Name *

First Name

Last Name

Phone

(###)

###

####

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

What position are you applying for? *

check all that apply

Receptionist

Stylist Assistant

Stylist

Esthetician

do you currently possess a NYS cosmetology or esthetics license? *

yes

no

in progress