Careers – ZEN Chair Massage.com

Contractor Application

Unitade State

arrgof7828@gmail.com

+9847456

First Name

Last Name

Street Address

City

State

Zip Code

Nearest Metro Area

Cell Phone

Secondary Phone

E-Mail Address

Company Name (optional)

What type of service provider are you?

Insurance & Licensing (if applicable)

Liability Insurance Provider

Professional License

Liability Insurance Policy #

License Number

Liability Insurance Exp Date

License Exp. Date

Professional References

Reference #1

Reference #2

Phone Number

Relationship

miscellaneous

How many total hours of professional training have you had?

Have you had specific training in Chair Massage?

How many years have you been practicing?

Can you provide all the necessary equipment & supplies?

Do you have your own practice and/or do you provide services for other companies or individuals?

Additional Comments