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CA
ND
Y S
TO
RE
CANDY
CHOCOLATES
FUDGE
GENERAL STORE
Books
Cell Phone Accessories
Everything Edible
General Store Staples
Gifts
Handmade Products
Kitchen
Natural Remedies
New England Souvenirs
Pocket Tools
Puzzles
Soaps
Tea
Toys & Accessories
COLLECTIBLES
Byers' Choice Carolers
Secondary Market
Curbside pickup is still available.
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CA
ND
Y S
TO
RE
CANDY
CHOCOLATES
FUDGE
GENERAL STORE
Books
Cell Phone Accessories
Everything Edible
General Store Staples
Gifts
Handmade Products
Kitchen
Natural Remedies
New England Souvenirs
Pocket Tools
Puzzles
Soaps
Tea
Toys & Accessories
COLLECTIBLES
Byers' Choice Carolers
Secondary Market
OPEN for regular business hours
Wayside Country Store Employment Form
Download PDF Application
WAYSIDE COUNTRY STORE EMPLOYMENT APPLICATION
AN AFFIRMATIVE ACTION/EQUAL OPPORTUNITY EMPLOYER
Year round employment. We do not hire just summer or holidays
Date:
Last Name:
First Name:
Middle Initial:
Email Address:
Home Phone Number:
Cell Phone Number:
Street
City
State
Zip Code
Are you over the age of 14?
Yes
No
Are you a previous applicant?
Yes
No - If yes When?:
Where?:
Are you a previous employee of the Wayside Country Store?
Yes
No - If yes From?:
To?:
Are you a citizen or an alein legally authorized to work in the United States?
Yes
No - If NO - When?:
Where?:
(if hired, you must be able to submit verification of your identity and legal right to work in the United States.)
Position Applied For:
Part Time
Full Time
(Wayside Country Store will endeavor to make a reasonable accommodation to the known physical and mental limitations of a qualified applicant or employee with a disability unless the accommodation would impose an undue hardship on the operation of the business).
Wages Required?
Amount per hour:
or Amount per week:
Normal Store Hours:
Mon-Sun 10am to 5pm
Please check box next to all the days and type in the hours that you can work:
(It is necessary to identify, at this tie, restrictions to availability that are because of religious observances)
Monday
Time:
Tuesday
Time:
Wednesday
Time:
Thursday
Time:
Friday
Time:
Saturday
Time:
Sunday
Time:
Referred by:?
Self
Store Sign
Employee
Advertisement
School
Friend
Other - State if Other:
Please list any relatives currently employed at Wayside Country Store
(It is our policy to avoid Nepotism or other conflicts of interest that are business-related.)
FOR APPLICANTS FOR POSITIONS LOCATED IN MASSACHUSETTS ONLY:
Have you ever been convicted of a felony?
Yes
No
Within the last 5 years, have you been convicted of, or released from incarceration for a misdemeanor which was not a first offense for drunkenness, simple assault speeding, a minor traffic violation, and affray, or disturbing the peace?
Yes
No
PLEASE NOTE:
A Conviction will not necessarily be a bar to employment. To help us evaluate your application, please describe the nature of the crime(s), when it occurred and your subsequent rehabilitation.
Name of responsible party in case of emergency
Name:
Relationship:
Phone:
What year are you in school?
Are you able to work after school?
Yes
No
Are you able to work weekends?
Yes
No
Are you able to work holidays?
Yes
No
Are you currently employed?
Yes
No
Company Name:
Phone:
Contact Person:
Starting Salary:
Major Duties:
Reason for Leaving:
Do you know any one presently employed at Wayside Country Store?
Yes
No
Who:
Personal Reference (Not related to you)
Name:
Phone #:
Name:
Phone #:
Name:
Phone #:
Anything else you would like to add:
IMPORTANT: READ CAREFULLY
Information contained in this application is correct to the best of my knowledge and I understand that falsification and / or omission of this information may result in dismissal in accordance with the company policy. The company in considering my application for employment may verify the information set forth on this application and obtain additional information relating to my background. I authorize all persons, schools, companies, corporations, credit bureaus and law enforcement agencies to supply any information concerning my background, and release all parties from all liability for any demage that my first 30 days of employment is considered to be a probationary period, and thereafter at will, during which time my employment and compensation can be terminated, with or without any notice, at any time, at the option of either the company or myself.
I ACKNOWLEDGE THAT I HAVE READ AND UNDERSTAND THE ABOVE
Applicant's Signature:
Date:
Please enter the following code into the box provided: