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CAREERS APPLICATION

Step 1 of 3

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Personal Information
Name*
First Last
Current Address*
Street Address Address Line 2 City State ZIP Code
Mobile Phone*
Email Address*
Enter Email Confirm Email
Desired Employment
Position applying for (check all that apply)*
- Hair Stylist
- Assistant/Apprentince
- Hair Colorist
- Esthetician/Skincare
- Massage Therapist
- Nail Technician
- Makeup Artist
- Manager
- Salon Coordinator
Available Start Date*
MM slash DD slash YYYY
Desired Wage Range*
(Do not write "open" or "negotiable")
Full Time or Part Time*
- Full Time
- Part Time
Employment History
Start with the most current/recent position.
Employer 1
Employer Name*
Employed From*
MM slash DD slash YYYY
Employed To*
MM slash DD slash YYYY
Supervisor's Name*
First Last
Supervisor or Business Phone Number*
May we contact this employer?*
- Yes
- No
* If no, why not?
Position*
Rate of Pay*
Reason for leaving?*
Employer 2
Employer Name
Employed From
MM slash DD slash YYYY
Employed To
MM slash DD slash YYYY
Supervisor's Name
First Last
Supervisor or Business Phone Number
May we contact this employer?
- Yes
- No
* If no, why not?
Position
Rate of Pay
Reason for leaving?
Employer 3
Employer Name
Employed From
MM slash DD slash YYYY
Employed To
MM slash DD slash YYYY
Supervisor's Name
First Last
Supervisor's Phone Number
May we contact this employer?
- Yes
- No
* If no, why not?
Position
Rate of Pay
Reason for leaving?
Education & Training
High School Name*
Graduation Date
MM slash DD slash YYYY
College/Technical School Name
Degree
Cosmetology School Name
Graduation Date
MM slash DD slash YYYY
Special Training/Skills

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More About You
Check all that apply
Why do you want to work at Serenity of Chesterton?*
Summary of reasons why you would be an asset to our organization*

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References
Reference 1
Name*
First Last
Phone*
Email*
Relationship*
Reference 2
Name*
First Last
Phone*
Email*
Relationship*
Upload Resume and Acknowledgement
I understand all of the above questions and have answered them truthfully. If employed, falsification statements regarding work history, training, education or criminal records on this application shall be grounds for dismissal. This company is hereby authorized to investigate the information provided for the purposes of making an employment decision. Indira is an equal opportunity employer.
Today's Date
MM slash DD slash YYYY
Initials*
Upload Files
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CAPTCHA
Name
This field is for validation purposes and should be left unchanged.

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Location

3075 Village Point
Chesterton, IN 46304
serenity@serenityofchesterton.com

Monday:	9am-6pm
Tue-Fri:	9am-8pm
Saturday:	9am-5pm
Sunday:	12pm-4pm

Phone: (219) 921-0300

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