Online Employment Application Please take a moment to fill in the short form below. All required fields are noted with an asterisk (*). Personal Information Name: * Phone: * Email: * Confirm Email: * Address: * City: * State: Select One Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming * Zip Code: * Position Applying For: Select Position Massage Therapist Administrative Location Preference: Select Location Short Pump Chesterfield Either Location Hourly Wage Desired: Or Annual Salary Desired: Date you can start: * Willing to relocate? Yes No Hours You Can Work Sat Sun Mon Tues Wed Thurs Fri AM PM Please List Your Three Most Recent Jobs Company (most recent): * Title: * Length of employment: * City: * State: Select One Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming * Last Rate of Pay: * Reason For Leaving: * Company: Title: Length of employment: City: State: Select One Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Last Rate of Pay: Reason For Leaving: Company: Title: Length of employment: City: State: Select One Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Last Rate of Pay: Reason For Leaving: Employment Application Statement By submitting this form I hereby represent that each answer is truthful and constitutes a full and complete disclosure of my knowledge with respect to the questions and I understand that any misrepresentation of facts shall constitute cause for dismissal regardless of when discovered us. In the event that I am employed by Escape Massage (Richmond Massage, Inc.), I agree to comply with all its rules and regulations. Reference Release Form By submitting this form I hereby authorize any individual, employer, or law enforcement agency to furnish Escape Massage (Richmond Massage, Inc.) with any information concerning my employability, my previous work and/or academic record, whether same is of record or not, and do hereby release the individual, employer, or law enforcement agency and all individuals connected therewith from all liability for any damage incurred in furnishing this information. Signature (type your name) * The filing of an application does not imply that the applicant will eventually be employed but that the applicant will be considered, when a vacancy occurs, in competition with other applicants. All applicants will be given equal opportunity regardless of race, color, religion, national origin, ancestry, sex, age, disability, height, weight, marital status or veteran status. It is our policy that no person shall be discriminated against, excluded from participation in, denied the benefits of, or otherwise be subjected to discrimination in employment on the basis of race, color, national origin or ancestry, sex, age. disability, religion, height, weight, marital status or veteran status.
By submitting this form I hereby represent that each answer is truthful and constitutes a full and complete disclosure of my knowledge with respect to the questions and I understand that any misrepresentation of facts shall constitute cause for dismissal regardless of when discovered us. In the event that I am employed by Escape Massage (Richmond Massage, Inc.), I agree to comply with all its rules and regulations.
Reference Release Form
By submitting this form I hereby authorize any individual, employer, or law enforcement agency to furnish Escape Massage (Richmond Massage, Inc.) with any information concerning my employability, my previous work and/or academic record, whether same is of record or not, and do hereby release the individual, employer, or law enforcement agency and all individuals connected therewith from all liability for any damage incurred in furnishing this information. Signature (type your name) * The filing of an application does not imply that the applicant will eventually be employed but that the applicant will be considered, when a vacancy occurs, in competition with other applicants. All applicants will be given equal opportunity regardless of race, color, religion, national origin, ancestry, sex, age, disability, height, weight, marital status or veteran status. It is our policy that no person shall be discriminated against, excluded from participation in, denied the benefits of, or otherwise be subjected to discrimination in employment on the basis of race, color, national origin or ancestry, sex, age. disability, religion, height, weight, marital status or veteran status.
By submitting this form I hereby authorize any individual, employer, or law enforcement agency to furnish Escape Massage (Richmond Massage, Inc.) with any information concerning my employability, my previous work and/or academic record, whether same is of record or not, and do hereby release the individual, employer, or law enforcement agency and all individuals connected therewith from all liability for any damage incurred in furnishing this information.
Signature (type your name) *
The filing of an application does not imply that the applicant will eventually be employed but that the applicant will be considered, when a vacancy occurs, in competition with other applicants. All applicants will be given equal opportunity regardless of race, color, religion, national origin, ancestry, sex, age, disability, height, weight, marital status or veteran status. It is our policy that no person shall be discriminated against, excluded from participation in, denied the benefits of, or otherwise be subjected to discrimination in employment on the basis of race, color, national origin or ancestry, sex, age. disability, religion, height, weight, marital status or veteran status.
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