Mobility Salon Squad Membership Application Form

Step 1 of 3

This field is for validation purposes and should be left unchanged.

Application to Receive Appointment Booking Offers

Open to Independent Contractors Interested in a "Side Hustle"

Which of these areas are you interested in:(Required)

Nassau County

Suffolk County

Nassau and Suffolk County

Name(Required)

First Last

Your Location(Required)

City State

Email(Required)

Cell(Required)

Year of Birth(Required)

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

Do you have a smartphone?(Required)

Yes

Can you accept text messages? (SMS)(Required)

Yes

Are you currently a Salon owner?(Required)

Yes

Do you have, own, or lease a reliable vehicle?(Required)

Yes

Do you have a valid Driver's License?(Required)

Yes

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

Are you authorized to work legally in the United States?(Required)

Yes

Have you ever been convicted of a felony or misdemeanor?(Required)

Yes

If you answered "Yes", please explain:(Required)

Do you agree to a background check?(Required)

Yes

Areas of Expertise and Related Information

Area(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

Please provide a link to your posted photos.

Are you licensed or certified in your field(s) of expertise?(Required)

Yes

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

Do you work well with the elderly?(Required)

Yes

Do you work well with the disabled?(Required)

Yes

Hair Designer / Colorist

Do you work well with all hair types?(Required)

Yes

What hair types do you NOT work well with?

Do you work well with ethnic hair?(Required)

Yes

Nail Technician

Are you proficient with:

Acrylics

Dip Powder

Gel Color Polish

Hair Removal

Are you proficient at Waxing?(Required)

Yes

Are you currently fully equipped to perform on-site waxing services?(Required)

Yes

Are you proficient at Threading?(Required)

Yes

Esthetician

Are you fully equipped to perform facials on-site?

Yes

Massage Therapist

Are you currently fully equipped to perform on-site Massage services?

Yes

References

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 License

Max. file size: 50 MB.

Resume

Max. file size: 50 MB.

Portfolio or Photos of your work if you have not supplied website url.

Drop files here or

Max. file size: 50 MB.

Cosmetology License and/or other License or Certification

Drop files here or

Max. file size: 50 MB.

Squad Application

Application to Receive Appointment Booking Offers

Areas of Expertise and Related Information

Hair Designer / Colorist

Nail Technician

Hair Removal

Esthetician

Massage Therapist

References

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