WAYNE, PA
Lancaster Pike
November 2012
610.225.2415

JUSTISON LANDING
Wilmington Waterfront
302.777.7755


EMPLOYMENT APPLICATION
PRE-EMPLOYMENT QUESTIONNAIRE    |    AN EQUAL OPPORTUNITY EMPLOYER
DATE
PERSONAL INFORMATION
LAST NAME
FIRST NAME
DAY TIME PHONE
EMAIL ADDRESS
STREET ADDRESS
CITY
STATE
ZIP
POSITION DESIRED
POSITION DESIRED
DATE AVAILABLE

HAVE YOU APPLIED HERE BEFORE?YES NO    If yes, date and position applied for
FOR WHICH LOCATION ARE YOU APPLYING? Glen Eagle  Kennett Sq.  Justison Landing  W. Chester
Wayne, PA
EMPLOYMENT TYPE DESIRED: Full-time   Part-time   Temporary  Internship  Summer
Can you, after employment, submit verification of your identity and legal right to work in the United States?YES NO
Can you, after employment, submit verification of your Certification and/or Licensure, if required?YES NO
Do you have your own business where you service clients?YES NO    If yes, do you plan to continue?YES NO
Are you employed at another Salon/Day spa?YES NO    If yes, do you plan to continue while employed at Currie?YES NO
Are you 18 years of age or older?YES NO    If not, can you supply a work permit?YES NO
Have you ever been convicted of a felony? YES NO
Do not include convictions that have been sealed, expunged or statutorily eradicated.

SKILLS
Indicate any specific skills you have that relate to the position for which your are applying.


EDUCATION & TRAINING
School
Major
Date Graduated
Degree
School
Major
Date Graduated
Degree
School
Major
Date Graduated
Degree
Other training, honors and awards


EXPERIENCE
MOST RECENT EMPLOYER
Company
Address
Supervisor Name
Supervisor Phone
Your Job Title
Dates Employed
Salary
PREVIOUS EMPLOYER
Company
Address
Supervisor Name
Supervisor Phone
Your Job Title
Dates Employed
Salary
PREVIOUS EMPLOYER
Company
Address
Supervisor Name
Supervisor Phone
Your Job Title
Dates Employed
Salary

REFERENCES
Name
Relationship
Phone
Address
Name
Relationship
Phone
Address
Name
Relationship
Phone
Address

"I certify that all the information submitted by me on this application is true and complete, and I understand that if any false information, omissions, or misrepresentations are discovered, my application may be rejected and, if I am employed, my employment may be terminated at any time."

Employment and compensation can be terminated, with or without cause, and with or without notice, at any time, at either my or the company's option. I also understand and agree that the terms and conditions of my employment may be changed, with or without cause, and with or without notice, at any time by the company. I understand that no company representative, other than it's president, and then only in writing and signed by the president, has any authority to enter into any agreement for employment for any specific period of time, or to make any agreement contrary to the foregoing.