Application Web Site Zamp Enterprises Inc and Florida Clips Inc. A Great Clips® Franchisee (“Company”) EMPLOYMENT APPLICATION We consider applicants for all positions without regard to race, color, creed, religion, sex, national origin, age, veteran status, disability, sexual orientation, genetic information or any other applicable legally protected status. It is Company policy to not discriminate against qualified individuals with disabilities and to provide reasonable accommodations as required by applicable law. Resumes will not be accepted in lieu of applications. Applications will remain active for 90 days. Thereafter you must reapply if you are further interested in employment. By completing this application there is no assurance of employment. First Name * Last Name * Position Applied For * Stylist Assistant Manager Manager Receptionist Desired Work Location: Amherst, Ohio Aurora, Ohio Avon, Ohio (French Creek) Avon, Ohio (In-Store Meijer) Avon Lake, Ohio Brecksville, Ohio Canton, Ohio Clermont, Floirda Cleveland, Ohio (Kamm's Corner) Cocoa Beach, Florida Daytona Beach, Florida Edgewater, Florida Elyria, Ohio Kent, Ohio Lakewood, Ohio Lorain, Ohio Massillon, Ohio Medina, Ohio New Smyrna Beach, Florida North Ridgeville, Ohio North Canton, Ohio Ormond Beach, Florida Palm Coast, FL (Airport Commons) Palm Coast, Florida (Island Walk) Port Orange, Florida Sandusky, Ohio Sheffield, Ohio Twinsburg, Ohio Wooster, Ohio Wildwood, Florida Winter Garden, Florida (Avamar Crossing) Winter Garden, Florida (Hamlin) If you were referred by a current employee, please list their first and last name: Email Address * Contact Number * Date Available * Address * City * State * Zip Code * Have you previously or are you currently working at another salon operated by the Company or a different Great Clips® franchisee? * Yes No If yes, where and during want time period? Are you legally eligible for employment in the US in the position(s) for which you are applying? * Yes No (Proof of U.S. Citizenship or immigration status will be required upon employment) Have you ever been convicted of a crime, other than a minor traffic violation, that has not been expunged by a court? * Yes No (such conviction may be relevant if job related, but does not necessarily bar you from employment) If yes, please explain: Are you able to perform all required functions of the position(s) applied for with or without reasonable accommodation? * Yes No Are you willing to work overtime if required? * Yes No What is your availability to work? Select all that apply. Monday * Any Time Morning Evening Not Available Tuesday * Any Time Morning Evening Not Available Wednesday * Any Time Morning Evening Not Available Thursday * Any Time Morning Evening Not Available Friday * Any Time Morning Evening Not Available Saturday * Any Time Morning Evening Not Available Sunday * Any Time Morning Evening Not Available Availability Notes (optional): Hours available per week: * 36-40 (Full-Time) 20-29 hours less than 20 hours Other availability (check all that apply) Able to work at other salons if need arises Able to work split shifts (two short shifts on same day) High School Name: * High School Completed? * Yes No GED Cosmetology School Name * Cosmetology School Location * Cosmetology Hours Required * Cosmetology License Number * State Of Issue * - Select Province/State - Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Nova Scotia Northwest Territories Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon ==================== 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 License Curernt * Yes No Expiration Date * Advanced haircutting/chemical processing training (describe and give dates): * Other training such as communication and interpersonal skills, management training, etc. (describe and give dates): * What haircare product lines are you familiar with? * Years of Experience: Haircutting * Years of Experience: Neck Edgers * Years of Experience: Clippers * Employment History (if you do not have 3 previous employers, please just enter NA) Company Name * Company City/State * Supervisor Name / Phone Number * Employment Dates * Position Held Rate of Pay * Ok to contact? * Yes No Company Name * Company City/State * Supervisor Name / Phone Number * Employment Dates * Position Held Rate of Pay * Ok to contact? * Yes No Company Name * Company City/State * Supervisor Name / Phone Number * Employment Dates * Position Held Rate of Pay * Ok to contact? * Yes No References (Please list three technical references who are licensed and have observed your technical skills) Name * Relationship (coworkers, teachers, etc) * Phone Number * Name * Relationship (coworkers, teachers, etc) * Phone Number * Name * Relationship (coworkers, teachers, etc) * Phone Number * Truth of Information I declare that the information provided by me is complete and true to the best of my knowledge. I am aware that any misrepresentation or omission may preclude an employment offer, or may result in withdrawal of an employment offer or separation from employment. I understand that employment with the Company is at-will and the employment relationship may be ended by either party, at any time, with or without notice. Consent to Check References By signing this employment application below, I voluntarily consent to allow a representative of the Company to check references by contacting any person whom they feel to be an appropriate source including those I have listed above. I understand that the procedure includes asking questions the company considers relevant concerning my personal background, education, work experience, character, personality, and personal habits. Not Applying With Great Clips, Inc. I understand that ZAMP Enterprises, Inc. and Florida Clips, Inc are an independently owned and operated Great Clips® franchisee. Franchisees hire their own employees. As a result, I understand that I am not applying for employment with the franchisor, Great Clips, Inc., and if I am hired, I understand that I will be employed only by ZAMP Enterprises, Inc or Florida Clips, Inc. and will not be employed by Great Clips, Inc. Digital Signature: I acknowledge that all information in this application is accurate. * Date: