Leasing Application - A Suite Salon

Personal Information

First Name *

Last Name *

Middle Initial

Street *

City/State *

ZIP Code *

Previous Address If Less Than 2 Years

Street

City/State

ZIP Code

Social Security *

Date of Birth *

Business Name

Cell Phone *

Cosmetology/Professional License Number *

Email Address *

Referred By

Education History

Check all that apply

High School
College/University
Graduate School
Vocational/Technical School

Suite Information

Location *

Number & Type of Suite Applying for

Desired Start Date of Lease

Work History

Salon or Employer Name & Address *

Name of last Salon Owner or Supervisor *

May I Contact *

Yes
No

Phone

Date Employed From *

Date Employed To *

Booth Rent or Commission *

Rent
Commision

Weekly Booth Rent

Commission Pay

What is your Annual Salary? *

Previous employment if less than 2 years:

Salon or Employer Name & Address

Name of last Salon Owner or Supervisor

May I Contact

Yes
No

Phone

Date Employed From

Date Employed To

Booth Rent or Commission

Rent
Commision

Weekly Booth Rent

Commission Pay

What is your Annual Salary?

In the past seven years

Have you been disciplined by any State or Local Agency? *

Yes
No

Have you been convicted of or plead guilty to any criminal or felony offense? *

Yes
No

Are you presently charged with any felony violations of law? *

Yes
No

If your answer is YES to any of the preceding questions or any part of the questions, please provide the detail below to include the date, place and nature of each such conviction(s) or pending charge(s). (The existence of a conviction or pending charge will not necessarily preclude you from leasing or employment. The nature of the crime and its relationship to the lease or position applied for, the degree of rehabilitation and the time elapsed since the crime or release from confinement will all be considered.)

Explain

Personal References

Name *

Address *

Phone *

Name *

Address *

Phone *

Emergency Contact

Name *

Phone *

Relationship *

ACKNOWLEDGMENT AND CONSENT STATEMENT *

I hereby state that the information given by me in this application is true and correct in all respects. I agree that if I am accepted for leasing and the information is found to be false in any respect, I will be subject to dismissal without notice at any time. I hereby authorize my former employers or salon owners to release information pertaining to my work record, my work habits and my work performance while in their employ or salon. I hereby authorize A Suite Salon to obtain my credit report. I will read and I hereby agree to be bound by the rules outlined in any procedure manuals, lease documents, rules and regulations publications that I may receive. I agree my electronic signature is the legal equivalent of my manual signature on this application. I understand and agree that, if I am accepted for leasing by A Suite Salon, my lease will be for a duration of at least one year. By checking the box below I acknowledge that I have read and understand the Consent Statement on this Application.

I agree to the terms above (required).

Applicant Signature *

Please type your name

Date *

Please enter today's date

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A Suite Salon Leasing Application