PaulBrown
WardCenter Kailua (808)591-1881
(808)230---2000
Name:
Date:
Address:
Home#:
Cell#:
PleaseindicateALLpositionsfor which youare applying: HairStylist
Hair StylistAssistant
Esthetician
Housekeeping
NailTechnician
MakeUp Artist
Receptionist
FullTime Position
or Part Time Position___________
SalonLocationPreference
Shift preferred_
DaysofAvailability
Haveyou submitted an application before? Yes No
Ifso,dateof priorapplication is
Areyou able to performthe essential functions of the job with or without Reasonable
accommodations?
Yes______No_______
Do you wishtoadviseusofyourstarting salaryexpectations? Work Experience---------------------------------------------------------------------------------------------------------------------------------------------------------------------- Please start yourworkexperiencehistorywithyour presentand/ormost recent Employer(s).
Areyou currently on a layoff and subject to recall? Yes No
Nameof Employer
Phone #
Address
from_
to
Position
Rate ofpay______
Position
of
Duties
Reason
for
leaving_
Can the stated employer be contact? Yes No
Comments
Nameof Employer
Phone #
Address
from_
to
Position
Rate ofpay______
Position
of
Duties
Reason
for
leaving_
Can the stated employer be contact? Yes No
Comments
Nameof Employer
Phone #
Address
from_
to
Position
Rateofpay
Position
of
Duties
Reason
for
leaving_
Can the stated employer be contact? Yes No
Comments
Were youever disciplined, terminated and/or asked to resign fromany employment
formisconduct related to work? Yes No
Ifso, please specify employer(s) name, date of disciplinary action, terminationand/or resignation. Please explain:
Education,Special Trainingand Qualifications-------------------------------------------------------------------------------------- HighSchool Attended
Year Completed
HighSchool Location
Didyou graduate? Yes No
Anyspecial classes taken that you would like to list? CollegeAttended
Years Completed
CollegeLocation
Didyou graduate? Yes No
Major
Degree
Any special classes taken that you would like to list? AnyVocational or Professional training received? If so, where? Anyspecial training in the following: HairStylist
Hair Stylist Assistant
Esthetician
Nail Technician
MakeUp Artist
Receptionist
Housekeeping
References-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- Pleaseinclude only individuals who are familiar with your work ability. Do not list relatives.
Who referredyouforapositionhere? _
For purposes of verifying your references, were you ever known by another name?
Ifso,please list_
Name
Phone #
Basis for knowledge of your work ability_
Years Known_
Name
Phone #
Basis for knowledge of your work ability_
YearsKnown_
Name
Phone #
Basisforknowledgeofyourworkability_
YearsKnown_
Permissionto Work------------------------------------------------------------------------------------------------------------------------------------------------------------ Ifemployment is offered, can youproduce identification? Yes No
i.e:U.S. Passport,ValidDriversLicense,StateID,BirthCertificate,SocialSecurity
Card,CertificateofU.S. Citizenship orotherverification showing legal right towork in theU.S.
(Optional)Personal Statement----------------------------------------------------------------------------------------------------------------------------------
Ifyouwouldlikeus toknowwhyyouappliedto Paul Brown Inc, d.b.a. Paul Brown
Salon, or a particular interest or experience, you may make a personal statement
below.Decliningtomake a statement will not be considered against you. Any
information you provide may be considered in evaluating your application for
employment. ---
_
Questionnaire------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Whatare your three most important reasons for applying with our salon? What motivatesyoutodoyourbest? Whatareyourprofessionalgoals?
Describe a time when you have worked as a teamto accomplish a work goal. What
was your role? How did the teamreach its goal?Wereyousatisfiedwiththeresults?
Whyorwhynot? Ifthere was a challenge with your performance at our salon, what would be your preferredmethod of our management teamto approach you about solving it? Describe how you would handle a disgruntled client who returned with a complaint
abouttheserviceheorshereceivedatoursalon. Pleaselist threethingsyouhavenot likeaboutpreviousjobsyou haveheld. Pleaselist threethingsyouhavelikedaboutpreviousjobs youhaveheld.
Please list a few qualities you like most in yourself. EqualOpportunityEmployer-------------------------------------------------------------------------------------------------------------------------------------- Prospectiveemployees will receive consideration without regard to race, color,
ancestry, national origin, sex, age, religion, disability, marital status, sexual
orientation,orarrestandcourtrecordorany otherclassificationorstatus protected
bystateor federallaw.
Noticeto Applicants--------------------------------------------------------------------------------------------------------------------------------------------------------------
I certify that the information in this application is true and correct to the best of my
knowledge, and understand that any false or misleading statements or omission,
whenever discovered regarding this application or related documents are grounds
fordisqualification fromfurther consideration or for dismissal fromemployment. Initial_
Iunderstand that this is only an application for employment and does not constitute apromise or guarantee that an offer of employment will be offered to me. Initial_
Iunderstandthat
Paul Brown Inc., d.b.a. Paul Brown Salon, supportsa drugfreework environment. Initial_
I understand that as a condition of employment, I may be requiredtoproduceoriginal documents establishing my identity and
authorization to work in the U.S. and to complete the U.S. Immigration and
Naturalization Services’ form1---9 Initial_
If employed, I agree
to abide by all rules,policiesand proceduresof PaulBrown Inc.,d.b.a. Paul Brown
Salon, and understand that if my employment is not subject to a writtenagreement between myself and the President of Paul Brown Inc., d.b.a. Paul
BrownSalon,then my employment is “at will” and can be terminated at any time
either by myself or Paul Brown Inc., d.b.a. Paul Brown Salonwithorwithout cause or
reason ornotice. Initial_
IauthorizePaul Brown Inc., d.b.a. Paul Brown Salonto investigatetheinformation
givenaboveand in conjunction with any interview forpurposes ofverification.I
releasePaul Brown Inc., d.b.a. Paul Brown Salon and all persons and/or companies
responding toanyreferenceor request byPaul Brown Inc., d.b.a. Paul Brown Salon
for this information fromany and all claims and liability regarding any information
oropinionsupplied. Initial_
ApplicantSignature Date