EmailMeForm
Uptown Barbershop Employment Application
Name
*
First
Middle
Last
Phone Number
*
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-
###
-
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Email
*
Date of Birth
MM
/
DD
/
YYYY
Do you have a Florida Cosmetology License?
*
Yes
No
License Type(s)
*
Barber
Cosmetologist
Esthetician
Other
When did you get your license?
Home Address
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
Employment History (Most Recent)
Employer
Position Held
Employment Status
Current
Former
Supervisor’s Name
Phone
###
-
###
-
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Start Date
MM
/
DD
/
YYYY
End Date (if applicable)
MM
/
DD
/
YYYY
Reason For Leaving (if applicable)
Business Address
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
Upload Resume
You are welcome to send us your resume if you'd like.
