PERSONAL INFORMATION:

Application Date:     Date of Availability:
Name: (First, Middle, Last)
Address:     City:
Home Phone: (With Area Code)
Cell/Mobile Phone     e-mail
Are you legally authorized to work in the United States?  Yes  No

POSITION INFORMATION: (Check all items you have previous experience with)

EDUCATIONAL BACKGROUND:
High School from which you graduated: (Name, City, State) Year:
Colleges which you attended: (Name, City, State, Years Attended, Major)

Do you hold a valid drivers license? Yes    No        Do you currently have reliable transportation? Choose One No - Not at this time Yes

EMPLOYMENT HISTORY: (All applicants must complete this section.)
List in order, PAST 2 YEARS work and experience. Account for JAN 2003 to the present.

If there are ANY employers you do not want us to contact, please note whom and why they should not be contacted.

Military Service: Branch     From:     To:

List special training or skills: (technical, foreign languages, etc.)

List special interests or hobbies:

REFERENCES: List three people not on Employment History section.

1. Have you ever been convicted of a felony?       Yes     No

2. Have you ever entered a plea of guilty or no contest to the charge of a felony, a misdemeanor, drug use or possession of drugs, or obscenity and related offenses?      Yes     No

3. Have you ever filed a claim for workman's compensation? If yes, please explain

In case of emergency, notify (optional):

Name:    Daytime Phone:

My agreement below constitutes authorization to check my employment history, including without limitation, criminal arrest and conviction records checks, reference checks, and release of investigatory information possessed by any state, local or federal agency. I further authorize those persons, agencies or entities that Artistic Flair contacts in connection with my employment application to fully provide Artistic Flair with all information it requests; I hereby release Artistic Flair, its employees and agents from any claims, including without limitation, defamation, emotional distress, invasion of privacy or interference with contractual relations that I might otherwise have against Artistic Flair, officials, or against any provider of such information. I understand that information submitted in and with this application may be disclosed to 

I certify that I have read this form in its entirety and that the information herein provided is true, accurate and complete. I understand that, should any statement I have made prove to be false, or misleading, it may result in the rejection of my application or in my discharge if I am employed. If employed, I also understand that any misstatement or omission of fact on this application may result in my discharge. I further understand and agree that acceptance of this application on my part does not constitute an employment agreement, and that an offer of employment does not create a contractual obligation upon the employer to continue to employ me in the future.

Sign and Date the Application

Type Full Name: Date: