Contact Info

Telephone:	847.540.7006
Email:
Address:	591 N. Rand Road Lake Zurich, IL 60047

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Careers at Salon Coccolé & Spa

Please complete the form below and click "Submit Application," or download a printable copy to send or carry in.

*required
PERSONAL INFORMATION
*Name (Last, First) This field is required.	*Social Security Nimber This field isrequired.Invalid format.
*Address This field isrequired.	*City This field required.
*State Please select state	*Zip Code This field is required.Use 5-digit format. required.Invalid format.
*Phone Number This field is required.Invalid format.	Referred By

EMPLOYMENT DESIRED
*Position Desired This field is required.	Date You Can Start	Salary Desired
*Are You Employed? Yes No Please make a selection.	If so, may we inquire of your present employer? Yes No Please make a selection.
*Ever Applied to this company before? Yes No Please make a selection.	Where?	When?

EDUCATION HISTORY
NAME & LOCATION OF SCHOOL	YEARS ATTENDED	DID YOU GRADUATE?	SUBJECTS STUDIED
Grammar School		Yes No
High School		Yes No
College		Yes No
Trade, Business, Correspndence		Yes No

GENERAL INFORMATION
Subjects os special study / research work or special training skills
U.S. Military or Naval Service	Rank

FORMER EMPLOYERS (List below last four employers, starting with last one first)
Date Mo. and Yr.	Name and Address of Employer	Salary	Position	Reason for Leaving
From
To
From
To
From
To
From
To

REFERENCES
Name	Address	Business	Years Known

AUTHORIZATION

"By submitting this application, I certify that the facts contained in this application are true and complete to the best of my knowledge and understand that, if employed falsified statements on this application shall be grounds for disnissal.

I authorize investigation of all statements contained herein and the references and employers listed above to give you any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise and release the company from all liability for any damage that may result from utilization of such information.

I also understand and agtee that no representative of the company has any authority to enter into any agreement for employment for any specified period of time, or to make anu agrteement contrary to the forgoing, unless it is in writing and signed by an authorized company representative.

This waiver does not permit the release of use of disability-related or medical information in a manner prohibited by the Americans with Disabilities Act (ADA) and other relevant federal and state laws."

591 N. Rand Road, Lake Zurich, IL 60047 Phone: 847.540.7006