APPLICATION FOR EMPLOYMENT
Name:
*
First Name
Last Name
Birthdate:
Please select a month
January
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Month
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Day
Please select a year
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Year
Age:
*
Email Address:
*
example@example.com
Phone Number:
*
Format: (000) 000-0000.
Current Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Position Applying For
Please Select
Barista
Cat Room Attendant
Both
Available Start Date
/
Month
/
Day
Year
Work Availability:
*
Tuesdays: 11a - 5p (open duties start at 10:30a - closing done around 5:30/6p)
Wednesdays: 11a - 5p (open duties start at 10:30a - closing done around 5:30/6p)
Thursday Open Shift: 11a - 3p (open duties start at 10:30a)
Thursday Close Shift: 3p - 7p (closing done around 7:30/8p)
Friday Open Shift: 11a - 3p (open duties start at 10:30a)
Friday Close Shift: 3p - 7p (closing done around 7:30/8p)
Saturday Open Shift: 11a - 3p (open duties start at 10:30a)
Saturday Close Shift: 3p - 7p (closing done around 7:30/8p)
Sunday Open Shift: 12p - 3p (open duties start at 11:30a)
Sunday Close Shift: 3p - 6p (closing done around 6:30/7p)
Barista Experience (if applying for barista position):
Customer Service Experience:
*
REFERENCES - Please list three professional references, not related to you with full name, phone number and relationship. If you do not have three professional references, then list personal, unrelated references
*
Rows
Name
Phone Number
Relationship
Reference #1
Reference #2
Reference #3
Do you have experience with cats? Please share:
*
Provide one example of how you have helped a previous employer's business or organization improve:
*
Have you ever been convicted of a felony?
*
Yes
No
If yes, please explain:
Employee Application Authorization:
By submitting this application, I certify that the answers given herein are true and complete. I authorize the investigation of all statements contained in this application for employment as may be necessary for arriving at an employment decision. This application for employment shall be considered active for a period of time not to exceed 90 days. Any applicant wishing to be considered for employment beyond this time period should inquire as to whether or not applications are being accepted at the time. I hereby understand and acknowledge that, unless otherwise defined by applicable law, any employment relationship with this organization is of an "at will" nature, which means that the Employee may resign at any time and the Employer may discharge the Employee at any time with or without cause. It is further understood that this "at will" employment relationship may not be changed by any written document or by conduct unless such change is specifically acknowledged in writing by an authorized executive of this organization.In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge. I understand, also, that I am required to abide by all rules and regulations of the employer.
Have you read the Employee Application Authorization above and do you agree to the standards of this employer?
Yes, I understand.
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