SUN SPLASH, Inc. Application For Employment

An Equal Opportunity Employer

Position Applied For: Fill out all sections of this application completely and honestly. This information will be used to determine you eligibility for this position. All application materials become the property of Sun Splash, Inc. and will not be returned. I. Personal Information

Name (Last, First, Middle Initial) Social Security Number - -

Address( Street,City,State,zip code)

Cell Phone Number Work/Home Phone May we contact you at work? Have you ever worked in a tanning salon? Yes No Yes No

Age / Birthday Have you been employed under other names? Yes No List Name(s):

Do you have any prior knowledge about the tanning process?

Have you ever been convicted of a felony? If Yes, explain:

What do you feel are your best qualities?

What are your weaknesses?

How did you find out about this job opening?

Web Page(employment opportunity list) Posted Sign News Paper (Identify) Other(please explain)

Are you authorized to work in the U.S.? Yes No If employed, you must show documents that prove your identity and employment eligibility as required by the Immigration Reform Control Act of 1986.

II. Education & Skills Please list all education beginning with most recent. Indicate a diploma or degree, if completed, including GED if obtained. Name & Location of School # of years Graduated Degree & Major completed College Yes If no how many Credit hours completed:

Other Yes If no how many credit hours completed:

High School/GED Yes If no how many credit hours completed: Office / Computer Skills Word Processing Data Base Other: III. Employment History: List all employment including volunteer service starting with the most current position held. You may attach a resume, but you must complete the employment section. This information will be used in reference checks. Failure to answer all items in the following section may eliminate you from further consideration. If desired, attach a résumé. Dates Employed (month/year) Position Title From: To: Salary Start: $ Salary Final:$ Organization Name/ Address

Full time Part time, hrs/wk______May we contact for Supervisor’s Name/Title/Phone: Reason for leaving: references Yes No Duties:

Dates Employed (month/year) Position Title From: To: Salary Start: $ Salary Final:$ Organization Name/ Address

Full time Part time, hrs/wk______May we contact for Supervisor’s Name/Title/Phone: Reason for leaving: references Yes No Duties:

Dates Employed (month/year) Position Title From: To: Salary Start: $ Salary Final:$ Organization Name/ Address

Full time Part time, hrs/wk______May we contact for Supervisor’s Name/Title/Phone: Reason for leaving: references Yes No Duties:

IV. Pleas List Your Availability: Monday: Tuesday: Wednesday: Thursday: Friday: Saturday: Sunday: Comments:

□ Please read Carefully and Check the Box- I certify that the above statements are correct. I understand that any false information (or omissions) in this application, or its supporting documents, will be sufficient grounds for refusal to hire me or termination without notice. I further understand that Sun Splash, Inc. has the right to review my education, previous employment, driving, and criminal records and other background data.

Applicants Signature:______Date:______