Melt Spa + Massage Employment Application Call Now Book Now Join us today! Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Application Information - Step 1 of 6Employment ApplicationName: *FirstLastDate: *Address: *Address Line 1City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodePhone: *Email *Date Available: * Social Security Number *Desired Salary: $ *Position applied for: *If applying for LMT, do you have Massage Liability Insurance?YesNoMassage License #Expiration Date:Are you a citizen of the United States? *YesNoIf no, are you authorized to work in the U.S.?YesNoHave you ever worked for this company? *YesNoIf yes, when?Have you ever been convicted of a felony? *YesNoIf yes, explain:NextEducation Highschool High School: *Address: *From *To *Did you graduate? *YesNoDiploma * If College: Name: College College:Address:FromToDid you graduate?YesNoDegree: Other Other:Address:FromToDid you graduate?YesNoDegree:PreviousNextReferences Reference 1 Full Name *Relationship: *Company: *Phone *Address: * Reference 2 Full Name *Relationship: *Company: *Phone *Address: * Reference 3 Full Name *Relationship: *Company: *Phone *Address: *PreviousNextCompany *Phone *Address *Supervisor *Job Title *Starting Salary *Ending Salary *Responsibilities *From *To *Reason for Leaving *May we contact your previous supervisor for a reference? *YesNoCompany *Phone *Address *Supervisor *Job Title *Starting Salary *Ending Salary *Responsibilities *From *To *Reason for Leaving *May we contact your previous employer for a reference? *YesNoPreviousNextBranchFromToRank at DischargeType of DischargeIf other than honorable, explain:PreviousNextI certify that my answers are true and complete to the best of my knowledge. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release. Typing my name and submitting this document constitutes my signature. Signature *Date: *Submit
