Exchange Employment Application

THE EXCHANGE COFFEE, MERCANTILE & EATERY

EMPLOYMENT APPLICATION
Full Name: *

First Name & Middle Initial Last Name
Birth Date *

Month Day Year
Phone Number: *

Area Code Phone Number
E-mail Address: *
Address: *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
How were you referred to us? *

Walk-In Employee Indeed Facebook Instagram Other (please specify) Friend/Word of Mouth
Others:
Are you legally eligible for employment in the U.S.? (Proof of U.S. Citizenship or immigration status is required if hired). *

Yes No
Would you be willing to complete a drug screening if asked? *

Yes No
Have you ever been convicted of a felony? (A conviction will not necessarily bar you from employment). *

Yes No
If you answered 'Yes" to the previous question, please explain briefly.
Brief explanation of felony.
What do you like to do in your free time? *
Let us know!

EMPLOYMENT DESIRED
Position(s) seeking: *
Are you seeking full-time, part-time, or seasonal employment (i.e. summer or winter break)? *
Hours desired per week: *
Date available to start *

Month Day Year
Date
Why do you want to work at The Exchange? *
Do you have reliable transportation? *

Yes No
Are you currently employed? *

Yes No
If you answered 'Yes' to the previous question, what is your current occupation?
We will need staff to cover the following hours (subject to change): Tuesday-Saturday, 6 am-4:30 pm. Please specify your typical hours available each day of the week (we understand this is also subject to change). *
Please note any other schedule-related comments.

EDUCATION
EDUCATION. Please list High School in Row 1, College (if applicable) in Row 2, and Business/Trade School (if applicable) in Row 3.
Additional Training or Certifications:
Please list additional skills relevant to the position(s) you are applying for: *

Now create your own Jotform - It's free! Create your own Jotform