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. Step 1 of 13 0% You are applying for Mobility Salon Squad Membership serving which of these and surrounding areas:*Nassau CountySuffolk CountyNassau and Suffolk CountyName* First Last Email* Address* Street Address City ZIP Code State*Phone*Cell*Date of Birth* Please provide a general idea of what days of the week you will have availability for appointment bookings? (You can make multiple selections.)*The Mobility Salon Squad operates 24/7. You can schedule your availability around your personal lifestyle and other commitments. This will not be considered to be your final schedule, just an idea of your general availability. Monday Tuesday Wednesday Thursday Friday Saturday Sunday What is your approximate availability for appointment bookings? (You can make multiple selections.)*The Mobility Salon Squad operates 24/7. You can schedule your availability around your personal lifestyle and other commitments. This will not be considered to be your final schedule, just an idea of your general availability. Very Early Morning - 4:01-6am Early Morning - 6:01am-8am Morning - 8:01am-10am Early Afternoon - 10:01-noon Afternoon - 12:01pm-2pm Late Afternoon - 2:01pm-4pm Early Evening - 4:01pm-6pm Evening - 6:01pm-8pm Late Evening - 8:01pm - 10pm Night - 10:01pm - 12:am Late Night - 12:01am - 2am After Hours - 2:01am - 4am Do you have a smartphone?*YesNoCan you accept text messages? (SMS)*YesNoDo you have a computer?* Laptop iPad / Tablet Desktop Computer Do you have internet service?*YesNoAre you familiar with Skype?*MobilitySalon.com uses Skype for some Mobility Salon Squad Member communications, including Squad Membership Applicant Interviews and Demos.YesNoDo you have a Skype account?*YesNoWhat is your Skype Contact Name?*Do you have a website?*YesNoYour Website URL is:*Are you familiar with the MindBody booking system?*YesNoDo you have experience with the MindBody booking system?*YesNoAre you currently a Salon owner?*YesNo Do you have, own, or lease a reliable vehicle?*YesNoYear / Make / Model*Do you have a valid Driver's License?*YesNoFrom what State is your Driver's License?*What is your Driver's License #?*MobilitySalon.com must have this information to do a background check.Do you speak English fluently?*YesNoWhat other languages are you fluent in?Are you authorized to work legally in the United States?*YesNoHave you ever been convicted of a felony or misdemeanor?*YesNoIf you answered "Yes", please explain:*Do you agree to a background check?*YesNoThe Mobility Salon Squad has a no drug or alcohol policy during your scheduled hours. If you are accepted as a Member, do you agree to comply?*YesNo Areas of Expertise and Related InformationWhat 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.Hair DesignerHair ColoristNail TechnicianMassage TherapistEstheticianHair RemovalMake-up ArtistSpray Tanning TechnicianPlease list where you have studied / what year(s)*Are you licensed or certified in your field(s) of expertise?*YesNoWhat 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?*YesNoDo you work well with teens?YesNoDo you work well with the elderly?*YesNo Hair DesignerDo you work well with all hair types?*YesNoDo you work well with ethnic hair?*YesNoHave you worked with any organic hair product lines, and if so, which?*Do you currently personally stock any organic hair product lines?*YesNoWhat 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?*YesNoHAIR 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 ColoristDo you work well with ethnic hair?*YesNoHave you worked with any organic hair color product lines, and if so, which?*Do you currently personally stock any organic hair color product lines?*YesNoWhat 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?*YesNoHAIR 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 ($)Highlights ($) - FullSingle Process ($) (does not include blowout and style) Nail TechnicianAre you proficient at Reflexology?*YesNoAre you willing to learn Reflexology using free educational materials provided by MobilitySalon.com?*YesNoDo you currently personally stock any 5-free nail polish lines?*YesNoWhich 5-free nail polish line(s) do you personally stock?*Are you familiar with the CND Vinylux nail polish line?*YesNoAre you willing to switch to a Mobility Salon Squad approved, 5-free nail polish line?*YesNoNAIL SERVICES - Please enter the amount you would like to earn for each service.Just enter the number - no dollar sign - i.e. enter 20 for 20 dollars)Full Service Manicure ($)Full Service Pedicure ($) Make-up ArtistDo you currently personally stock any organic make-up lines?*YesNoMAKE-UP ARTISTRY - Please enter the amount you would like to earn for each service.Just enter the number - no dollar sign (i.e. enter 20 for 20 dollars)Make-up Application ($)*Make-up Lesson ($) (Day Look plus Night Look - 90 minutes)*Bride's Make-up ($)* Spray Tanning TechnicianDo you currently personally stock any organic Spray Tanning product lines?*YesNoWhich organic Spray Tanning product lines do you stock?*Are you willing to switch to a Mobility Salon Squad approved, organic spray tanning product line?*YesNoAre you currently fully equipped to perform on-site tanning services, including a tanning tent?*YesNoSPRAY 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 RemovalAre you proficient at Waxing?*YesNoWhat is your preferred brand of wax?*Are you currently fully equipped to perform on-site facial waxing services?*YesNoAre you proficient at Threading?*YesNoWAXING & 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* EstheticianWhat 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 TherapistMASSAGE - 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 LicenseResumePortfolio 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 EmailThis field is for validation purposes and should be left unchanged.