Your Name (required)

Date (required)

Current Address

City

State

Zip

Phone Number (required)

Email (required)

What is the Month and Year you first received your Cosmetology License?

Are you seeking Full-Time or Part-Time employment? (required)
—Please choose an option—Full-Time EmploymentPart-Time Employment

What position are you applying for? (required)

What is your desired income?

What is the date you can start?

Desired location? (required)
—Please choose an option—Green BayAppleton

Why did you choose to apply at Keith's Haircenter (required)

Do you currently have Salon Experience? Please explain

Are you employed now?
—Please choose an option—YesNo

If yes, why do you want to leave that position?

If hired, what would you hope to gain from working at Keith's Haircenter?

What are your goals in the beauty industry?

Upload your resume. (If you decide to, please make the file .jpg, .doc or .pdf. Maxinum 10 gigabytes)

List three Professional/Educational references:

Name

Relationship

Reference Phone Number

Company or School

Name

Relationship

Reference Phone Number

Company or School

Name

Relationship

Reference Phone Number

Company or School