MassageLuXe
MassageLuXe
 
Employment Application
Equal access to programs, services and employment is available to all persons. Those applicants requiring reasonable accommodation to the application and / or interview process should notify a representative of the Human Resources Department.

Location applied for
Position applied for
First Name  Last Name
Address
Address 2
Town/City State Zip
Daytime Phone
Ext.
Evening Phone
Mobile/Other Phone
Email Address *
 
 
If you are under 18, and it is required, can you furnish a work permit?
yes   no
If no, please explain

Have you ever been employed here before?
yes   no
If yes, give dates and positions

Are you legally eligible for employment in this country?
yes   no
License #

Date available for work
Month: Day: Year:

What is your desired salary range?
Type of employment desired
Full-Time   Part-Time   Temporary
Seasonal   Educational Co-Op

Are you able to meet the requirements of the position?
yes   no

Have you ever pled "guilty" or "no contest" to, or been convicted of a crime?
yes   no
If yes please provide date(s) and details
ANSWERING "YES" TO THESE QUESTIONS DOES NOT CONSTITUTE AN AUTOMATIC BAR TO EMPLOYMENT. FACTORS SUCH AS DATE OF THE OFFENSE, SERIOUSNESS AND NATURE OF THE VIOLATION, REHABILITATION AND POSITION APPLIED FOR WILL BE TAKEN INTO CONSIDERATION

Drivers license number if driving is an essential job function

 
 
1:       
From Employer
Month: Day: Year:
/ /
To: Telephone
Month: Day: Year:
/ /
Ext.

Starting Job Title/Final Job title		 Address
Immediate supervisor and title
Summarize nature of work performed and job responsibilities
May we contact for reference?
yes no Later
Reason for leaving Hourly rate/Salary
   Start Per    Final Per
$ $

2:       
From Employer
Month: Day: Year:
/ /
To: Telephone
Month: Day: Year:
/ /
Ext.

Starting Job Title/Final Job title		 Address
Immediate supervisor and title
Summarize nature of work performed and job responsibilities
May we contact for reference?
yes no Later

Reason for leaving		 Hourly rate/Salary
Start Per    Final Per
$ $

3:       
From Employer
Month: Day: Year:
/ /
To: Telephone
Month: Day: Year:
/ /
Ext.

Starting Job Title/Final Job title		 Address
Immediate supervisor and title
Summarize nature of work performed and job responsibilities
May we contact for reference?
yes no Later

Reason for leaving		 Hourly rate/Salary
   Start Per    Final Per
$ $

4:       
From Employer
Month: Day: Year:
/ /
To: Telephone
Month: Day: Year:
/ /
Ext.

Starting Job Title/Final Job title		 Address

Immediate supervisor and title		 Summarize nature of work performed and job responsibilities
May we contact for reference?
yes no later

Reason for leaving		 Hourly rate/Salary
   Start Per    Final Per
$ $
 
  Skills and Qualifications Educational Background
 
 
Summarize any training, skills, licenses and/or certificates that may qualify you as being able to perform job related functions in the position for which you are applying.
High School
Number of years completed
Did you graduate?
yes   no
Course of study

Trade School/Technical College
Number of hours completed
Did you graduate?
yes   no
Do you have your provisional?
yes   no
Do you have your license?
yes   no
If yes: What is your license #?

College
Number of years completed
Did you graduate?
yes   no
Major   Degree
 
Course of study

Other
Number of years completed
Did you graduate?
yes   no
Course of study


How did you hear about MassageLuXe?

References
 
1:
First Name Last Name
Daytime Phone
Ext.
Years known

2:
First Name Last Name
Daytime Phone
Ext.
Years known

3:
First Name Last Name
Daytime Phone
Ext.
Years known
 
Applicant Statement		  
 
I certify that all information I have provided in order to apply for and secure work with the employer is true, complete and correct.
I understand that any information provided by me that is found to be false, incomplete or misrepresented in any respect, will be sufficient cause to (1) cancel further consideration of this application, or (2) immediately discharge me from the employers service whenever it is discovered.
I expressly authorize, without reservation, the employer, its representatives, employees or agents to contact and obtain information from all references (personal and professional), employers, public agencies, licensing authorities and educational institutions and to otherwise verify the accuracy of all information provided by me in this application, resume or job interview. I hereby waive any and all rights and claims I may have regarding the employer, its agents, employees or representatives, for seeking, gathering and using such information in the employment process and all other persons, corporations or organizations for furnishing such information about me.
I understand that the employer does not unlawfully discriminate in employment and no question on this application is used for the purpose of limiting or excusing any applicant from consideration for employment on a basis prohibited by applicable local, state or federal law.
I understand that this application remains current for only 30 days. At the conclusion of that time, if I have not heard from the employer and still wish to be considered for employment, it will be necessary to reapply and fill out a new application.
If I am hired, I understand that I am free to resign at any time, with or without cause and without prior notice, and the employer reserves the same right to terminate my employment at any time, with or without cause and without prior notice, except as may be required by law. This application does not constitute an agreement or contract for employment for any specified period or definite duration. I understand that no supervisor or representative of the employer is authorized to make any assurances to the contrary and that no implied, oral or written agreements contrary to the foregoing express language are valid unless they are in written and signed by the employers president.
I also understand that if I am hired, I will be required to provide proof of identity and legal authority to work in the United States and that federal immigration laws require me to complete an I-9 Form in this regard.
 
DO NOT SUBMIT THIS FORM UNTIL YOU HAVE READ THE ABOVE APPLICANT STATEMENT.
 
I certify that I have read, fully understand and accept all terms of the foregoing Applicant Statement.*

Name  
*
       
CONTACT US  |  HOME  |  SERVICES  |  MEMBERSHIPS  |  ABOUT US
LOCATIONS  |  CAREERS  |  GIFT CARDS  |  FRANCHISE