About You |
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Address: |
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City: |
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State: |
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Zip: |
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Daytime Phone:
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Evening Phone:
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Describe your style:
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Describe your personality:
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Why are you interested in working for Jude's Barbershop?
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Why will you be an asset to Jude's Barbershop?
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Describe a few of your goals:
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Why have you not been able to achieve these goals before?
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What do you like about this industry?
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What don't you like about this industry?
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Are you looking for a career or a job?
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Are you interested in further education?
yes
no
maybe
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If yes, in what areas?
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Position Applying For:
Stylist/Barber
Management
Educator |
Are you a licensed cosmetologist or barber?
yes
no
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If yes, how many years of experience have you had as a licensed cosmetologist or barber?
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Have you applied to our company previously?
yes
no
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If yes, when?
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Are you at least 18 years old?
yes
no
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Are you legally eligible for employment in the United States?
yes
no
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Are you able to perform the essential functions of the job position with or without reasonable accommodation?
yes
no
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What reasonable accommodation, if any, would you require?
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Employment History |
Employer Name:
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Job Duties:
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Reason For Leaving:
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Beginning Date of Employment (Month/Year):
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Ending Date of Employment (Month/Year):
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Employer Name:
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Job Duties:
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Reason For Leaving:
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Beginning Date of Employment (Month/Year):
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Ending Date of Employment (Month/Year):
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Employer Name:
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Job Duties:
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Reason For Leaving:
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Beginning Date of Employment (Month/Year):
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Ending Date of Employment (Month/Year):
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Education |
High School Name:
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Did you receive a diploma?
yes
no
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College Name:
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Did you receive a degree?
yes
no
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If yes, what area of study is your degree in?
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List any other training (graduate, technical, vocational):
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List awards, honors, special achievements:
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References |
Name:
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Phone:
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Relationship:
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What would this person say about you?
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Name:
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Phone:
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Relationship:
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What would this person say about you?
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Which of the following led you to apply at Jude's Barbershop?
(Check all that apply)
Tv Commercial
Receieved a Flyer/Letter/Application in the Mail
Newspaper Classifieds Ad
Mlive.com Employment Ad
News Story on TV or in the paper
From a Jude's Customer
I am a Jude's Customer
From a Jude's Employee
Jude's Barbershop Website
Drove by a Jude's Barbershop Location
Cosmetology or Barber School - Salon Day/Career Day
Other
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If you were offered employment, when would you be able to begin working?
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The Jude's Barbershop location where I would MOST like to work is…
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The second Jude's Barbershop location where I would most like to work is….
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The third Jude's Barbershop location where I would most like to work is….
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How many hours a week would you like to work?
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Please list the hours you would be able to work for each day of the week: |
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Tues |
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Wed |
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Thurs |
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Fri |
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Sat |
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Sun |
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Email Address: |
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CERTIFICATION
I certify that the information provided on this Application is truthful and accurate. I understand that providing false or misleading information will be the basis for rejection of my Application, or if employment commences, immediate termination.
I authorize Jude's Barbershop, inc. to contact former employers and educational organizations regarding my employment and education. I authorize my former employers and educational organizations to fully and freely communicate information regarding my previous employment, attendance, and grades. I authorize those persons designated as references to fully and freely communicate information regarding my previous employment and education.
I HAVE CAREFULLY READ THE ABOVE CERTIFICATION AND I UNDERSTAND AND AGREE TO ITS TERMS.
yes
no
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Please provide your initials as your legal signature:
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Today's Date:
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Please provide any other information you believe we should know:
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