Employment

Personal Information

Last Name*

Please enter a Last Name

First Name*

Please enter a First Name

Middle Name

Home Address*

Please enter a Home Address

City*

Please enter a City

State*

Please enter a State

Zip*

Please enter a Zip

Home Telephone*

Please enter a Home Telephone

Business Telephone

May we contact you at work?

Yes No

Position Applying For*

Please enter a Position Applying For

Store Location Applying For*

Please enter a Store Location Applying For

Date Available*

Please enter a Date Available

Education

High School

School Name

School Address

School City

School State

Please enter a School State

School Zip

Degree/Area of Study

Number of Years Attended

Graduated?

Yes No

College

School Name

School Address

School City

School State

Please enter a School State

School Zip

Degree/Area of Study

Number of Years Attended

Graduated?

Yes No

Graduate School

School Name

School Address

School City

School State

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School Zip

Degree/Area of Study

Number of Years Attended

Graduated?

Yes No

Other

School Name

School Address

School City

School State

Please enter a School State

School Zip

Degree/Area of Study

Number of Years Attended

Graduated?

Yes No

U.S. Military Service

Branch of Service

Technical Specialization

Rank Attained

Legal

Are you a U.S. Citizen?

Yes No

If no, do you have a legal right & necessary documents to work in the U.S.?

Yes No

(Identity and employment of all new hires will be verified as required by the Immigration Reform and Control Act of 1986.)

Were you ever discharged by any company?

Yes No

If yes, give name of company(ies)

Reason for discharge

Have you ever been convicted of a crime or negotiated an outcome to a criminal charge in order to avoid prosecution?

Yes No

If Yes, please explain

Employment History

List employment starting with your most recent position. Account for any time during this period that you were unemployed by stating the nature of your activities.

Please indicate if you were employed under a different name.

May we contact your present employer?

Employment Position 1

From Date

Please enter a From Date

Please enter a value

Please enter a To

Please enter a value

Employer Name

Employer Address

Employer City

Employer State

Please enter a Employer State

Employer Zip

Employer Phone

Your Job Title

Supervisor

List Major Duties

Starting Salary or Wages

Final Salary or Wages

Reason for Leaving

Employment Position 2

From Date

Please enter a From Date

Please enter a value

Please enter a To

Please enter a value

Employer Name

Employer Address

Employer City

Employer State

Please enter a Employer State

Employer Zip

Employer Phone

Your Job Title

Supervisor

List Major Duties

Starting Salary or Wages

Final Salary or Wages

Reason for Leaving

Employment Position 3

From Date

Please enter a From Date

Please enter a value

Please enter a To

Please enter a value

Employer Name

Employer Address

Employer City

Employer State

Please enter a Employer State

Employer Zip

Employer Phone

Your Job Title

Supervisor

List Major Duties

Starting Salary or Wages

Final Salary or Wages

Reason for Leaving

Employment Position 4

From Date

Please enter a From Date

Please enter a value

Please enter a To

Please enter a value

Employer Name

Employer Address

Employer City

Employer State

Please enter a Employer State

Employer Zip

Employer Phone

Your Job Title

Supervisor

List Major Duties

Starting Salary or Wages

Final Salary or Wages

Reason for Leaving

Have you previously worked at Priscilla McCall's or any of its subsidiaries or franchises?

Yes No

Name

Location

City

State

Please enter a State

Position Held

Supervisor

Dates Employed From:

Reason for Leaving

References

Business references: (do not list relatives)
(please indicate if you were employed under a different name)

Name

Address

Work Phone

Title

Years Known

Please enter a Years Known

Name

Address

Work Phone

Title

Years Known

Please enter a Years Known

Name

Address

Work Phone

Title

Years Known

Please enter a Years Known

Please read carefully

In submitting this application for employment, I understand that an investigation may be made whereby information is obtained regarding my character, previous employment, general reputation, educational background, credit report and/or criminal history. I authorize anyone possessing this information to furnish it to Priscilla McCall's and/or a 3rd party company upon request, and I release anyone so authorized: Priscilla McCall's, and any 3rd party company from all liability and damages whatsoever in furnishing, obtaining, or using said information.

In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in immediate dismissal. I understand, also, that I am required to abide by all rules and regulations of Priscilla McCall's.

I understand and agree that if employed, the employment will be "at will," Which means that either I or Priscilla McCall's may end the employment relationship at any time, for any reason, or for no reason. I understand that receipt of this application by Priscilla McCall's does not imply employment and that this application and/or other Priscilla McCall's documents are not contracts of employment.

By checking this checkbox, I indicate that I have read and understood the terms listed above.