Application

Position Applied For

Name*

Address*

Email*

Phone Number*

Have you ever applied to / worked for Water Street Coffee before?*

YesNo

If yes, please explain (include date):

If hired, would you have reliable transportation to and from work?*

YesNo

Are you over the age of 18?*

YesNo

Are you able to present evidence of your U.S. citizenship or proof of your legal right to work in the United States?*

YesNo

Have you ever been convicted of a criminal offense?*

YesNo

If yes, please state the nature of the crime(s), when and where convicted and disposition of the case.

(Note: No applicant will be denied employment solely on the grounds of conviction of a criminal offense. The date of the offense, the nature of the offense, the surrounding circumstances and the relevance of the offense to the position(s) applied for may, however, be considered.)*Applicants will be subject to background checks. Positions offered may be contingent on results.

What times are you available to work?

Monday*

Tuesday*

Wednesday*

Thursday*

Friday*

Saturday*

Sunday*

Are you attending school?*

YesNo

If yes, where, and what are you studying?

How many hours per week would you like to work?*

When would you be able to begin work?*

Do you have any scheduling conflicts (weddings, special events, vacations) planned in the next few months and if so, what are the dates?*

How did you hear about the job opening?*

Why would you like to work here?*

Where would you prefer to work? (Check all that apply.)*

Position

Employer

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Responsibilities

Reason for Leaving

Position

Employer

Dates Employed

Employer Phone Number

Employer Address

Responsibilities

Reason for Leaving

Position

Employer

Dates Employed

Employer Phone Number

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Water Street Coffee

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