Name *

First Name

Last Name

Phone

(###)

###

####

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Are you a US citizen otherwise authorized to work in the U.S on an unrestricted basis? (You may be required to supply documentation.) *

Yes

No

Which position are you interested in? *

Stylist

Full-Time Assistant

Part-Time Assistant