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Wagner Rd. Ann Arbor , MI 48103 Phone (734) 665-7207 Fax (734) 665-5740  \nToday’s Date:  \n\n| POSITION APPLED\u003Cbr>FOR | Desired Salary: | Per hour: |\n| --- | --- | --- |\n\n\n| GENERAL INFORMATION |  |  |  |\n| --- | --- | --- | --- |\n| Name (last , first , middle initial) Social Security No . (Optional) |  |  |  |\n| Street Address City, State ,\u003Cbr>Zip |  |  |  |\n| Home Phone No . Work Phone No . Message\u003Cbr>Phone No . |  |  |  |\n| Are you authorized to work in the United States? Proof of Authorization will be required post hire Yes\u003Cbr>No |  |  |  |\n| TRAINING AND EDUCATION |  |  |  |\n| CIRCLE HIGHEST GRADE COMPLETED: 8 9 10 11 12 GED |  |  |  |\n| Colleges/other training | Major/subject | Degree/certificates |  |\n|  |  |  |  |\n|  |  |  |  |\n| ADDITIONAL SKILLS Describe skills relevant to the job for which you are applying |  |  |  |\n| SKILL | TYPE OF EXPERIENCE |  | LEVEL OF EXPERTISE |\n| Office equipment , computers , software (typing speed, programs, etc.) |  |  |  |\n| Technical skills, professional licenses |  |  |  |\n| Advanced Training |  |  |  |\n| Other |  |  |  |\n| Can you perform the essential functions of the job with or without reasonable accommodation? Yes No |  |  |  |\n| BACKGROUND INFORMATION |  |  |  |\n| EACH CASE IS CONSIDERED SEPARATELY BASED ON JOB DUTIES AND PERFORMANCE AREAS |  |  |  |\n| Do you have a valid Michigan State Driver's License? Yes No Other State   |  |  |  |\n| (If position applied for involves driving), have you been convicted, pleaded to no contention or paid a fine for any traffic violations in the past three (3) years? Yes No If yes please explain: |  |  |  |\n| Have you been convicted of a felony or served time in prison within the last ten (10) years? Yes No\u003Cbr>Conviction will not necessarily bar you from employment. If yes, please explain: |  |  |  |\n| How/where did you hear about the position for which you are applying? (Check one) |  |  |  |\n|   Friend or relative   Fran Coy’s Employee   Internet\u003Cbr>  Newspaper ad   Fran Coy’s Customer Which?\u003Cbr>  Other please specify   |  |  |  |\n\n\n| EMPLOYMENT HISTORY |  |  |  |  |  |  |  |  |  |  |\n| --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- |\n| Beginning with your present or most recent employment , list your employment history. Include self-employment , military service , volunteer experience and periods of unemployment. The following sections MUST be completed even if a resume is submitted. |  |  |  |  |  |  |  |  |  |  |\n| Employer |  |  |  | Employed from: |  |  |  | To: |  |  |\n| Address: |  |  |  | Supervisor |  |  |  |  |  |  |\n| Phone | Hours worked/week |  |  |  |  | Starting Hourly Rate |  |  |  |  |\n| Position |  |  |  |  | Last Hourly Rate |  |  |  |  |  |\n| Primary duties |  |  |  |  |  |  |  |  |  |  |\n| May we contact this employer |  |  | Supervisor's phone |  |  |  |  |  |  |  |\n| Reason for leaving |  |  |  |  |  |  |  |  |  |  |\n| Employer |  |  |  | Employed from: |  |  |  | To: |  |  |\n| Address: |  |  |  | Supervisor |  |  |  |  |  |  |\n| Phone | Hours worked/week |  |  |  |  | Starting Hourly Rate |  |  |  |  |\n| Position |  |  |  |  | Last Hourly Rate |  |  |  |  |  |\n| Primary duties |  |  |  |  |  |  |  |  |  |  |\n| May we contact this employer |  |  | Supervisor's phone |  |  |  |  |  |  |  |\n| Reason for leaving |  |  |  |  |  |  |  |  |  |  |\n| Employer |  |  |  | Employed from: |  |  |  | To: |  |  |\n| Address: |  |  |  | Supervisor |  |  |  |  |  |  |\n| Phone | Hours worked/week |  |  |  |  | Starting Hourly Rate |  |  |  |  |\n| Position |  |  |  |  | Last Hourly Rate |  |  |  |  |  |\n| Primary duties |  |  |  |  |  |  |  |  |  |  |\n| May we contact this employer |  |  | Supervisor's phone |  |  |  |  |  |  |  |\n| Reason for leaving |  |  |  |  |  |  |  |  |  |  |\n| PROFESSIONAL REFERENCES Please list below any people in addition to supervisors listed above who\u003Cbr>can responsibly evaluate your work performance |  |  |  |  |  |  |  |  |  |  |\n| Name |  | Pla","cbCaitOjIMQov3v0","https://ap.wps.com/l/cbCaitOjIMQov3v0","pdf",259184,"English","# Position Details\n# General Information\n# Training and Education\n# Additional Skills\n# Background Information\n# Employment History\n# Professional References\n# Applicant Certification","[{\"question\":\"What information does the form collect about the position and compensation?\",\"answer\":\"It records the position applied for, desired salary, and the hourly rate.\"},{\"question\":\"How does the form handle work authorization requirements?\",\"answer\":\"It asks whether the applicant is authorized to work in the United States and notes that proof of authorization will be required after hire.\"},{\"question\":\"What background questions are included in the application?\",\"answer\":\"It asks about a valid Michigan State Driver’s License and, if driving is involved, traffic violations in the past three years, plus felony or prison time within the last ten years with an explanation if applicable.\"}]","Fran Coy’s Salon & Spa Employment Application - Employment Form | PDF",1789827658]