Job Application Form

Job Application Form

Share your details, availability, and work interests to apply for a position.
Applicant Information
Full Name

First NameLast Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email Address
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Are you at least 16 years old?
Position & Employment Interest
What type of employment are you interested in?
Desired Pay Range
What position(s) are you interested in?
When can you start?

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
How many hours per week would you ideally like to work?
Recurring commitments affecting your availability (school, another job, sports, church, etc.)
Are you available to work weekends?
Will your availability change during the school year or summer?
If yes, please explain how your availability changes
Education & Work Experience
Are you currently in high school or college?
School Name
Expected Graduation Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Current or Most Recent Employer
Position
Dates Employed
Reason for Leaving
Previous Employer #2
Dates Employed
Reason for Leaving
Do you have experience in restaurants, food service, retail, or customer service?
If yes, please provide a brief description of your experiece.
Getting to Know You
Why are you interested in working at Leaf & Berry?
What does great customer service mean to you?
Three words to describe yourself
Describe a time you worked as part of a team
What do you think makes someone a great employee?
Job Expectations
I acknowledge the job duties and conditions listed below:
Are you able to preform the essential duties of the position, with or without reasonable accommodation?
References
First Reference Name

First NameLast Name
Relationship to First Reference
First Reference Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Second Reference Name

First NameLast Name
Relationship to Second Reference
Second Reference Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Final Questions & Certification
Is there anything else you would like us to know?
I certify that the information provided is accurate and complete to the best of my knowledge, and I understand that submitting this application does not guarantee employment.
Should be Empty:

Job Application Form

Applicant Information

Position & Employment Interest

Education & Work Experience

Getting to Know You

Job Expectations

References

Final Questions & Certification