Employment Application

Towle’s Corner Store is a retail business that is open 365 days a year and open 5:00am to - 9:00pm most days. If you are unwilling or unable to consistently work at least ONE shift on a Friday night, or Saturday, or Sunday, please do not apply.

Applicant Information

First Name:

Middle Name:

Last Name:

Address:

City:

State:

Zip:

Phone:

Mobile Phone:

Email:

I acknowledge that if employed I will be required to receive my biweekly paycheck as Direct Deposit and will use my email account to receive my paystub.

Education

High School (Name + Location):

From:

To:

Did you graduate?

Subjects Studied:

College / University (Name + Location):

From:

To:

Did you graduate?

Subjects Studied:

Other (Name + Location):

From:

To:

Did you graduate?

Subjects Studied:

References

Reference Name:

Relationship:

Phone:

Reference Name:

Relationship:

Phone:

Reference Name:

Relationship:

Phone:

Previous Employment

Employer Name + Address:

Job Title:

Salary:

From:

To:

Reason For Leaving:

May we contact this employer for a reference?

Contact Phone:

Employer Name + Address:

Job Title:

Salary:

From:

To:

Reason For Leaving:

May we contact this employer for a reference?

Contact Phone:

Employer Name + Address:

Job Title:

Salary:

From:

To:

Reason For Leaving:

May we contact this employer for a reference?

Contact Phone:

Disclaimer & Verification

By entering my initials below, I certify that my answers are true and complete to the best of my knowledge. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.

Initials:

Date:

If you're not a robot, what is 900 + 52?

Location

Towle's Corner Store
36 Main St.
PO Box 813
Dixfield, ME 04224

Contact

Phone: (207) 562-8130
Email: ctowle@hotmail.com

Store Hours:
Mon - Sun, 5:00am - 9:00pm

Site Map

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