Application | My Massage Corner

You must have a Car, Cell Phone and Email to apply for this position

I certify that I have the following items (*)

Cell PhoneCarEmail

Invalid Input

Please Note That Items With An Asterisk Are Required To Submit The Application. Please Have All Of The Required Information Available Before You Start. Make sure you have read the Interview basics before you come in for an interview. Enter your phone number without any dashes or spaces.

Interview Basics (*)

By checking this box, I state that I have read the Interview Basics and understand that my failure to comply with them may disqualify me from an interview.

Invalid Input

Insurance (*)

I understand that this position requires that I have an OCCURRENCE FORM policy that has BOTH General and Professional Liability insurance of $2,000,000 at time of hire. (Claims Form Insurance will not be accepted- check your policy)

Invalid Input

First Name (*)

Invalid Input

Last Name (*)

Invalid Input

Street Address (*)

Invalid Input

Apt #

Invalid Input

City (*)

Invalid Input

State (*)

Invalid Input

Zip (*)

Invalid Input

Phone Number (*)

Invalid Input

Cell Phone

Invalid Input

Email Address (*)

Invalid Input

Position Applying For: (*)

Chair Massage In Whole Foods (see locations below)Outcalls

Invalid Input

Location Applying for: (*)

AventuraCoral GablesPinecrestPlantationWellingtonPalm Beach Gardens

Invalid Input

Available Days (*)

MonTuesWedThursFriSatSun

Invalid Input

MT License Number (*)

Invalid Input

Massage School Attended (*)

Invalid Input

Graduation Date (*)

Invalid Input

Massage Styles Studued (*)

Invalid Input

Please list all Massage Employment or sub-contractor work:

1) Name of Employer/Contractor (*)

Invalid Input

Address

Invalid Input

Phone (*)

Invalid Input

2) Name of Employer/Contractor

Invalid Input

Address

Invalid Input

Phone

Invalid Input

3) Name of Employer/Contractor

Invalid Input

Address

Invalid Input

Phone

Invalid Input

List 3 Business References/Clients (Do Not List Relatives)

1) Name (*)

Invalid Input

Phone

Invalid Input

Address (*)

Invalid Input

City (*)

Invalid Input

State

Invalid Input

Type of Business (*)

Invalid Input

2) Name (*)

Invalid Input

Phone (*)

Invalid Input

Address (*)

Invalid Input

City (*)

Invalid Input

State (*)

Invalid Input

Type of Business (*)

Invalid Input

3) Name (*)

Invalid Input

Phone (*)

Invalid Input

Address (*)

Invalid Input

City (*)

Invalid Input

State (*)

Invalid Input

Type of Business (*)

Invalid Input

APPLICANT STATEMENT

PLEASE READ BEFORE SIGNING: The facts set forth in this application are true and complete to the best of my knowledge. I authorize My Massage Company Inc to investigate these facts. I also authorize my former employers and anyone whom I have held a lease or contract agreement, to furnish any and all information pertaining to my work record or conditions of any agreements/lease and the reason for termination of such. I hereby release my former employers, and those I have held other agreements with, from any and all liability by furnishing this or any information requested. I understand that if I am contracted, false statements, omissions, or misleading statements on this application, regardless of time of dicovery, shall be considered sufficient cause for termination of all agreements. I agree that My Massage Company Inc, and any business that contracts with My Massage Company Inc shall not be held liable in any respect if my contract is terminated because of such omission or false or misleading statements.

Signature (*)

Invalid Input

I hereby certify that the above typed name is a true and valid signature

Todays Date (*)

Invalid Input

Click here to submit your application

My Massage Corners are located inside Whole Foods Markets in Aventura, Coral Gables, Pinecrest, Plantation, Palm Beach Gardens and Wellington.

Health Related Articles