STORE LOCATION
Please select a store location
Columbia
Concordia
Grain Valley
Marshall
Oak Grove
Odessa
PERSONAL INFORMATION
Name
Social Security Number
Address
City
State
Zip Code
Phone Number
Referred By: (If Applicable)
EMPLOYMENT DESIRED
Position
Date you can start
Salary Desired
Are you legally authorized to work in the US?
Are you employed now?
If so, may we inquire of your present employer?
Ever applied to Patricia's before?
Where?
When?
EDUCATION HISTORY
Name & Location of School
Years Attended
Did You Graduate?
High School
College
Trade or Business School
GENERAL INFORMATION
Subjects of Special Study
Special Training
Special Skills
Military Services
Rank
FORMER EMPLOYERS (list, beginning with the most recent at the top)
Name & Address of Employer
Start Date - End Date
Position & Salary
Reason for Leaving
Email:
Zip Code:
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