The following is our Employment Application.
You may print it out and mail or fax it back to us!
Fax: 609-967-1143
Mail: 2345 Dune Drive
Avalon, NJ
08202


Name:________________________          SS#:_________________      DOB:___________

Street Address:_______________________________________________________

City:__________________________   State:___________   Zip:_______________

Home Phone:___________________           Cell Phone:_______________________

Position Applied For:____________________________

When are you available to start:___________________

Any reasons preventing you from working nights/weekends?________________________

_________________________________________________________________________

_________________________________________________________________________


Please complete the Educational Section below as it applies to you.


High School Attended:_____________________________

Year Graduated:____________


College:_______________________________________


Business School:________________________________


Beauty School:_________________________________

Any other specialized training or education that would be a benefit to the position that you are applying
for?

_________________________________________________________________________

__________________________________________________________________________


Former Employment

Most Recent Employer:__________________________    Location:____________________

Phone #:_______________   Position:________________   Supervisor:_______________

Dates Worked From:____________   To:__________             Salary:_____________

Reason For Leaving:___________________________________________________



2nd Most Recent Employer:________________________    Location:__________________

Phone #:_______________   Position:________________   Supervisor:_______________

Dates Worked From:____________   To:__________             Salary:_____________

Reason For Leaving:___________________________________________________


Professional References

Please list three people other than family that you have known for one year or more and have worked with
professionally. (Example: ex-boss, manager, co-worker, teacher)


Name:_______________________________         Phone:_______________________

Occupation:________________________      Relationship:___________________


Name:_______________________________         Phone:_______________________

Occupation:________________________      Relationship:___________________


Name:_______________________________         Phone:_______________________

Occupation:________________________      Relationship:___________________


Are you presently employed?___________________________________________

If yes, may we contact your present employer?_____________________________


Any health conditions which could affect your employment?

________________________________________________________________


Have you ever been convicted of a crime or felony?__________
If yes, please provide details:_____________________________________________

__________________________________________________________________

Have you ever taken merchandise, money, or property from an employer without their
permission?________

If yes, please provide details:_____________________________________________

______________________________________________________________________


I certify that the information contained in this application is correct to the best of my knowledge and understand that deliberate falsification of this information is grounds for dismissal.
I authorize references listed above to give you any information regarding my employment application. I release all parties from any and all liability for any damage that may result from
furnishing this information to you.



Date:______________             Signature:_________________________________________
Career at Michele's