Application for Front DeskEvolve Massage & Alternative Healing2831 Linden Ave. Homewood, AL 35209 Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form. – Step 1 of 3Name *FirstLastEmail *Phone *AddressAddress Line 1Address Line 2City— Select state —AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeDate of Application *What date can you start if hired? *Do you have reliable transportation to and from work? *YesNoAre you 18 years of age or older? *YesNoAre you a US citizen or approved to work in the US? *YesNoWhat document can you provide to prove your citizenship? *Drivers LicensePassportOtherDo you have any condition that would require job accommodations? *YesNoPlease explain in detail about job accommodations neededHave you ever been convicted of a criminal offense, felony or misdemeanor? *YesNoPlease State the Nature of the Crimes/ When and where convicted/ and Disposition of the Case Note: No applicant will be denied employment solely on the grounds of conviction of a criminal offense. The date of the offense, the nature of the offense, including any significant details that affect the description of the event and the surrounding circumstances and the relevance of the offense to the positions applied for may, however, be considered.Job Skills/QualificationsPlease List Below the Skills and Qualifications you possess for the position for which you are applying *Note: Evolve Homewood complies with the ADA and considers reasonable accommodation measures that may be necessary for eligible applicants/employees to perform essential functions. Education and TrainingHigh School Graduate? *YesNoCollege? *NoEnrolledGraduatedDescribe your Major,Minor and/or FocusVocational School/Specialized Training?NoEnrolledGraduatedDescribe your Vocational or Specialized TrainingMilitaryAre you a member of the Armed ServicesYesNoWhat Branch of the Military did you enlist?What was your Military rank when discharged?How many years did you serve in the Military?What Military skills do you possess that would be an asset for this position?NextPrevious EmploymentEmployer Name *Employer Phone *Supervisor Name *Job Title *Date Job Began *Date Job Ended *Reason for Leaving *Employer NameEmployer PhoneSupervisor NameJob TitleDate Job BeganDate Job EndedReason for LeavingEmployer NameEmployer PhoneSupervisor NameJob TitleDate Job BeganDate Job EndedReason for LeavingNextReferencesPlease Provide 2 Professional References BelowProfessional Reference 1: Name *FirstLastPhone *Email *Professional Reference 2: Name *FirstLastPhone *Email *Are you familiar with crystals, energy, and/or spiritual work? *YesNoPlease describe your experienceAt-Will EmploymentThe relationship between you and Evolve Homewood is referred to as “Employment at Will.” This means that your employment can be terminated at any time for any reason with or without cause, with or without notice, by you or Evolve Homewood. No representative of Evolve Homewood has authority to enter into any agreement contrary to the forgoing “Employment at Will” relationship. By entering your name below, you are digitally signing this document signifying that you agree that you understand that your employment is “At-Will” and that you acknowledge that no oral or written statements or representations regarding your employment can altar your at will employment status, except for a written statement signed by you and any of our Managing Partners.Name *FirstLastDate *Submit
