Thank you for your interest in potentially joining our DREAM Team. Please complete the application below and we will be in contact with you. Name* First Last Address* Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Email* Best Telephone Number*EducationHigh School Attended* Massage School Attended and Graduation Date* College Attended and Graduation Year (if applicable) List any other schools attended (if applicable) List any additional certifications, memberships or awards (if applicable) Employment History1) Name of Company Dates of Employment Name of your supervisor / business owner Your position with the company Reason for Leaving 2) Name of Company Dates of Employment Name of your supervisor / business owner Your position with the company Reason for Leaving ReferencesName of 1st Reference* First Last Phone*Describe relationship and years acquainted with 1st reference*Name of 2nd Reference* First Last Phone*Describe relationship and years acquainted with 2nd reference*About You...Are you seeking... (check all that apply)* Full time Part time Which classification would you like us to consider for your position at DREAM Wellness?*At DREAM Wellness, we always want to act in the highest integrity with those we work with as well as what is appropriate with the current law. There is no one determining factor between an employee and an independent contractor; it is based on many factors. Regardless of which you choose, it will be discussed in great detail prior to being hired. Employee Independent Contractor Renter I am open to any option based on the needs of the business I don't understand the difference Are you looking for... (Check all that apply)* A short-term place to work during the COVID pandemic A long-term place to practice massage Other Are you currently working in the industry?* Yes No How many clinical hours have you completed? (Approximately)* Availablity in a typcial week (check all that apply)* Monday morning Monday afternoon / evening Tuesday morning Tuesday afternoon / evening Wednesday morning Wednesday afternoon / evening Thursday morning Thursday afternoon / evening Friday morning Friday afternoon / evening Saturday Sunday What techniques do you offer based on experience and certifications?*What is wellness to you?*Do you consider yourself to be a health conscious individual?* Yes No How is that demonstrated in your personal life?*Why do you think you want to work at DREAM Wellness and what can you bring to the office and team?*Are you MOST interested in building a clientele or only being fed clients (assuming you're good, you will receive clients from us regardless)* Building clientele Being fed clients What is the income range you would be comfortable earning per 60 minute massage if the client was provided to you from our marketing?* What is the income range you would be comfortable earning per 60 minute massage if the client was brought in by you? (This may the same as above)* Where are you currently licensed / certified to practice massage?* Do you currently have professional liability insurance* Yes No When would you be available to start working?* MM slash DD slash YYYY If you have a cover letter, please attach it here (PDF only)Max. file size: 2 MB.If you have a resume, please attach it here (PDF only)Max. file size: 2 MB.Digital Signature*PLEASE READ CAREFULLY BEFORE SIGNING APPLICATION I have submitted the attached form to the company for the purpose of obtaining employment. I acknowledge that the use of this form, and my filling it out, does not indicate that any positions are open, nor does it obligate the company to further process my application. My signature below attests to the fact that the information that I have provided on my application, resume, given verbally, or provided in any other materials, is true and complete to the best of my knowledge and also constitutes authority to verify any and all information submitted on this application. I understand that any misrepresentation or omission of any fact in my application, resume or any other materials, or during any interviews, can be justification for refusal of employment, or, if employed, termination from the Company’s employ. I also affirm that I have not signed any kind of restrictive document creating any obligation to any former employer that would restrict my acceptance of employment with the Company in the position I am seeking. I understand that this application is not an employment contract for any specific length of time between the Company and me, and that in the event I am hired, my employment will be “at will” and either the Company or I can terminate my employment with or without cause and with or without notice at any time. Nothing contained in any handbook, manual, policy and the like, distributed by the Company to its employees is intended to or can create an employment contract, an offer of employment or any obligation on the Company’s part. The Company may, at its sole discretion, hold in abeyance or revoke, amend or modify, abridge or change any benefit, policy practice, condition or process affecting its employees. References: I hereby authorize the company and its agents to make such investigations and inquiries into my employment and educational history and other related matters as may be necessary in arriving at an employment decision. I hereby release employers, schools, and other persons from all liability in responding to inquires connected with my application and I specifically authorize the release of information by any schools, businesses, individuals, services or other entities listed by me in this form. Furthermore, I authorize the company and its agents to release any reference information to clients who request such information for purposes of evaluating my credentials and qualifications. Temporary/Contract Employment: If employed as a temporary or contract employee, I understand that I may be an employee of the company and not of any client. If employed, I further understand that my employment is not guaranteed for any specific time and may be terminated at any time for any reason. I further understand that a contract will exist between the company and each client to whom I may be assigned which will require the client to pay a fee to the company in the event that I accept direct employment with the client, I agree to notify the company immediately should I be offered direct employment by a client (or by referral of the client to any subsidiary or affiliated company), either for a permanent, temporary (including assignments through another agency), or consulting positions during my assignment or after my assignment has ended. First Last Today's Date* MM slash DD slash YYYY Δ