Salon Suite Rental Application

Applicant Information

Salon Republic strives to maintain a professional image to the public and the beauty industry. The information given will be held in confidence. No one will be contacted without your consent.

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Choose a location*

First Name*

Last Name*

Date of Birth*

Address*

City*

State*

Zip*

Email Address*

Website

Instagram Handle*

Mobile Number*

Professional Information

Profession:

Hair Stylist
Esthetician
Barber
Brow Artist
Lash Artist
Nail Tech
Other:

License/Certificate Number

Date Issued

Graduating School Name

Date of Graduation

School City

School State

Approximate # of Clients

Average # of Weekly Clients

Average Service Charge Per Client

Services Offered

Current Workplace Name

Start Date

Address

City

State

Zip

Current Status:

Salary
Commission – Current %:
Rental – Current Rate:

Reason(s) you are looking to make a change

Professional Info – Continued

Additional Information

Do you currently retail product?

What is your average weekly retail income?

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