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Radiantly You Aesthetics

Independent Contractor / Room Renter Application

Personal Information

First name*

Last name*

Address*

Phone*

Email*

Do you have reliable transportation?

Yes

No

Professional Information

Position*

Do you have a valid license in the beauty or wellness industry?*

Yes

No

License Type: (Esthetician, Cosmetologist, Massage Therapist, etc.)*

License Number: (Please provide a copy of your current and valid license)*

State Issued:*

Years of Experience:*

Please list the services you provide (e.g., facials, waxing, makeup, massage, body contouring, etc.):*

Areas of Expertise:

Please describe your specific areas of expertise or specialization within the beauty field:*

Position

Position Preference:*

Part Time

Full Time

Job Type: Please select the type of arrangement you are applying for:*

Independent Contractor:(Providing your services directly to clients under Radiantly You Aesthetics, utilizing a room in the suite)

Room Rental: (Renting a room to operate your own business independently)

Availability

Hours of Availability:

Multi choice*

Daytime

Evening

Open Availability

Please check the days that you are available.

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday

Available Start Date:

Date*

Month

Day

Year

Education

Please provide details of your education and training related to your profession:

School/Training Program: *

Degree/Certification Received:*

Year of Graduation/Completion:*

Location:*

Additional Education Information

School/Training Program:

Degree/Certification Received:

Year of Graduation/Completion:

Location

Any additional relevant education or certifications:

Employment History

1. Business Name:*

Position:*

Address/Phone Number:*

Dates of Employment:*

Supervisor:*

Key Responsibilities:*

Website/Social Media:

2. Business Name*

Position:*

Address/Phone Number:*

Dates of Employment:*

Supervisor:*

Key Responsibilities*

Professional References

Please provide at least three professional references (previous employers, colleagues, or clients):

Reference 1:

Name:

Phone Number:*

Email Address:*

Relationship:*

Years Known:*

Reference 2:

Name:*

Phone Number:*

Email Address:*

Relationship:*

Years Known:*

Reference 3:

Name:*

Phone Number:*

Email Address:*

Relationship:*

Years Known:*

Business Goals

What are your goals for renting a room or working as an Independent Contractor at Radiantly You Aesthetics?*

Insurance & Liability

Do you have liability insurance? (required) If your answer is yes please provide a copy.*

Yes

No

Please upload your resume, license, and Liability Insurance.

How did you hear about us?

Google

Facebook

Instagram

Friends

The Radiantly You Aesthetics Website

I certify that the information provided is accurate and complete to the best of my knowledge.

Signature*

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Signature field is empty.

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Month

Day

Year

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Radiantly You Aesthetics
201 S. McPherson Church Rd. Suite 202
Fayetteville, NC 28303

Located on the 2nd floor of the McPherson Square Shopping Center

(910) 920 -7907

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