900 Airport Freeway, suite 130
Hurst, TX 76054
Phone:
817-903-8303
,
469-879-4238
Home
Directory
Services
Suites
Application Form
About Us
Contact Us
1
2
3
4
5
6
7
8
9
10
11
Application Form
Personal Information
First Name*
Last Name*
Business Name
Address
City *
Zip *
Email *
Mobile Telephone *
Professional License Number *
Renewal Date *
Type of License *
Work History
Present Salon Name
Date Worked From
To
Are you on salary, commission or rental?
Other Information
Desired Suite Number
Desired Date of Occupancy
How did you hear about us?
Referral
Web
Other
Name of Referral
In The Past Seven Years
Have you been disciplined by any State or Local Agency?
Yes
No
Have you been convicted of or plead guilty to any criminal or felony offense?
Yes
No
Are you presently charged with any felony violations of law?
Yes
No
Have you ever been evicted for any reason from a Landlord?
Yes
No
Have you ever broken a Lease Agreement?
Yes
No
If your answer is YES to any of the preceding questions or any part of the questions, please provide the detail below to include the date, place and nature of each such conviction(s) or pending charge(s). (The existence of a conviction or pending charge will not necessarily preclude you from leasing or employment. The nature of the crime and its relationship to the lease or position applied for, the degree of rehabilitation and the time elapsed since the crime or release from confinement will all be considered.)
Explain
Personal References (aside from family members)
Name
Address
Phone
Name
Address
Phone
Emergency Contact
Name
Address
Phone
Name
Address
Phone
Identification Information
Social Security Number
Drivers License Number
Date of Birth
Car (Make, Model, Year, and License#)
Captcha Code: