Application to work Whitney Wreath600 Harrington Rd. PO Box 157 Whitneyville, ME 04654 Phone 207-255-5857 Fax 207-255-5875Personal Information Last Name* First Name* Email* Mailing Address* City* State* Zip* Phone* Do you have the right to work in the U.S.? YesNoAre you 16 or older? YesNoBirthdate Full or part-time? FullPart-time Requested Position Disclaimer: by submitting, I certify that the above information, to the best of my knowledge, is correct. I understand that falsification of this information may prevent me from being hired or cause my dismissal if hired. I also give my consent for previous employers to be contacted regarding work records.I Agree
