Euphoria Coffee Roasting - Calmar Job Application
Part Time Baking Assistant/Barista or Barista Only
Applicant Information
Last Name
First Name
M.I.
Street Address
Apartment/Unit #
City
State
ZIP
Phone
Please enter a valid phone number.
Format: (000) 000-0000.
Email
example@example.com
Your Birth Date
-
Month
-
Day
Year
Date
Date Available
-
Month
-
Day
Year
Date
Position Desired
Part Time Baking Assistant/Barista
Barista Only
Desired Wage
Eligibility and Background
Are you legally eligible to work in the USA?
Yes
No
Have you ever been convicted of a felony?
Yes
No
Education
High School Name
High School City/State
High School From
-
Month
-
Day
Year
Date
High School To
-
Month
-
Day
Year
Date
Did you graduate from high school?
Yes
No
College Name
College From
-
Month
-
Day
Year
Date
College To
-
Month
-
Day
Year
Date
Did you graduate from college?
Yes
No
Other Education
Employment History 1
Employment 1 - Company
Employment 1 - From
-
Month
-
Day
Year
Date
Employment 1 - To
-
Month
-
Day
Year
Date
Employment 1 - Address
Employment 1 - Phone #
Please enter a valid phone number.
Format: (000) 000-0000.
Employment 1 - Supervisor
Employment 1 - Responsibilities
Employment 1 - May we contact?
Yes
No
Employment History 2
Employment 2 - Company
Employment 2 - From
-
Month
-
Day
Year
Date
Employment 2 - To
-
Month
-
Day
Year
Date
Employment 2 - Address
Employment 2 - Phone #
Please enter a valid phone number.
Format: (000) 000-0000.
Employment 2 - Supervisor
Employment 2 - Responsibilities
Employment 2 - May we contact?
*
Yes
No
References
Applicant’s Name
Reference 1 - Full Name
Reference 1 - Relationship
Reference 1 - Company
Reference 1 - Phone #
Please enter a valid phone number.
Format: (000) 000-0000.
Reference 1 - Address
Reference 2 - Full Name
Reference 2 - Relationship
Reference 2 - Company
Reference 2 - Phone #
Please enter a valid phone number.
Format: (000) 000-0000.
Reference 2 - Address
Additional Questions and Signature
Have you ever worked in the food and beverage or service industry? If so, please give details.
Have you ever worked in the coffee industry? If so, please give details.
Why do you want to work at Euphoria Coffee?
Please explain your availability/schedule
Applicant Signature
Signature Date
-
Month
-
Day
Year
Date
Submit Application
Submit Application
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