Join Our Team

Name *

First

Last *

Last

Address *

City *

State *

Zip code

Home Phone

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Email *

How Did You Hear About Us? *

Why Have You Selected to Apply to Mira

What Single Strength Do You Possess That Will Be An Asset To The Team?

What Position Are You Most Interested In? *

Are You A Licensed Cosmetologist In Illinois *

When Are You Available To Begin Work *

What Type Of Weekly Schedule Are You Seeking *

Would Working Weekends Pose A Problem? If Yes, Why? *

Would Working Evenings Pose A Problem? If Yes, Why?

Of The Services We Offer, Which Do You Feel Qualified To Perform? Please Indicate If Not Applicable. *

Are You A High School Graduate? If Yes, Year Graduated? *

Did You Attend A College Or University? If Yes, School Name, Year Graduated And Degree Earned. *

Please List Past Employers, Contact Info, Position Held, Responsibilities, Salary, Employment Date And Reason For Leaving. *

Are You Currently Employed? If Yes, Can We Contact Employer (Please Provide Contact Info) *

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Any Additional Information About You Or Comments?

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