XpresSpa
Employment Application
1. Personal Information
Position:
*License Required
Where Did You Hear About Us? *
Last Name
*
First Name
*
Middle Initial
Email
*
Street Address
*
City
*
State
*
Zip
*
Home Phone
*
Cell Phone
*
Work Location Desired
Available to Start
Availability (Check All That Apply)
Full Time Part Time
SunMonTueWedThuFriSat
AMPMOpenCloseHolidays
Earliest time you can start:
Latest time you can stay:
   
1. Are you eligible to work in the United States without sponsorship? Yes No
2. Are you at least 18 years of age? Yes No
3. Do you have a valid, unexpired driver's license? Yes No
4. Have you ever been convicted, plead guilty, plead no contest to any crime? Yes No
5. Are you currently on probation or on a work release program? Yes No
6. Are you aware of the essential job functions and duties for this position? Yes No
7. Have you ever applied for a position with XpresSpa? Yes No
8. Do you have any friends or relatives currently employed by XpresSpa? Yes No
8a. If you answered "Yes" to number 8, please enter their name:
2. Education History
High School Name
City
State
Did you Graduate?
Yes No Attending
Diploma
College or University Name
City
State
Did you Graduate?
Yes No Attending
Diploma
Graduate School Name
City
State
Did you Graduate?
Yes No Attending
Diploma
Vocation/Trade School Name
City
State
Did you Graduate?
Yes No Attending
Diploma
3. Employment History
Company Name Phone Number Start Date
MM/YY
End Date
MM/YY
Position Salary Reason for Leaving
Resume:(Paste Resume Below)
APPLICATION STATEMENT

*Please read carefully before signing*

I hereby certify that all of the information provided in order to apply for and secure work with this employer is true, complete and correct.

I expressly authorize, without reservation, the employer, its representatives, employees or agents to contact and obtain information from all references (personal and professional), employees, public agencies, licensing authorities and educational institutions and to otherwise verify the accuracy of all information provided by me in this application, resume or job interview. I hereby waive any and all rights and claims I may have regarding the employer, its agents, employees or representatives, for seeking, gathering and using truthful and non-defamatory information, in a lawful manner, in the employment process and all other persons, corporations or organizations for furnishing such information about me.

I understand that this employer does not unlawfully discriminate in employment and no question on this application is used for the purpose of limiting or eliminating any applicant from consideration for employment on any basis prohibited by applicable local, state or federal law.

I understand that this application remains current for only 30 days. At the conclusion of that time, if I have not heard from the employer and still wish to be considered for employment, it will be necessary for me to reapply and complete a new application.

If I am hired, I understand that I am free to resign at any time, with or without cause and with or without prior notice and the employer reserves the same right to terminate my employment at any time, with or without cause and with or without prior notice, except as may be required by law. This application does not constitute an agreement or contract for employment for any specified period or definite duration. I understand that no supervisor or representative of the employer is authorized to make any assurances to the contrary and that no implied or written agreements contrary to the foregoing express language are valid unless they are in writing and signed by the employerís president. I also understand that if I am hired, I will be required to provide proof of identity and legal authorization to work in the United States and federal immigration laws require me to complete an I-9 Form in this regard.

I understand that any information provided by me that is found to be false, incomplete ore misrepresented in any respect, will be sufficient cause to eliminate me from further consideration for employment, or may result in my immediate discharge from the employerís service, whenever it is discovered.


Additional Notes:
Signature Date
* 12/20/2014
* Required Fields