Position applying for:
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Cryotherapy Advisor
Location applying for:
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Chicago - South Loop
Mokena
Plainfield
Lockport
Naperville
Name:
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First Name
Last Name
Address:
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Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Phone:
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(###)
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Email Address:
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Social Security Number:
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Are you 18 or older?
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Date available to start working?
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MM
DD
YYYY
Number of hours available per week:
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MONDAY:
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TUESDAY:
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WEDNESDAY:
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THURSDAY:
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FRIDAY:
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SATURDAY:
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SUNDAY:
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Graduation Date:
Grammar School:
High School:
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Graduation Date:
College:
Graduation Date:
Trade/Other School:
Graduation Date:
Company Name:
Job Title:
Address:
Supervisor:
Company Phone Number:
(###)
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Times Absent:
Start Pay:
End Pay:
May we contact?
Reason for leaving:
Company Name:
Job Title:
Address:
Supervisor:
Company Phone Number:
(###)
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Times Absent:
Start Pay:
End Pay:
May we contact?
Reason for leaving:
Reason for applying to CryoLuxe:
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Has your previous employer ever disciplined you?
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If YES, please explain:
Have you ever been discharged/asked to resign by a previous employer?
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If YES, please explain:
Have you been convicted of a felony or misdemeanor in the last seven (7) years? Note: Conviction(s) will not necessarily bar employment.
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If "Yes", please state the date and details of EACH conviction, the level of conviction, county and state where the conviction(s) occurred, and the nature of the offense(s):
By checking this box, I declare that all statements and answers in this application are true and complete.
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I also agree that if employed, any untruth, misleading answer, omission, concealment or failure to answer any question fully, completely and accurately will be grounds for terminating my employment. 2. I authorize Unlimited Tan or Unlimited Tan agent to investigate my references, to communicate with my former employers concerning same, make an independent investigation of my character/conduct/employment record and to keep and preserve records of such investigations. In compliance with the Fair Credit and Reporting Act
(15 U.S.C.S. Section 1681). I am advised that a routine investigative consumer report may be conducted relative to my character, general reputation, personal characteristics and credit history. You have the right to request the source, information, nature and scope of the investigation, if one is conducted.
3. If employed, I agree that upon termination of my employment I will return all company property and records in my possession. 4. If employed, I agree to read
and comply with Company rules, regulations and policies. 5. It is mutually understood and agreed that any employment I accept is not confined to a fixed term
and may be ended by either party at-will, with or without cause or prior notice. No representative of Unlimited Tan has authority to make any contrary
agreement. 6. I understand that Federal Law prohibits the employment of illegal aliens. All persons hired must submit satisfactory proof of employment
authorization. Failure to submit same within the required time shall result in immediate employment termination. 7. I hereby give permission to Unlimited Tan
to periodically tape record my voice on phone calls made to this office for educational purposes.
