Fantasia Parties

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Consultant Application Form

Fill out the form below, and we'll be well on our way! Click on "SEND" when you're done. I'll phone you, within a couple of days at most, to confirm your application. Upon your accecptance in our training class we will send you out a pre-training information package, with all the information you will need for your training class.

Full Name: Today's Date:

Address: Apt:

City: Postal Code:

Telephone #: Birthdate: Marital Status:

Email Address:

Do you? OWN RENT BOARD How Long at This Address:

Previous Address: City:

Did you? OWN RENT BOARD How Long at This Address:

Spouse's Name: His Occupation:

His Employer: His Work Phone:

His Annual Salary:

Languages Spoken: Social Insurance Number:

Do you own a car?: Make/Model/Year:

Your Driver's License #: How long have you driven:

Name of your bank: Address/City:

In case of emergency, please notify the following person,
who is not living at the same address as me:

Name: Address:

City: Phone #: Relationship:

Upon investigation of my credit history, my credit rating should be:
POOR FAIR GOOD VERY GOOD EXCELLENT

Have you, or your spouse, declared personal
or business bankruptcy in the past 5 years?:

My Guarantor's Name Is: Relationship:

Your past employment starting with the most recent and listing backwards:

Present or Last Employer:

Address: City: Phone:

From: To: Salary: Position:

Name of Supervisor: Duties:

Reason for Leaving:

Previous Employer:

Address: City: Phone:

From: To: Salary: Position:

Name of Supervisor: Duties:

Reason for Leaving:

May we contact these employers? YES NO
If not, please indicate which ones you do not want contacted:

Personal References (Family and friends that you know)

Name: Address:

City: Phone #: Relationship:

Name: Address:

City: Phone #: Relationship:

Name: Address:

City: Phone #: Relationship:

The facts set forth in this application are true and complete.
I authorize investigation of all statements contained in this application.
I understand that by filling in this form that it constitutes my legal signature,
for the purposes of this application.

Signed: Date: