Employment Application

Contact Information
Name*
First Last
Preferred Name
First
Phone*
Email*
Enter Email Confirm Email
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Which position are you applying for?*
Your application will be kept confidential. This is a 1099 Independent Contractor position.
Are you a licensed tattooer in Virginia?*
- Yes
- No
Can you become licensed?*
- Yes
- No
What certifications do you have? Check all that apply*
- Select All
- First Aid
- Blood Born Pathogens
- CPR
Were you formally apprenticed?*
- Yes
- No
How did you learn?*
What is your design process?*
What programs are you familiar with? Check all that apply*
- Photoshop
- Illustrator
- Procreate
- ClipStudio
What type of machines are your favorite?*
Are you over 18?*
- Yes
- No
List your artist social media profiles*
Have you won any tattoo awards?*
Date you can start?*
MM slash DD slash YYYY
Are you available full or part time?*
- Select All
- Full Time
- Part Time
Are you legally authorized to work in the US?*
- Yes
- No
Have you ever been convicted of a felony?*
(Saying yes is not an automatic disqualification.)
- No
- Yes
This job requires standing for hours, walking, stooping, bending, lifting overhead up to 50 pounds, data entry, cashiering, organization, scheduling using a computerized system, basic mathematics with the use of a calculator, filing, talking to the public and staff as well as extensive cleaning with PPE. Can you perform these duties with or without reasonable accommodations?*
- Yes
- No
If not, please explain what accommodations you may need.
Special skills?
References
Please list 3 references.
Reference #1
Name*
First Last
Phone*
How long known / relationship to you?*
Reference #2
Name*
First Last
Phone*
How long known / relationship to you?*
Reference #3
Name*
First Last
Phone*
How long known / relationship to you?*
Past Employment
Please list your last 3 employers. If you do not have 3, please fill out all you have.
Employer #1
Employer / Company Name
Employer Phone Number
Position Held
Start Date
MM slash DD slash YYYY
End Date
MM slash DD slash YYYY
Reason for Leaving?
Employer #2
Employer / Company Name
Employer Phone Number
Position Held
Start Date
MM slash DD slash YYYY
End Date
MM slash DD slash YYYY
Reason for Leaving?
Employer #3
Employer / Company Name
Employer Phone Number
Position Held
Start Date
MM slash DD slash YYYY
End Date
MM slash DD slash YYYY
Reason for Leaving?
I certify that the facts set forth in this Application for Employment are true and complete to the best of my knowledge. I understand that if I am employed, false statements, omissions or misrepresentations may result in my dismissal. I authorize the Employer to make an investigation of any of the facts set forth in this application and release the Employer from any liability. The employer may contact any listed references on this application.*
- Yes, I understand
I acknowledge and understand that the company is an “at will” employer. Therefore, any Independent Contractor may resign at any time, just as the employer may terminate the employment relationship with any Independent Contractor or employee at any time, with or without cause, with or without notice to the other party.*
- Yes, I acknowledge and understand
Availability (check all that apply)*
- Select All
- Sunday
- Monday
- Tuesday
- Wednesday
- Thursday
- Friday
- Saturday
Salary Desired*
This job requires standing for hours, walking, stooping, bending, lifting overhead up to 50 pounds, data entry, cashiering, organization, scheduling using a computerized system, basic mathematics with the use of a calculator, filing, talking to the public and staff as well as extensive cleaning with PPE. Can you perform these duties with or without reasonable accommodations?*
- Yes
- No
If not, please explain what accommodations you may need.
Highest education level COMPLETED?*
What's your favorite musical genre?*
I certify that the facts set forth in this Application for Employment are true and complete to the best of my knowledge. I understand that if I am employed, false statements, omissions or misrepresentations may result in my dismissal. I authorize the Employer to make an investigation of any of the facts set forth in this application and release the Employer from any liability. The employer may contact any listed references on this application.*
- Yes, I understand
I acknowledge and understand that the company is an “at will” employer. Therefore, any Independent Contractor, employee (regular, temporary, or other type of category employee) may resign at any time, just as the employer may terminate the employment relationship with any Independent Contractor or employee at any time, with or without cause, with or without notice to the other party.*
- Yes, I acknowledge and understand
How did you hear about us?*
- Google search
- Referred by friend
- Instagram
- Twitter
- Facebook
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395 Garrisonville Road, Unit 103 Stafford, VA

(540) 288-8370

Employment Application

Contact Information

References

Reference #1

Reference #2

Reference #3

Past Employment

Employer #1

Employer #2

Employer #3