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Home
Menu
About Us
Contact Us
Our Coffee & Tea
Coffee
Buy Coffee
Specials & Seasonal Items
Connect
Social Media
Upcoming Events
Job Applications
Search
Job Application
Personal Information
*
Indicates required field
Name
*
First
Last
Phone Number
*
Address
*
Line 1
Line 2
City
State
Zip Code
Country
Your Primary Email
*
Employment Desired
Position
*
Date you Can Start
*
(MM/DD/YY)
Salary Desired
*
Are You Employed
*
Yes
No
If So, May We Inquire of Your Present Employer?
*
Yes
No
Ever Applied To This Company Before?
*
Yes
No
Where?
*
When?
*
Education History
If you have no education history write, "No History"
Grammar School
*
Name & Location of School
Years Attended?
*
Did You Graduate?
*
Yes
No
Subjects Studied
*
High School
*
Name & Location of School
Years Attended?
*
Did You Graduate?
*
Yes
No
Subjects Studied
*
College
*
Name & Location of School
Years Attended?
*
Did You Graduate?
*
Yes
No
Subjects Studied
*
Trade, Business, or Correspondence School
*
Name & Location of School
Years Attended?
*
Did You Graduate?
*
Yes
No
Subjects Studied
*
General Information
Subjects of Special Study/Research
*
Work or Special Training/Skills
*
U.S. Military or Naval Service
*
Rank
*
Former Employers
(List Below Last Four Employers, Starting with Last One First)
If you have no history write, "No History"
From
*
MM/YY
To
*
MM/YY
Name & Address of Employer
*
Salary
*
Position
*
Reason for Leaving
*
From
*
MM/YY
To
*
MM/YY
Name & Address of Employer
*
Salary
*
Position
*
Reason for Leaving
*
From
*
MM/YY
To
*
MM/YY
Name & Address of Employer
*
Salary
*
Position
*
Reason for Leaving
*
From
*
MM/YY
To
*
MM/YY
Name & Address of Employer
*
Salary
*
Position
*
Reason for Leaving
*
Work References
Give Below the Names of Three Persons Not Related to You, Whom You Have Known at Least One Year.
Name of First Refernce
*
Address
*
Business
*
Years Known
*
Name of Second Reference
*
Address
*
Business
*
Years Known
*
Name of Third Reference
*
Address
*
Business
*
Years Known
*
Authorization
"I certify that the facts contained in this application are true and complete to the best of my knowledge and understand that, if employed, falsified statements on this application shall be grounds for dismissal.
I authorize investigation of all statements contained herein and the references and employers listed above to give you any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise, and release the company from all liability for any damage that may result from utilization of such information.
I also understand and agree that no representative of the company has any authority to enter into any agreement for employment for any specified period of time, or to make any agreement for employment for any specified period of time, or to make any agreement contrary to the foregoing, unless it is in writing and signed by an authorized company representative.
This waiver does not permit the release or use of disability-related or medical information in a manner prohibited by the Americans with Disabilities Act (ADA) and other relevant federal and state laws."
Date
*
MM/DD/YY
Interviewed By
*
Interview Date
*
MM/DD/YY
Accept Authorization and Submit
Home
Menu
About Us
Contact Us
Our Coffee & Tea
Coffee
Buy Coffee
Specials & Seasonal Items
Connect
Social Media
Upcoming Events
Job Applications