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Partner With Us.....


Instructions: Answer all questions. Sign and date the form.

This Is Offered As A 1099 Independent Contractor Position. Not W-2

Birthday
Month
Day
Year
Position ( Check All That May Apply)
Location To Cover ( Check All That May Apply)
Are you eligible to work in the United States?
YES
NO
Do you have a New York State Barber License?
YES
NO
Have you been convicted of or pleaded no contest to a felony within the last five years?
YES
NO
Do you hereby authorize BHC Staffing Solution to investigate my background and qualifications for purposes of evaluating whether I am qualified for the position for which I am applying.
YES
NO
Start Date
Month
Day
Year
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Today’s Date
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