Mobility Salon Squad Membership Application Form - MobilitySalon.comMobilitySalon.com

Mobility Salon Squad Membership Application

Online Application Form for Mobility Salon Squad Membership.
(Membership is open to Independent Contractors only)

Depending on the Areas of Expertise you select, the Progress Bar below may show that you've skipped Steps or you may be presented with blank pages. Disregard this, it is due to Areas of Expertise being skipped if you haven't selected them.

You are applying for Mobility Salon Squad Membership serving which of these and surrounding areas:*
- Nassau County
- Suffolk County
- Nassau and Suffolk County
Name*
First Last
Email*
Address*
Street Address City ZIP Code
State*
Phone*
Cell*
Date of Birth*

Areas of Expertise and Related Information
What is / are your area(s) of expertise:*
Select all areas of expertise by clicking in entry field to select each of your area(s) of expertise.
Please list where you have studied / what year(s)*
Are you licensed or certified in your field(s) of expertise?*
- Yes
- No
What type of License or Certification do you have?*
What is your Cosmetology License or Certification #?*
In what year were you first licensed or certified?*
In what State(s) are you licensed or certified?*
Do you carry General Liability Insurance?*
- Yes
- No
Do you work well with teens?
- Yes
- No
Do you work well with the elderly?*
- Yes
- No

Hair Designer
Do you work well with all hair types?*
- Yes
- No
Do you work well with ethnic hair?*
- Yes
- No
Have you worked with any organic hair product lines, and if so, which?*
Do you currently personally stock any organic hair product lines?*
- Yes
- No
What hair product lines do you personally stock?*
Are you willing to switch to a Mobility Salon Squad approved, eco-friendly, organic, and Vegan, hair product line?*
- Yes
- No
HAIR DESIGN SERVICES - Please enter the amount you would like to earn for each service.
Just enter the number - no dollar sign ( i.e. enter 30 for 30 dollars) If you don't provide the service, leave it at 0.
Cut ($) - (includes haircut, shampoo, blow-out)
Updo ($) (does not include shampoo and blow-out)
Bride's Updo ($) (includes shampoo and blow-out)
Keratin Straightening Treatment ($)

Hair Colorist
Do you work well with ethnic hair?*
- Yes
- No
Have you worked with any organic hair color product lines, and if so, which?*
Do you currently personally stock any organic hair color product lines?*
- Yes
- No
What hair color product lines do you personally stock?*
Are you willing to switch to a Mobility Salon Squad approved, eco-friendly, organic, and Vegan, hair color product line?*
- Yes
- No
HAIR COLOR SERVICES - Please enter the amount you would like to earn for each service.
For $ just enter the number - no dollar sign ( i.e. enter 30 for 30 dollars) If you don't provide the service, leave it at 0.
Double Process ($)
Highlights ($) - Full
Single Process ($) (does not include blowout and style)

Make-up Artist
Do you currently personally stock any organic make-up lines?*
- Yes
- No
MAKE-UP ARTISTRY - Please enter the amount you would like to earn for each service.
Just enter the number - no dollar sign (i.e. enter 20 for 20 dollars)
Make-up Application ($)*
Make-up Lesson ($) (Day Look plus Night Look - 90 minutes)*
Bride's Make-up ($)*

Spray Tanning Technician
Do you currently personally stock any organic Spray Tanning product lines?*
- Yes
- No
Which organic Spray Tanning product lines do you stock?*
Are you willing to switch to a Mobility Salon Squad approved, organic spray tanning product line?*
- Yes
- No
Are you currently fully equipped to perform on-site tanning services, including a tanning tent?*
- Yes
- No
SPRAY TANNING - Please enter the amount you would like to earn for this service.
Just enter the number - no dollar sign - i.e. enter 20 for 20 dollars)
Spray Tanning ($)*

Hair Removal
Are you proficient at Waxing?*
- Yes
- No
What is your preferred brand of wax?*
Are you currently fully equipped to perform on-site facial waxing services?*
- Yes
- No
Are you proficient at Threading?*
- Yes
- No
WAXING & THREADING - Please enter the amount you would like to earn for each service.
Just enter the number - no dollar sign - i.e. enter 20 for 20 dollars)
Brow Waxing*
Brow Threading*

Esthetician
What types of facials / body treatments do you specialize in, and what would you like to earn for each service?
What skin care line(s) do you prefer?*

Massage Therapist
MASSAGE - Please enter the amount you would like to earn for each service.
Just enter the number - no dollar sign - i.e. enter 20 for 20 dollars)
20 Minute Neck and Shoulder Massage*
60 Minute Full Body Massage*

Please provide 3 business or personal references with contact info. (No family members, please.)*
Please upload the following files which will be attached to your Membership Application.
Driver's License
Resume
Portfolio or Photos of your work if you have not supplied website url.
Drop files here or
Cosmetology License and/or other License or Certification
Drop files here or
Name
This field is for validation purposes and should be left unchanged.

Mobility Salon Squad Membership Application

Step 1 of 13

Areas of Expertise and Related Information

Hair Designer

HAIR DESIGN SERVICES - Please enter the amount you would like to earn for each service.

Hair Colorist

HAIR COLOR SERVICES - Please enter the amount you would like to earn for each service.

Nail Technician

NAIL SERVICES - Please enter the amount you would like to earn for each service.

Make-up Artist

MAKE-UP ARTISTRY - Please enter the amount you would like to earn for each service.

Spray Tanning Technician

SPRAY TANNING - Please enter the amount you would like to earn for this service.

Hair Removal

WAXING & THREADING - Please enter the amount you would like to earn for each service.

Esthetician

Massage Therapist

MASSAGE - Please enter the amount you would like to earn for each service.

Please upload the following files which will be attached to your Membership Application.