Employment Application

Employment Application
Name *

First Name Last Name
Email Address *
example@example.com
Phone Number *

Area Code Phone Number

Address *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Available Date To Start? *

Month Day Year
Date Date Picker Icon
Employment Type *

Full Time Part Time Seasonal
Position *

Customer Service Barista Baker Line Cook
Location *

Crossroads Bellevue Downtown Bellevue Redmond Town Center Kirkland

Availability

	Monday	Tuesday	Wednesday	Thursday	Friday	Saturday	Sunday
Morning
Afternoon
Evening

Highest Level of Education *
Resume (optional)

Upload File

Cancel of
Employment History

If no previous employment please leave blank

Most Recent Employment

	First Employer
Company
Address
Phone Number
Position
Dates of employment (start-end)
Reason for leaving

	Second Employer
Company
Address
Phone Number
Position
Dates of employment (start-end)
Reason for leaving

References

Please provide two professional references

*

	First Reference
Full Name
Company or Organization
Relationship
Phone or Email

*

	Second Reference
Full Name
Company or Organization
Relationship
Phone or Email

Are you 18 or over? *
Are you legally authorized to work in the United States? *
Should be Empty: