Mobility Salon Squad Membership Application Online Application Form for Mobility Salon Squad Membership. (Membership is open to Independent Contractors only) Step 1 of 3 0% What type of work are you applying for:(Required)If you are interested in both Mobile and Salon work, check both of them. Mobile Salon in Medford, NY You are applying for Mobility Salon Squad Membership serving which of these and surrounding areas:(Required) Nassau County Suffolk County Nassau and Suffolk County Name(Required) First Last Your Location(Required) 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 Email(Required) Cell(Required)Year of Birth(Required) Have you been vaccinated against COVID-19?(Required) Yes No Please provide a general idea of what days of the week you will have availability for appointment bookings? (You can make multiple selections.)(Required)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.)(Required)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. Early Morning - 6:00am-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 Do you have a smartphone?(Required) Yes No Can you accept text messages? (SMS)(Required) Yes No Do you have experience with the MindBody Scheduling & Booking system?(Required) Yes No Are you currently a Salon owner?(Required) Yes No Do you have, own, or lease a reliable vehicle?(Required) Yes No Do you have a valid Driver's License?(Required) Yes No From what State is your Driver's License?(Required) What is your Driver's License #?(Required)MobilitySalon.com must have this information to do a background check. Do you speak English fluently?(Required) Yes No Are you authorized to work legally in the United States?(Required) Yes No Have you ever been convicted of a felony or misdemeanor?(Required) Yes No If you answered "Yes", please explain:(Required)Do you agree to a background check?(Required) Yes No The 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?(Required) Yes No Areas of Expertise and Related InformationArea(s) of Expertise(Required)Select all areas of expertise for which you would like to be booked. Hair Designer Hair Colorist Nail Technician Massage Therapist Esthetician Hair Removal Make-up Artist Please list where you have studied / what year(s)(Required)Do you have photos of your work posted online?(Required) Yes No Please provide a link to your posted photos. Are you licensed or certified in your field(s) of expertise?(Required) Yes No What type of License or Certification do you have?(Required) What is your Cosmetology License or Certification #?(Required) In what year were you first licensed or certified?(Required) In what State(s) are you licensed or certified?(Required) Do you carry General Liability Insurance?(Required) Yes No Do you work well with teens? Yes No Do you work well with the elderly?(Required) Yes No Hair Designer / ColoristDo you work well with all hair types?(Required) Yes No What hair types do you NOT work well with? Do you work well with ethnic hair?(Required) Yes No Nail TechnicianAre you proficient at Reflexology?(Required) Yes No Hair RemovalAre you proficient at Waxing?(Required) Yes No Are you currently fully equipped to perform on-site waxing services?(Required) Yes No Are you proficient at Threading?(Required) Yes No Do you do Brazilian?(Required) Yes No EstheticianAre you fully equipped to perform facials on-site?(i.e. are you equipped with a portable table, steamer, etc.)What skin care line(s) do you prefer?(Required)Massage TherapistAre you currently fully equipped to perform on-site Massage services?(i.e. are you equipped with a portable table, towels, hot stones, etc.)Please provide 3 business or personal references with contact info. (No family members, please.)(Required)Please upload the following files which will be attached to your Membership Application.Driver's LicenseMax. file size: 8 MB.ResumeMax. file size: 8 MB.Proof of COVID-19 Vaccination(s)Max. file size: 8 MB.Portfolio or Photos of your work if you have not supplied website url. Drop files here or Select files Max. file size: 8 MB. Cosmetology License and/or other License or Certification Drop files here or Select files Max. file size: 8 MB. NameThis field is for validation purposes and should be left unchanged.