Job Application
**Must be 18+ to apply**
Personal Information
Full Name
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First Name
Middle Name
Last Name
Preferred Name
Date of Birth
*
-
Month
-
Day
Year
Date
Current Address
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Street Address
Street Address 2
City
State / Province
Postal / Zip Code
Email Address
*
example@example.com
Phone Number
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Employment Information
Date Available
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Month
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Day
Year
Date
Position Desired
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Full Time
Part Time
Location Desired
Stuart (Sunset Bay Marina, 615 SW Anchorage Way)
Port Salerno (4969 SE Dixie Highway)
Either
Days Available to Work
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Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Minimum Salary Desired
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Employment History
Most Recent Employer
Most Recent Employer
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Position
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Location
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Supervisor Name and Phone Number
*
Dates Position Held
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Responsibilities
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Reason for Leaving
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Previous Positions
Position
*
Employer
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Location
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Supervisor Name and Phone Number
*
Dates Position Held
*
Responsibilities
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Position
*
Employer
*
Location
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Supervisor Name and Phone Number
*
Dates Position Held
*
Responsibilities
*
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Education
High School
*
City/State
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Graduate?
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Yes
No
College
City/State
Graduate?
Yes
No
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References
Please list the names and numbers of three people, not related to you, whom you have known for at least one year.
*
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The Good Stuff
Why do you think you'd want to work with us?
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Do you have any previous barista or foodservice experience? Describe any special skills or training that you think might be useful at Gilbert's.
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Tell us about one of your favorite food or drinks. Describe what it is you like about it.
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What do you like about coffee?
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Describe, in detail, a specific time where you provided quality customer service. Why was it effective?
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The Legal Stuff
Please initial under each statement, and sign below.
1. According to federal law, all individuals who are hired must, as a condition of employment, provide certain documentation to verify their identity and U.S. citizen status, or, if aliens, their legal authorization to work in the U.S. Therefore, I realize that any offer of employment would be contingent upon my ability to produce the required documentation within the time period required by law.
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Initial here
2. I certify that the facts contained in this application are true and complete to the best of my knowledge. I understand that any false statements, omission, or misrepresentation on this application is sufficient cause for refusal to hire, or dismissal if I have been employed, no matter when discovered by Gilbert's Coffee Bar.
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Initial here
3. I authorize Gilbert's to thoroughly investigate all statements contained in my application or resume, and I authorize my former employers and references to disclose information regarding my former employment, character and general reputation to this company without giving me any and all claims, demands or liabilities arising out of or related to such investigation or disclosure.
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Initial
4. I understand and agree that if I am hired, my employment will be 'at will' and without fixed term, and may be terminated at any time, with or without cause and without prior notice, at the option of myself or employer. No promises regarding employment have been made to me, and I understand that no such promise or guarantee is binding upon this company unless made in writing.
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Initial
5. I understand that filling out this form does not indicate that there is a position open and does not obligate this company to hire. If hired, I agree to abide by this companies' work rules, policies and procedures and they retain the right to revise policies or procedures, in whole or part, at any time.
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Initial
Sign Here
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Enter Full Name
Today's Date
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Month
/
Day
Year
Date
Submit
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