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Name *

First

Last

Email Address

Phone Number

Date of Birth *

Emergency contact (Name and phone number)

Social Security Number *

How did you hear about us?

License Number *

Do you have a Social Media account? If yes, what is your Instagram/Facebook/Twitter account username?

Where do you currently work?

How long have you been currently working at your current location?

Were you commission based or renting a chair?

What services do you provide?

How many employees do you have?

What is your Annual Business Revenue *

Have you ever owned a salon studio before? If yes, where?

Were you referred to us by someone? If yes, who?

When were you looking to start leasing a studio?

Have you ever broken a rental agreement ? *

YES NO

Have you even been evicted of a crime? *

YES NO

Do we have your authorization to run a background check ? *

YES NO