Lease Application

URL
This field is for validation purposes and should be left unchanged.
Applicant information
Applicant name(Required)
First name Last name
Applicant social security number(Required)
Applicant birth date(Required)
MM slash DD slash YYYY
Applicant current address(Required)
Street Address City State / Province / Region ZIP / Postal Code Country
Applicant email(Required)
Applicant home phone(Required)
Emergency contact name
First name Last name
Emergency contact relationship
Emergency contact email
Emergency contact phone
Texas Driver Licence #(Required)
State / Province
Provider Type
Provider Type(Required)
- Hairstylist
- Esthetician
- Barber
- Cosmetologist
- Manicurist
- Massage Therapist
Professional License number(Required)
Number of client currently served(Required)
Work History

Nested form Work History

Employer name	Employer address	Employer phone number	Position held	Employment date start	Employment date end	Monthly gross salary	Supervisor name	Supervisor title	Weekly Booth Rent (If Applicable)	Commission pay (If Applicable)	Actions

There are no work history.

Your Business Information (If Applicable)
Business Names
Federal Tax ID
Please list any other licenses you may have (salon license, mini salon license, booth rental license, barber license, barbershop license, mini barbershop license, etc)
Criminal History

If your response to any of the following three questions is YES, In the space provided give the date, place and nature of each such conviction or pending charge. (The existence of a conviction or pending charge will not necessarily preclude you from contracting service. The nature of the crime and its relationship to the position applied for, the degree of rehabilitation and the time elapsed since the crime or release form confinement will all be considered). If the answes to all of the questions is NO, then please type" NONE" in the the explanation section. (Explain)
Have you been convicted of or plead guilty to any criminal felony offense?(Required)
- Yes
- No
Have you been released from confinement following a conviction for any criminal felony offences?(Required)
- Yes
- No
Are you presently charged with any felony violations of law?(Required)
- Yes
- No
Explain all Yes answers here. If all answers above are NO, just type None here.(Required)
Referred By
Referred by
Professional References

Professional References

Name	Phone Number	Address	Actions

There are no professional references.

ACKNOWLEDGEMENT AND CONSENT STATEMENT(Required)
I hereby state that the information given by me in this application is true in all respects. I hereby authorize my former employers and professional references listed in the application to release information pertaining to my work record, my work ethics, general reputation, and my personal character and mode of living (lifestyle). In connection with my application for tenancy at Image Salon Studios, consumer reports (credit and criminal background) will be requested. I AUTHORIZE, WITHOUT RESERVATION, ANY PARTY OR AGENCY CONTACTED BY THE CONSUMER REPORTING AGENCY TO OBTAIN AND FURNISH THE ABOVE-MENTIONED INFORMATION. I HEREBY AUTHORIZE PROCUREMENT OF CONSUMER REPORT(S) AND INVESTIGATIVE CONSUMER REPORT(S). If approved for tenancy, this authorization shall remain on file and shall serve as ongoing authorization for you to procure consumer reports at any time during my tenancy period.
Name(Required)
First Last
Consent(Required)
By submitting this application I am giving Image Salon Studios permission to run a background check on myself and any cosigners.
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