Employment Application

Employment Application

Position: BARISTA
Part-Time Barista

This is a public facing position

3-4 shifts per week (some evening and weekend availability required)

AM Shifts run from 6:15-1:15 on weekdays and 7:15-1:15 on weekends

PM Shifts run from 1:00-8:00 daily

Starting Gross Pay $16-$18 per hour (including pooled tipshare - after training)

Primary care at Keepwell Medical (we pay half)
Name*

First NameLast Name
Pronouns
Email*
example@example.com
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
What date are you available to start?*
Are you seeking long or short term employment?*
Please list your availability*
How many hours/days are you looking to work? Do you have any other time commitments we should know about?
What's your favorite coffee beverage?
Describe your most memorable coffee drinking experience
What led you to apply at Old City Java?
On a scale of 1 to 5, how would you rate your coffee knowledge?*

1

2

3

4

5

1 is Novice, 5 is Expert
Please list your two most recent places of employment*
Please provide: position, supervisor's contact, and reason for leaving
Please provide three (non-family) references*
Include: name, contact info, relationship
High School/GEDAssociates DegreeBachelors DegreeMasters DegreeCurrently in SchoolOther
Anything else you'd like to share with us?
Should be Empty: