Preferred Location Apple Valley PilotBlaineBloomingtonBurnsvilleCoon RapidsCottage GroveEaganEagan Town CenterEagan Cliff RoadEden PrairieLakevilleLakeville 2MinnetonkaMounds ViewSavageShakopeeShakopee 2Stadium VillageWest St. PaulWest St. Paul 2 Personal Information Full Name (required) Present Address City State Zip Your Email (required) Phone (Mobile) (required) Phone (Home/Work) (required) Are you at least 18 years of age? YesNo Are you currently employed? YesNo If yes, please detail Are you able to tan? YesNo Have you ever worked in a tanning salon? YesNo If yes, which one? Have you previously worked for a $5 Tan or Ultra Tan? YesNo If yes, why did you leave? Do you have friends or family currently employed by $5 Tan or Ultra Tan? YesNo Do you have reliable transportation? YesNo Why do you want to work at $5 Tan? How do you feel about tanning? Why should we hire you? Availability Are you planning a vacation between December 15th & June 30th? YesNo If yes, give dates? When are you available to start? Desired hours per week? *Note: Conditions Of Employment Require That Staff Cannot Schedule Vacation Time During The Period From December 15th To June 30th Without Management Approval. Please state your availability by day of the week below. (Please state the earliest time you can start and the latest time you must leave.) Note: Openers usually start at 7:30am and closers are there until 10:30pm. Applicants who have the greatest availability will have a greater chance of hire. Please be sure the hours you list are accurate. If found not to be accurate, it may result in your termination. These hours listed must remain available for a minimum of 3 months. Start Time End Time Monday Tuesday Wednesday Thursday Friday Saturday Sunday Are you involved in any other activities that would affect your availability (sports, other jobs, school) either now or other times of the year? YesNo Education What is your highest grade education level achieved? Are you currently attending school? YesNo If yes, please detail Are you planning on attending School / College / University? YesNo If yes, please detail Current or Most Recent Employer Company Position Salary Salary Interval WeeklyBi-WeeklyMonthlyAnnuallyOther Start Date End Date Phone Number Duties & responsibilities Length of Time There Reason for Leaving May we contact this employer? YesNo Enter Your 2nd Most Recent Employer Company Position Salary Salary Interval WeeklyBi-WeeklyMonthlyAnnuallyOther Start Date End Date Phone Number Duties & responsibilities Length of Time There Reason for Leaving May we contact this employer? YesNo Enter Your 3rd Most Recent Employer Company Position Salary Salary Interval WeeklyBi-WeeklyMonthlyAnnuallyOther Start Date End Date Phone Number Duties & responsibilities Length of Time There Reason for Leaving May we contact this employer? YesNo Skills & Abilities Do you have any experience in Customer Service? YesNo If yes, please detail Do you have any sales experience? YesNo If yes, please detail Physical Requirements Are You Physically Capable Of Using Cleaning Equipment And Supplies which Would Include Brooms, Mops, and Laundry Machines? YesNo Are You Physically Capable Of Routinely Cleaning By Dusting And Wiping? YesNo Are You Physically Capable Of Routinely Bending, Crouching And Standing? YesNo Do you have any other physical restrictions not already noted? YesNo If yes, please detail History Have You Ever Been Disciplined or Terminated for Absenteeism Or Tardiness By A Previous Employer? YesNo If yes, please detail Have You Ever Been Discharged Or Asked To Resign By A Previous Employer? YesNo If yes, please detail During The Past 10 Years, Have You Been Convicted Of A Crime, Misdemeanor/Felony Including Under The Influence Of Intoxicants or theft? YesNo If yes, give date, nature of offense(s) and where convicted *Note: A Conviction Will Not Necessarily Bar You From Employment. It Will Be Considered Only As Related To The Job In Question I declare that the facts set forth in this application are true and complete. I understand that if I am employed, false statements on this application shall be sufficient cause for termination. If employed, I agree to read and comply with all company rules, procedures and policies. YesNo Your initials here is a form of electronic signature that you agree with the statement you checked above. Please verify that the information you are providing is correct then click on the submit button. After reviewing your application we will contact you if and when a position is available. Please leave this field empty. 24-5=?