Online Application

Date: Friday, November 21, 2008
Last Name
 First Name
 Maiden Name
Street
 City
State
 Zip
 Phone
Email Address
 Desired Work Location
Yes
No
Are you planning a vacation between December 15 and June 30?
         - If yes, give dates
Are you available to work: Full time  Part time   Temporary
For part time, total hours available per week
Sunday Hours Available:
Monday Hours Available:
Tuesday Hours Available:
Wednesday Hours Available:
Thursday Hours Available:
Friday Hours Available:
Saturday Hours Available:
Hourly pay expected
Date ready to start work
Have you ever been employed by Totally Tan before?
         - If yes, give location and dates
Have you ever been dismissed or forced to resign from any employment?
         - If yes, please explain
         
EDUCATION
High School
College
Graduate/Prof.
School Name
Location
Years Completed
9
10
11
12
1
2
3
4
1
2
3
4
Diploma/Degree
Describe course of study
REFERENCES
Give name, address and telephone number for three references who are not relatives or former employers, whom you have known for at least three years.
1. Name
 Street
 City
State
 Zip Code
 Phone Number
2. Name
 Street
 City
State
 Zip Code
 Phone Number
3. Name
 Street
 City
State
 Zip Code
 Phone Number
EMPLOYMENT EXPERIENCE
Please give accurate, complete full-time and part-time employment record. Start with present or most recent employer.
1. Employer
 Start Date
 End Date
Street
 City
State
 Zip Code
 Phone Number
Hourly Rate
 Job Title
 Supervisor's Name
Work Performed
Reason For Leaving
Is there a reason why you would not want us to contact this employer?
Your name when employed (if different than present name)
2. Employer
 Start Date
 End Date
Street
 City
State
 Zip Code
 Phone Number
Hourly Rate
 Job Title
 Supervisor's Name
Work Performed
Reason For Leaving
Is there a reason why you would not want us to contact this employer?
Your name when employed (if different than present name)
3. Employer
 Start Date
 End Date
Street
 City
State
 Zip Code
 Phone Number
Hourly Rate
 Job Title
 Supervisor's Name
Work Performed
Reason For Leaving
Is there a reason why you would not want us to contact this employer?
Your name when employed (if different than present name)
MISCELLANEOUS
What prompted you to apply at Totally Tan?
Please describe why Totally Tan should consider your application for employment:
Do you have any physical restrictions?
In case of emergency notify: (name, address, phone number)
APPLICATION AGREEMENT
I hereby certify that the information that I have provided in this employment application is true and correct to the best of my knowledge, and that I have not withheld information that would, if disclosed, affect this application unfavorably.

I understand that my employment can be terminated for any reason, with or without notice, at any time, at either the Company's or my option.

I further agree that, if employed, I will conform my conduct to TOTALLY TAN rules and regulations.

Yes, I have read the above Application Agreement and understand and agree to its terms.
No, I have not read the above Application Agreement