HAIR KRAZ IS AN
EQUAL
OPPORTUNITY
EMPLOYER
Middle
 Last
First
Name
Address
Street,                                      City,                              State          Zip Code
Phone
Home                      Cell                         Email
No
 Yes
Are you currently licensed?
If yes, what state?
License Number
Previous Experience
Company 1
Contact
Phone
Address
Rental    Commission   Hourly
City                                         State          Zip
If hourly, how much?
Reason For Leaving
Contact
Company 2
Phone
Address
Rental    Commission   Hourly
City                                         State          Zip
If hourly, how much?
Reason For Leaving
Your Availability and Preferences
Day
 Hours
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Rental    Commission   Hourly