Employment Application

Personal Information

First Name*

Last Name*

Home Address*

City*

State*

Zip*

Home Phone*

Business Phone

May we contact you at work?

Position Applying For*

Location Applying For*

Date Available*

If you are under 18 years of age, please state your date of birth. (No one under the age of 18 may be hired)

Are you interested in (check all that apply)*

Days Available (check all that apply)*

Availability
Hours Monday

Hours Tuesday

Hours Wednesday

Hours Thursday

Hours Friday

Hours Saturday

Hours Sunday

Are you willing to relocate?

Are you willing to travel?

What percent?

How were you referred to Priscilla McCall's?

Education

High School

School Name

School Address

School City

School State

School Zip

Degree/Area of Study

Years Attended

Graduated?

College

School Name

School Address

School City

School State

School Zip

Degree/Area of Study

Years Attended

Graduated?

Graduate School

School Name

School Address

School City

School State

School Zip

Degree/Area of Study

Years Attended

Graduated?

Other

School Name

School Address

School City

School State

School Zip

Degree/Area of Study

Years Attended

Graduated?

US Military Service

Branch of Service

Technical Specialization

Rank Attained

Legal

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

Are you a U.S. Citizen?

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

Were you ever discharged by any company?

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?

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.

Employment Position 1

From Date

Employer Name

Employer Address

Employer City

Employer State

Employer Zip

Employer Phone

Supervisor

Job Title

List Major Duties

Starting Salary or Wages

Final Salary or Wages

Reason for Leaving

Employment Position 2

From Date

Employer Name

Employer Address

Employer City

Employer State

Employer Zip

Employer Phone

Supervisor

Your Job Title

List Major Duties

Starting Salary or Wages

Final Salary or Wages

Reason for Leaving

Employment Position 3

From Date

Employer Name

Employer Address

Employer City

Employer State

Employer Zip

Employer Phone

Supervisor

Your Job Title

List Major Duties

Starting Salary or Wages

Final Salary or Wages

Reason for Leaving

Employment Position 4

From Date

Employer Name

Employer Address

Employer City

Employer State

Employer Zip

Employer Phone

Supervisor

Your Job Title

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?

Name

Location

City

State

Supervisor

Position Held

Dates Employed From

Reason for Leaving

References

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

Name

Title

Work Phone

Address

Years Known

Name

Title

Work Phone

Address

Years Known

Name

Title

Work Phone

Address

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.*