Current Address

Previous Address if less than 2 years

Work History

1.

2.

Thank you for your interest in our Salon Suites. All applicants must be at least 18 years of age and will be considered based on qualifications

regardless of age, race, color, creed, sex, religion or disability and any other reason protected by law.

In the past seven years

Personal References

Emergency Contact

ACKNOWLEDGMENT AND CONSENT STATEMENT

I hereby state that the information given by me in this application is true and correct in all respects. I agree that if I am accepted for leasing and the information is found to be false in any respect, I will be subject to dismissal without notice at any time. I hereby authorize my former employers or salon owners to release information pertaining to my work record, my work habits and my work performance while in their employ or salon. I hereby authorize 16057 Lagrange LLC to obtain my credit report. I will read and I hereby agree to be bound by the rules outlined in any procedure manuals, lease documents, rules and regulations publications that I may receive.

I understand and agree that, if I am accepted for leasing by 16057 Lagrange LLC, my lease will be for a duration of at least one year. By checking the box below I acknowledge that I have read and understand the Consent Statement on this Application.