Application

Full Name	Current Address	City	Date:
State	ZIP	Date of Birth	Email Address
Home Phone #	Mobile or Alt. Phone #	Referred By	Driver's License #

Do you have transportation to and from work?	Yes No
Are you legally eligible for employment in the USA?	Yes No
If you are under 18, do you have a work permit?	Yes No

Are you currently employed?	Yes No
If Yes, may we inquire of your present employer?	Yes No
Have you ever applied for a job with Amazing Tans before?	Yes No

Where? When?

Employment Information

Position Desired		Salary Desired
Location Desired (use Ctrl key to select multiple locations)		Start Date

Education Information

Name

Years Attended

Did you Graduate?

Subjects Studied

High School

Yes No

College

Yes No

Other School

Yes No

Professional Qualifications and Special Skills You have that may help you for this job

Your Availability
(Please List all Hours You are Available to Work. If Any, Please Write Any in Each Slot)

Monday	Tuesday	Wednesday	Thursday	Friday	Saturday	Sunday

Former Employers (List below last four employers, starting with the last one first)
(DD/MM/YYYY)	Name & Address of Employer	Salary	Phone	Reason For Leaving
From
To
From
To
From
To
From
To


References (List the Names of three persons you are not related to, whom you have known for at least one year.)
Name	Phone	Business	Years Known

Authorization

   I CERTIFY THAT THE FACTS CONTAINED IN THIS APPLICATION ARE TRUE AND COMPLETE TO THE BEST OF MY KNOWLEDGE AND UNDERSTAND THAT, IF EMPLOYED, FALSIFIED STATEMENTS ON THIS APPLICATION SHALL BE GROUNDS FOR DISMISSAL.
   I AUTHORIZE INVESTIGATION OF ALL STATEMENTS CONTAINED HEREIN AND THE REFERENCES AND EMPLOYERS LISTED ABOVE TO GIVE YOU ANY AND ALL INFORMATION CONCERNING MY PREVIOUS EMPLOYMENT AND ANY OTHER PERTINENT INFORMATION THEY MAY HAVE, PERSONAL OR OTHERWISE, AND RELEASE AMAZING TANS FROM ALL LIABILITY FOR ANY DAMAGE THAT MAY RESULT FROM UTILIZATION OF SUCH INFORMATION.
   I ALSO UNDERSTAND AND AGREE THAT NO REPRESENTATIVE OF AMAZING TANS HAS ANY AUTHORITY TO ENTER INTO ANY AGREEMENT FOR EMPLOYMENT FOR ANY SPECIFIED PERIOD OF TIME, OR TO MAKE ANY AGREEMENT CONTRARY TO THE FOREGOING, UNLESS IT IS WRITING AND SIGNED BY AN AUTHORIZED COMPANY REPRESENTATIVE.
I agree with the above statements.