Employment Form Full Name: Date: Current Address: City: State: Zip: Home Phone: Cell Phone: Email: What is the Month and Year you first received your Cosmetology License? Which States do you have a valid Cosmetology License?CANVOK If “Not”, When is your state Board Date? Or Apply for renewal? Are you seeking Full-Time or Part-Time Employment?FTPT What position are you applying for? Desired income Date you can start: Desired Location – Livias Hair Salon: Did you include a Portfolio? YesNo Why did you chose to apply at Livias Hair Salon? Do you currently have Salon Experience? Please explain: Are you employed now?YesNo If yes, why do you want to leave that position: If hired, what would you hope to gain from working at LHS? What are your goals in beauty industry? Have you ever been arrested? YesNo If Yes, for what? Do you: Drink AlcoholDo any Illegal DrugsAll of the AboveNone of the Above List three Professional/Educational references: Name: Title: Relation Phone Number: List 3 Places of Employment: Managers Name: Dates: Phone Number: Special Message/Comments: In addition to this application, please print out the PDF file, fill it out, and please send it to Livias_salon@Yahoo.Com after submitting the above application.