Tenant Application Form

Application form for prospective tenants with licensing and reference checks.

TENANT APPLICATION FORM

Section 1: Personal Information

FieldResponse
Legal Name (as it appears on license)_________________________________
Business Name (if DBA)_________________________________
Current Address_________________________________
City, State, ZIP_________________________________
Phone (Primary)_________________________________
Email_________________________________
Best Time to Contact_________________________________

Emergency Contact:

FieldResponse
Name_________________________________
Relationship_________________________________
Phone_________________________________

Section 2: Professional Information

License Information:

FieldResponse
Virginia License Type[ ] Cosmetologist [ ] Esthetician [ ] Nail Technician [ ] Massage Therapist [ ] Limited Cosmetologist
License Number_________________________________
License Expiration Date_________________________________
Issuing StateVirginia (required)

Professional Background:

FieldResponse
Years in Business_________________________________
Current Work Location_________________________________
Current Salon Name_________________________________
Current Work Address_________________________________

Reason for Seeking Suite Rental: [ ] Transitioning from booth rental [ ] Currently on waitlist at another facility [ ] Seeking more independence [ ] Moving to area [ ] Starting new business [ ] Other: _________________________________

Services Offered (check all that apply):

Hair ServicesNail ServicesSkin/EstheticsMassage/Body
[ ] Haircuts[ ] Manicures[ ] Facials[ ] Swedish
[ ] Color[ ] Pedicures[ ] Waxing[ ] Deep Tissue
[ ] Highlights[ ] Acrylics[ ] Microdermabrasion[ ] Hot Stone
[ ] Perms[ ] Gel/Shellac[ ] Chemical Peels[ ] Prenatal
[ ] Relaxers[ ] Nail Art[ ] Lash Extensions[ ] Sports
[ ] Extensions[ ] Dip Powder[ ] Brow Services[ ] Other: _____
[ ] Braiding[ ] Other: _____[ ] Makeup
[ ] Other: _____[ ] Other: _____

Estimated Weekly Client Volume: _______ clients/week


Section 3: Business Information

Business Entity:

FieldResponse
Entity Type[ ] Sole Proprietorship [ ] LLC [ ] S-Corp [ ] C-Corp [ ] Partnership
Entity Name (if applicable)_________________________________
State of Formation_________________________________
EIN or SSN (for 1099 reporting)_________________________________

Insurance Information:

FieldResponse
Insurance Carrier_________________________________
Policy Number_________________________________
Professional Liability Limit$ _____________ per occurrence
General Liability Limit$ _____________ per occurrence
Policy Expiration Date_________________________________

Professional References (2-3 required):

#NameRelationshipPhoneEmail
1____________________________________
2____________________________________
3____________________________________

Section 4: Suite Preferences

Suite Size Preference:

TierSizeWeekly RatePreference
Standard~100 sq ft$285/week[ ] 1st [ ] 2nd [ ] 3rd
Plus~130 sq ft$315/week[ ] 1st [ ] 2nd [ ] 3rd
Large~160 sq ft$345/week[ ] 1st [ ] 2nd [ ] 3rd
Executive~200 sq ft$385/week[ ] 1st [ ] 2nd [ ] 3rd

Specialty Requirements (check all that apply):

RequirementNeeded
Sink/plumbing[ ] Yes [ ] No
Enhanced ventilation[ ] Yes [ ] No
Extra electrical outlets[ ] Yes [ ] No
Handicap accessible[ ] Yes [ ] No
Window/natural light[ ] Yes [ ] No
Other: _________________[ ] Yes [ ] No

Move-In Timeline:

FieldResponse
Preferred Move-In Date_________________________________
Earliest Available Date_________________________________
Latest Acceptable Date_________________________________

How did you hear about Luxa Salon Suites? [ ] Google/Online Search [ ] Social Media (Facebook, Instagram) [ ] Referral from: _________________ [ ] Drove by location [ ] Currently on waitlist at: _________________ [ ] Industry event/networking [ ] Other: _________________


Section 5: Acknowledgments

Please read and initial each statement:

_____ Independent Contractor Status I understand and acknowledge that I will be an independent contractor, not an employee of Luxa Salon Suites. I am responsible for my own taxes, insurance, and business operations.

_____ Professional License I acknowledge that I must maintain a valid Virginia cosmetology/esthetician/nail technician/massage license throughout my tenancy. I understand that a lapse in licensure constitutes a material breach of the lease agreement.

_____ Insurance Coverage I acknowledge that I must maintain professional liability insurance ($1,000,000 per occurrence) and general liability insurance ($1,000,000 per occurrence / $2,000,000 aggregate) with Luxa Salon Suites named as Additional Insured.

_____ Credit Check Authorization I authorize Luxa Salon Suites to conduct a credit check and/or background verification as part of the application review process.

_____ Reference Verification I authorize Luxa Salon Suites to contact the references provided in this application.

_____ Application Fee I understand there is a non-refundable application fee of $_______ to cover credit check and processing costs.

_____ Information Accuracy I certify that all information provided in this application is true and complete to the best of my knowledge. I understand that false or misleading information may result in denial of application or termination of lease.


Applicant Signature

By signing below, I certify that I have read, understand, and agree to the acknowledgments above.

Signature: _________________________________ Date: _____________

Printed Name: _________________________________


SCREENING CHECKLIST (Facility Use Only)

Applicant: _________________________________ Date Received: _____________

License Verification

StepStatusNotes
[ ] License verified via Virginia DPOR lookupDate: _______Verifier: _______
URL: https://www.dpor.virginia.gov/LicenseLookup
[ ] License type matches services offered
[ ] License is current (not expired/suspended)
[ ] License expiration date recordedExpires: _______
[ ] Copy of license obtained

Insurance Verification

StepStatusNotes
[ ] COI receivedDate: _______
[ ] Professional liability verified ($1M min)Amount: $_______
[ ] General liability verified ($1M/$2M)Per occ: $_______ Agg: $_______
[ ] Luxa Salon Suites named as Additional Insured
[ ] Policy is currentExpires: _______

Credit Check (if applicable)

StepStatusNotes
[ ] Credit check completedDate: _______Score: _______
[ ] Credit meets criteria
[ ] Prior evictions checked
[ ] Bankruptcies noted

Reference Verification

ReferenceContactedDateNotes
Reference 1: _____________[ ] Yes [ ] No________________________________________
Reference 2: _____________[ ] Yes [ ] No________________________________________
Reference 3: _____________[ ] Yes [ ] No________________________________________

Suite Availability

StepStatusNotes
[ ] Requested suite type availableSuite #: _______
[ ] Move-in date confirmedDate: _______
[ ] Specialty requirements met

Application Decision

DecisionDateApproved By
[ ] APPROVED______________________________________________
[ ] APPROVED WITH CONDITIONS______________________________________________
[ ] DENIED______________________________________________
[ ] PENDING ADDITIONAL INFO______________________________________________

Conditions (if applicable):


Denial Reason (if applicable):


Next Steps (if approved)

StepTarget DateCompleted
[ ] Send approval notificationDate: _______
[ ] Schedule lease signingDate: _______
[ ] Prepare suite for move-inDate: _______
[ ] Create tenant fileDate: _______
[ ] Add to tracking systemDate: _______

Reviewed By: _________________________________ Date: _____________

Notes:





This document is part of Luxa Salon Suites tenant onboarding system. Phase 10: Operations Design - Tenant Onboarding

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