Name: *

First Name

Last Name

Phone Number: *

(###)

###

####

Date available to start? *

MM

DD

YYYY

Have You Ever Been Convicted of A Felony? *

Yes

No

Are You A U.S. Citizen? *

Yes

No

If No, are you authorized to work in the U.S.?

Yes

No

Have you ever worked for ArtFX? *

Yes

No

Did you graduate? *

Yes

No

Did you graduate?

Yes

No

May we contact previous employer for reference? *

Yes

No

May we contact previous employer for reference?

Yes

No