Radius Job Application
Name
Prefix
First
Last
Suffix
Address
City
State
Zip

Personal Information

Phone Number

### 		-
### 		-
####
Are you eligible to work in the United States? *
 Yes 
 No 

POSITION/AVAILABILITY:

Position Applying For *
 Front Desk 
 Stylist 
 Assistant 
 Management 

Availability: Please list all the hours you are available to work

Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Sunday

EDUCATION:

EDUCATIONAL BACKGROUND (Check the highest grade completed)

Highschool
 9 
 10 
 11 
 12 
College
 1 
 2 
 3 
 4 

COSMETOLOGY TRAINING (if applicable)

Cosmetology School you attend(ed):
When will you graduate from cosmetology school?
Do you have a Georgia State Board of Cosmetology License?
When would you be available to work?

EMPLOYMENT HISTORY:

Present Or Last Position:
Employer:
Address:
Supervisor:
Phone Number

### 		-
### 		-
####
Email
Position Title:
Start Date

MM 		/
DD 		/
YYYY
End Date

MM 		/
DD 		/
YYYY
Responsibilities:
Salary
Input hourly wage, if not salaried.
Reason for Leaving:

Previous Position
Employer:
Address:
Supervisor:
Phone Number

### 		-
### 		-
####
Email
Position Title:
Start Date

MM 		/
DD 		/
YYYY
End Date

MM 		/
DD 		/
YYYY
Responsibilities:
Salary
Input hourly wage, if not salaried.
Reason for Leaving:
May We Contact Your Present Employer?
 Yes 
 No 
References:
Name/Title Address Phone

I certify that information contained in this application is true and complete. I understand that false information may be grounds for not hiring me or for immediate termination of employment at any point in the future if I am hired. I authorize the verification of any or all information listed above.
Do you agree with the terms and conditions? *
 Yes, I agree. 
Initial *
Date *

MM 		/
DD 		/
YYYY