Name:
Address:
City:
State:
Zip:
Daytime Phone:
Evening Phone:
E-mail:

What position are you interested in? (choose one or more)

Stylist Massage Therapist
Esthetician Manicurist
Receptionist Shampoo Assistant

What school did you attend?

Do you have a District of Columbia License?
Yes   No

Is it current?
Yes   No

Would you like to work full time/part time?
Full Time   Part Time