Deep Roots Job Application

Employment Application

Please complete the form below to apply for a position with us.
Full Name*

First NameMiddle NameLast Name
Birth Date*

MonthDayYear
Current Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email Address*
example@example.com
Phone Number*
Which position that you are applying for?*
If you hold a New Hampshire state license for massage therapy, please list the number below. If not, please let us know the state in which you are currently licensed and/or when you plan to obtain your New Hampshire license.
How many hours a week is ideal?*
Available Start Date*

MonthDayYear
Date

If hired, what is your availability? *

	Start Time	End Time
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday

Upload Your Resume*

Cancelof
Reason for leaving your last employer. (None of these answers are deal breakers).

Still employed and plan to resign.Still employed and plan to keep this job and work for Deep Roots.I was laid off.I was fired.I resigned.
Why would you like to work for Deep Roots Massage?*
At Deep Roots, we believe that everyone brings a unique set of skills to their job. What makes you unique?*
At Deep Roots, we are committed to the professional development of our employees. What would you like to learn when you work for us?*
When would be the best time(s) to schedule an interview?
If hired, can you present document(s) demonstrating your legal right to work in the United States (and for Deep Roots Massage and Bodywork LLC)?*

YesNo
Have you ever been convicted of, or pleaded "No Contest" to, a crime which was not annulled by a court? If YES, please state when (below) and explain the circumstances. NOTE: A conviction record will not necessarily exclude you from employment. Factors such as age at time of offense, rehabilitation efforts, length of time since the offense, and nature of the crime will be taken into consideration.*

YesNo
Please explain.
The facts set forth in my application for employment are true and complete to the best of my knowledge. I understand that if employed, false statements or omissions on this application, my resume, during any conversations during my application process with any of employees of Deep Roots Massage & Bodywork, LLC and all accompanying documents are cause for termination regardless of the time elapsed before discovery.

Clear
Should be Empty:

Employment Application