Please Print Out and Mail, Fax, or Deliver to Baby Belly Spa
Mail:
2160 Sir Barton Way Suite #115 - Lexington, KY 40509
Fax: (859) 272-1452
Applicant Information
Full Name:
Date:
Last Name
First Name
MI
Address:
Street Address
Apt #
City
State
ZIP Code
Phone:
Email:
Date Available:
Social Security No:
Desired Salary:
Position Applying for:
Are you a U.S. Citizen?
Yes
No
If no, are you authorized to work in the U.S. ?
Yes
No
Have you ever been convicted of a felony?
Yes
No
If yes, Explain.
Education
High School:
Address:
From:
To:
Did you Graduate?
Yes
No
College:
Address:
From:
To:
Did you Graduate?
Yes
No
Degree?
College:
Address:
From:
To:
Did you Graduate?
Yes
No
Degree?
College:
Address:
From:
To:
Did you Graduate?
Yes
No
Degree?
Please Give 3 Professional References
Full Name:
Relationship:
Company:
Phone:
Address:
Full Name:
Relationship:
Company:
Phone:
Address:
Full Name:
Relationship:
Company:
Phone:
Address:
Previous Employment
Company:
Phone:
Address:
Supervisor:
Job Title:
Starting Salary:
Ending Salary:
Responsibilities:
From:
To:
Reason for Leaving:
May we contact your previous Employer?
Yes
No
Company:
Phone:
Address:
Supervisor:
Job Title:
Starting Salary:
Ending Salary:
Responsibilities:
From:
To:
Reason for Leaving:
May we contact your previous Employer?
Yes
No
Company:
Phone:
Address:
Supervisor:
Job Title:
Starting Salary:
Ending Salary:
Responsibilities:
From:
To:
Reason for Leaving:
May we contact your previous Employer?
Yes
No
I 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.