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One Acre Café Employment Application
Personal Information
Our policy is to provide equal employment opportunity to all qualified persons without regard to race, creed, color, religious belief, sex (including pregnancy), sexual orientation, gender identity, age, national origin, ancestry, physical or mental disability, or veteran status.
Full Name
*
First Name
Middle Name
Last Name
Current Address
*
Number and Street (do not include a PO box)
Address continued (if needed)
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virgin Islands
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Email Address
*
Phone Number
*
-
Area Code
Phone Number
Final four numbers of Social Security Number:
*
Are you a U.S. citizen or otherwise authorized to work in the U.S. on an unrestricted basis? (You will be required to provide documentation.)
*
Yes
No
Which position are you applying for?
*
How did you hear about this opportunity?
*
Are you available to work between the hours of 8 am and 4 pm, Monday through Friday based on the needs of the cafe?
*
Yes
No
What is the earliest date you are available to begin working:
*
-
Month
-
Day
Year
Date
Do you have a valid driver's license?
*
Yes
No
ID only
Education
Check the highest level of education that you have completed:
*
Some high school
High school diploma / GED
Technical school / apprenticeship
Associate's degree
Some college
Bachelor's degree
Graduate degree
List all the schools that you have attended, including high school, trade or technical schools, military training and employment training programs (most recent first).
*
Name of School
City, State
Dates attended
Major/Study Area
Type of Degree or Certificate
Date received or expected
High School
A.
B.
C.
D.
Motivational Statement
Since we are a nonprofit organization, we would like to understand more about you and your reasons for applying to One Acre Cafe. Take a few minutes and consider those experiences which have made you the person you are today. Please share with us one of these experiences and how it sparked your interest in serving others in a nonprofit organization.
*
0/1000
Volunteer / Community Service Experiences
One Acre Café is a nonprofit organization that works closely with many volunteers. Describe how you have reached out to help others and/or how you have been involved in your own community. Explain why you decided to serve or get involved, and what you received in return - that is, what you learned or how if made you feel. Think in broad terms. List your most recent activity first. Examples - Serving in neighborhood, school, religious, social, professional or other volunteer groups; helping out with community service projects; or participating in less formal activities.
*
0/1000
Organization Name
Dates Involved
Hours per week
Phone
City, State
A.
Description of Involvement:
Organization Name
Dates Involved
Hours per week
Phone
City, State
B.
Description of Involvement:
Employment History
Beginning with the most current or most recent position, list and briefly describe the last four positions you have held or your last ten years of employment. Include self-employment, internships/fellowships, home management, and full or part-time paid or unpaid work experience. You may also attach a resume, but all of the fields below must be included.
Upload Resume (optional)
*
*
Explain any period of time greater than six months not accounted for by work, school, or military service; or, explain why you have no employment history.
*
Skills and Experience
Please list any skills or areas in which you have had training or experience that are relevant to this position, and indicate how you gained those skills. If this is covered on your resume, please type "see attached resume" in the box below.
*
Criminal History
Have you ever been convicted as an adult, or adjudicated as a juvenile offender, of any criminal offense by either a civilian or military court, other than minor traffic violations?
*
Yes
No
Are you currently facing charges for any offense or on probation or parole?
*
Yes
No
If you answered "yes" to any of the questions above regarding criminal history, please provide the following information:
*
Additional information or explanation:
*
Emergency Contact & Permanent Address
Please give the name and address of a person through whom you can always be reached.
Emergency Contact Name
*
First Name
Last Name
Relationship to you:
*
Phone
*
-
Area Code
Phone Number
REFERENCES
List THREE references - NOT RELATED TO YOU - who have known you or worked with you for more than one year.
Reference #1
*
Reference #2
*
Reference #3
*
Certification
By submitting this application electronically, I certify that all of the statements made in this application are true, correct, and complete, to the best of my knowledge, and are made in good faith. Misinformation or omission of information could result in disqualification or termination as a One Acre Cafe employee.
*
I certify, agree, and understand.
Signature
*
Please sign using a mouse or touch screen
Clear
Printed Name
*
Date
*
-
Month
-
Day
Year
Date
Submit
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