TIME MACHINE ANTIQUE MALL, LLC
190 Mid Rivers Center
St. Peters, MO 63376
636-970-0190
www.timemachineAM.com
timemachineAM@outlook.com


APPLICATION FOR EMPLOYMENT
Print out, complete, and email it to the above address

Please note: you must be over 21 years of age to work here

PERSONAL INFORMATION 

Date of Application:__________________
 

Name_______________________________________________________________________
                      Last                                         First                                        Middle

Address: ____________________________________________________________________________
                                 Street                              (Apt)                      City/State                           Zip

Alternate Address:_____________________________________________________________________
                                     Street                                           City/State                                          Zip

Contact Information: (_____)____________________(_____)______________________ 
                                   Home Telephone                          Cell 

Email: ________________________________________________________________
 

How did you learn about Time Machine Antique Mall?

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________
 

Position sought: __________________________________________________
 

Available start date: ____________________
 

Full-time or Part-time? ____________________  Weekends OK? _____________
 

Desired Pay Range: ________________ 
                                 Hourly or Salary

Are you currently employed? _________
 

Are you actively involved in social networking?___  Which ones? (please list) ___________

_______________________________________________________________________
 

Do you have experience in the antiques, collectibles or related industries?  ________________

____________________________________________________________________________

____________________________________________________________________________

____________________________________________________________________________
 

Please list your areas of highest proficiency, special skills or other items that may contribute to 
your abilities in performing the above mentioned position. 

____________________________________________________________________________________

____________________________________________________________________________________

____________________________________________________________________________________
 
 

PREVIOUS EXPERIENCE

Please list from most recent

Dates Employed:____________________ 

Company Name:___________________________________ Phone ____________________ 

Role/Title: __________________________________________________________

Job notes, tasks performed and reason for leaving:

____________________________________________________________________________________

____________________________________________________________________________________

____________________________________________________________________________________
 

Dates Employed:____________________ 

Company Name:___________________________________ Phone ____________________ 

Role/Title: __________________________________________________________

Job notes, tasks performed and reason for leaving:

____________________________________________________________________________________

____________________________________________________________________________________

____________________________________________________________________________________
 

Dates Employed:____________________ 

Company Name:___________________________________ Phone ____________________ 

Role/Title: __________________________________________________________

Job notes, tasks performed and reason for leaving:

____________________________________________________________________________________

____________________________________________________________________________________

____________________________________________________________________________________
 

REFERENCES

1.  Name, relationship, contact info: ______________________________________

__________________________________________________________________
 

2.  Name, relationship, contact info: ______________________________________

__________________________________________________________________
 

3.  Name, relationship, contact info: ______________________________________

__________________________________________________________________
 

Print out, complete, and email it to the above address
 

Thank you for your interest in Time Machine Antique Mall