Application For Employment

* Required information

Other names you are known by:

Are you legally eligible for employment in the U.S?*

(proof of U.S. citizenship or immigration status will be required if hired for a position in the U.S.)

Have you ever been convicted of a felony?*

Present Address:

Permanent Address:

Contact Info:*

* Required information
(If you are applying for a retail hourly position, please keep in mind that the availability of hours may vary)

Specify hours available for each day of the week

Are you available to work overtime?

Have you ever worked for SAM BROCATO SALON?

* Required information

High School


Post College

Trade, Business, or Correspondence School

SKILLS For Office/Administrative Positions Only

* Required information

FORMER EMPLOYERS List below current and last three employers, starting with most recent on first. Please include any non-paid/volunteer experience, which is related to the job for which you are applying. Please complete even if you attach a resume.

***Most recent first
* Required information

REFERENCES Give below the names of three professional references, whom you have know at least one year.
* Required information

Terms and Conditions I hereby authorize SAM BROCATO SALON to thoroughly investigate my background, references, employment record and other matters related to my suitability for employment. I authorize persons, schools, my current employer (if applicable), and previous employers and organizations contacted by SAM BROCATO SALON to provide such information. I understand that misrepresentation or omission of facts may result in rejection of this application, or if hired, discipline up to and including dismissal. I understand that I may be required to sign a confidentiality and/or non-compete agreement, should I become an employee of SAM BROCATO SALON. I understand that nothing contained in this application, or conveyed during any interview which may be granted, is intended to create an employment contract. I understand that filling out this form does not indicate there is a position open and does not obligate SAM BROCATO SALON to hire me.
(U.S. APPLICANTS ONLY: I understand and agree that my employment is at will, which means that it is for no specified period and may be terminated by me or SAM BROCATO SALON at any time without prior notice for any reason.)


  42 WOOSTER NYC 10013 | 212.334.3777 | COPYRIGHT © 2014 SAM BROCATO SALON