Name *

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Day Phone *

(###)

###

####

Evening Phone

(###)

###

####

What is your date of birth? *

MM

DD

YYYY

Have you ever been convicted of a crime? *

Yes

No

Have you ever been arrested for a felony? *

Yes

No

Are you legally eligible for employment in the United States? *

Yes

No

Are you able to perform the essential functions of the job position with or without reasonable accommodation? *

Yes

No

Beginning Date of Employment

MM

DD

YYYY

Ending Date of Employment

MM

DD

YYYY

Beginning Date of Employment

MM

DD

YYYY

Ending Date of Employment

MM

DD

YYYY

Did you receive a diploma?

Yes

No

Did you receive a degree?

Yes

No

Phone

(###)

###

####

Phone

(###)

###

####

If you were offered a position, when would you be able to begin working? *

MM

DD

YYYY

I certify that the information provided on this Application is truthful and accurate. I understand that providing false or misleading information will be the basis for rejection of my Application, or if employment commences, immediate termination. I authorize Frank and Sons Barbershop. to contact former employers and educational organizations regarding my employment and education. I authorize my former employers and educational organizations to fully and freely communicate information regarding my previous employment, attendance, and grades. I authorize those persons designated as references to fully and freely communicate information regarding my previous employment and education. I HAVE CAREFULLY READ THE ABOVE CERTIFICATION AND I UNDERSTAND AND AGREE TO ITS TERMS. *

Yes

No

Today's Date *

MM

DD

YYYY