Bronze Bay Tanning Center Application Welcome to Bronze Bay! Question Title Question Title * 1. Contact Info Full Name * Address * Address 2 City / Town * State / Province -- select state -- AL AlabamaAK AlaskaAS American SamoaAZ ArizonaAR ArkansasCA CaliforniaCO ColoradoCT ConnecticutDE DelawareDC District of ColumbiaFM Federated States of MicronesiaFL FloridaGA GeorgiaGU GuamHI HawaiiID IdahoIL IllinoisIN IndianaIA IowaKS KansasKY KentuckyLA LouisianaME MaineMH Marshall IslandsMD MarylandMA MassachusettsMI MichiganMN MinnesotaMS MississippiMO MissouriMT MontanaNE NebraskaNV NevadaNH New HampshireNJ New JerseyNM New MexicoNY New YorkNC North CarolinaND North DakotaMP Northern Mariana IslandsOH OhioOK OklahomaOR OregonPW PalauPA PennsylvaniaPR Puerto RicoRI Rhode IslandSC South CarolinaSD South DakotaTN TennesseeTX TexasUT UtahVT VermontVI Virgin IslandsVA VirginiaWA WashingtonWV West VirginiaWI WisconsinWY Wyoming ZIP / Postal Code * Email * Phone * Question Title * 2. Which Bronze Bay locations do you prefer to work at? 1 2 3 4 N/A Pendleton N/A 1 2 3 4 N/A New Castle N/A 1 2 3 4 N/A Oaklandon (Indy) N/A 1 2 3 4 N/A Greenfield N/A Question Title * 3. What is your current availability? Please give times you ARE available, rather than times you are not. Monday Tuesday Wednesday Thursday Friday Saturday Sunday Any day, Any time Question Title * 4. Have you ever worked for Bronze Bay Tanning Centers before? No Yes (Please comment with reason of leaving) Question Title * 5. Have you completed a High School Diploma or GED? Yes No In Progress (Please specify) Question Title * 6. How old are you? 18 years old and above Between 16 and 18 Under 16 years old Question Title * 7. What position are you applying for? Tanning Consultant (must be 18 years or older) Bed Cleaner (must be 16 years or older) Other (please specify) Question Title * 8. Have you been convicted of a felony or misdemeanor in the last 5 years? If yes, please explain No Yes (please explain) Question Title * 9. Please provide 3 references that you have either worked for (manager, supervisors) or with (co-workers.) These references can not be relatives, boy friends, or relatives of boy friends. Please include full name, phone number and how you know them. Reference #1: Reference #2: Reference #3: Please mark 'Yes' if you are applying for your first job. Question Title * 10. Please list last 3 jobs and dates worked. Job #1: Job #2: Job #3: Question Title * 11. How did you hear about the job opportunity? Question Title * 12. What other information would you like us to know? Done