Employment Application – Texas Massage Academy

Position Information

Position Applied For *

Availability

Earliest Start Date

Desired Pay

Personal Information

First Name *

Last Name *

Street Address *

City *

State

ZIP Code

Phone *

Email *

Social Media (Optional)

Instagram

Facebook

Other

Education

Highest Level of Education

School / Institution Name

Field of Study

Year Completed

Licenses / Certifications

Work History

Employer 1 — Most Recent

Employer Name

Job Title

Supervisor

Phone

May We Contact?

Yes No

Start Date

End Date

Reason for Leaving

Duties / Responsibilities

Employer 2

Employer Name

Job Title

Supervisor

Phone

May We Contact?

Yes No

Start Date

End Date

Reason for Leaving

Duties / Responsibilities

Employer 3

Employer Name

Job Title

Supervisor

Phone

May We Contact?

Yes No

Start Date

End Date

Reason for Leaving

Duties / Responsibilities

References (3 Professional References)

Reference 1 – Name

Relationship

Phone

Email

Company / Organization

Reference 2 – Name

Relationship

Phone

Email

Company / Organization

Reference 3 – Name

Relationship

Phone

Email

Company / Organization

Additional Information

How did you hear about us?

Why do you want to work at Texas Massage Academy?

Special Skills or Qualifications

Certification & Signature

I certify that the information provided in this application is true and complete to the best of my knowledge. I understand that false or misleading information may result in disqualification from employment or termination. I authorize Texas Massage Academy to verify all information provided and contact the references listed above.

Full Name (Typed Signature) *

Date *