SugarShakerApplication

The Sugar Shaker Application
Your Name:*

First NameLast Name
Phone Number:*

Area CodePhone Number
Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
E-mail Address:*
How do you prefer we contact you regarding job opportunities? Select all that apply.

CallTextEmail
Are you 18 or older?*

YesNo
MonthDayYear
If no, please enter your Birth Date

MonthDayYear
Date
Are you currently legally entitled to work in the United States?*

YesNo
How were you referred to us?*

Walk-InEmployeeFacebookInstagramOther (please specify)
Which position are you applying for?*

Part-TimeFull-time
Date Available to Start:*

MonthDayYear
Date
Any Current Known Days/Dates Not Available For Work:*
What is your requested hourly pay?*
Education & Work History
What is your highest level of education completed?*
Example: Grade 11, Graduated High School, Graduated College, or Some College, etc
Would The Sugar Shaker be your first job?*

YesNo
Last three places of employment : Most current first
Company:
Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Name of Immediate Supervisor:

First NameLast Name
Phone Number:

Area CodePhone Number
May We Contact?

YesNo
Your Job Title:
Date Employed:
From what Month/Year to Month/Year
Starting Pay Rate
Ending Pay Rate
Reason For Leaving:
Next Most Recent Employer
Company:
Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Name of Immediate Supervisor:

First NameLast Name
Phone Number:

Area CodePhone Number
May We Contact?

YesNo
Your Job Title:
Date Employed:
From what Month/Year to Month/Year
Starting Pay Rate
Ending Pay Rate
Reason For Leaving:
Next Most Recent Employer
Company:
Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Name of Immediate Supervisor:

First NameLast Name
Phone Number:

Area CodePhone Number
May We Contact?

YesNo
Your Job Title:
Date Employed:
From what Month/Year to Month/Year
Starting Pay Rate
Ending Pay Rate
Reason For Leaving:
Are you ServSafe certified?*

YesNo
Are you able to lift up to 50 lbs occasionally and stand on your feet for long periods of time, with, or without an accommodation?*

YesNo
Can you perform well in a fast-paced service environment*

All of the timeMost of the timeNeverDon't KnowNo experience
Any Other Beneficial Skills or Certifications That would help you perform your job here
What are some of your hobbies, extracurriculars, or other favorite activities?*
Why do you feel you would be a good addition to The Sugar Shaker squad?*

0/0
If you could have coffee with anyone, dead or alive, who would it be and why?*

0/0
What's your favorite part of the coffee industry?*

0/0
Should be Empty: