Position(s) applying for: Licensed Massage Therapist
Healing Hands Massage is an equal opportunity employer. This application will not be used for limiting or excluding any applicant from consideration for employment on a basis prohibited by local, state, or federal law. Should an applicant need reasonable accommodation in the application process, he or she should contact a company representative.
Applicant Name *
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Address *
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City, State and Zip Code *
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Telephone Number *
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Email Address *
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Date of Application *
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What days are you available for work? *
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What hours or shift are you available for work? *
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On what date can you start working if you are hired? *
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Do you have reliable transportation to and from work? *
Do you have any friends, relatives, or acquaintances working for Healing Hands Massage If yes, state name & relationship: *
Are you 18 years of age or older? *
Are you a U.S. citizen or approved to work in the United States? *
What document can you provide as proof of citizenship or legal status? *
Do you have any condition which would require job accommodations? If yes, please describe accommodations required below. *
Have you ever been convicted of a criminal offense (felony or misdemeanor)? *
If yes, please state the nature of the crime(s), when and where convicted and disposition of the case: *
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If yes, please state the nature of the crime(s), when and where convicted and disposition of the case? (Note: No applicant will be denied employment solely on thegrounds of convic on of a criminal offense. The date of the offense, the nature of the offense, including any significant details that affect the descrip on of the event, and the surrounding circumstances and the relevance of the offense to the position(s) applied for may, however, be considered.) *
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Please list below the skills and qualifications you possess for the position for which you are applying: *
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Please list below the skills and qualifications you possess for the position for which you are applying. (Note: Healing Hands Massage complies with the ADA and considers reasonable accommodation measures that may be necessary for eligible applicants/employees to perform essential functions. ) *
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Education and Training - Please list all High School, College/University, Vocational School/Specialized Training, etc. relevant to the position. *
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Are you a member of the Armed Services? *
If so, what branch of the military did you enlist? (Put N/A if not applicable) *
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How many years did you serve in the military? *
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What military skills do you possess that would be an asset for this position?How many years did you serve in the military? *
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Please List Previous Employment History (Last 3 relative positions - job title, supervisor name, employee address [city, state, & zip], employer telephone, dates employees, and reason for leaving) *
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Please Provide Personal and Professional References below (name, contact info, & relationship): *
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AT-WILL EMPLOYMENT - The relationship between you and the Healing Hands Massage is referred to as "employment at will." This means that your employment can be terminated at any time for any reason, with or without cause, with or without notice, by you or the Healing Hands Massage. No representative of Healing Hands Massage has authority to enter into any agreement contrary to the foregoing "employment at will" relationship. You understand that your employment is "at will," and that you acknowledge that no oral or written statements or representations regarding your employment can alter your at-will employment status, except for a written statement signed by you and either our Executive Vice-President/Chief Operations Officer or the Company's President. *
Please add your applicant e-signature if you agree to all of the conditions above. (full name and initials) *
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