Clearwater Beach Parlor Doughnuts Application
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Position & Availability
Location
Please Select
521 S. Gulfview Bvld. Clearwater Beach
Position Applied For
Please Select
Front of House
Barista
Back of House/Den
Assistant Manager
Manager
Other
Date
-
Month
-
Day
Year
Date
Are you legally eligible to work in the United States?
Yes
No
Schedule Availability
Morning
Afternoon
Evening
Weekends
Holidays
Overnight
Flexible
Work Type
Full-time
Part-time
Seasonal
Temporary
Any
Other Position / Availability Information
Personal Information
Applicant Name
*
First Name
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Last Name
Address
*
Street Address
Street Address Line 2
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Postal / Zip Code
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Expiration
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Year
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State
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AL
AK
AZ
AR
CA
CO
CT
DE
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
Other
Expiration
-
Month
-
Day
Year
Date
Technology Skills
Word
*
No Experience
1
2
3
4
5
6
7
8
9
Expert
10
1 is No Experience, 10 is Expert
Excel
*
No Experience
1
2
3
4
5
6
7
8
9
Expert
10
1 is No Experience, 10 is Expert
PowerPoint
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7
8
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Expert
10
1 is No Experience, 10 is Expert
Gmail
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7
8
9
Expert
10
1 is No Experience, 10 is Expert
Google
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1
2
3
4
5
6
7
8
9
Expert
10
1 is No Experience, 10 is Expert
Twitter
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1
2
3
4
5
6
7
8
9
Expert
10
1 is No Experience, 10 is Expert
Instagram
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No Experience
1
2
3
4
5
6
7
8
9
Expert
10
1 is No Experience, 10 is Expert
Facebook
*
No Experience
1
2
3
4
5
6
7
8
9
Expert
10
1 is No Experience, 10 is Expert
Other Tech Skills
Other Tech Skill Proficiency
Skills & Languages
General Skills
*
Customer Service
Cash Handling
Food Preparation
Food Safety
Point of Sale Systems
Teamwork
Problem Solving
Cleaning/Sanitation
Inventory Control
Other
Languages Spoken
English
Spanish
French
Portuguese
Creole
Other
Proficiency in English
*
Additional Skills or Languages
Employment History
Job Title/Position 1
*
Employer 1
*
From 1
*
-
Month
-
Day
Year
Date
To 1
*
-
Month
-
Day
Year
Date
Supervisor 1
*
Supervisor Phone Number 1
Please enter a valid phone number.
Format: (000) 000-0000.
Duties 1
Reason for Leaving 1
Notice Given 1
Job Title/Position 2
Employer 2
From 2
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Month
-
Day
Year
Date
To 2
-
Month
-
Day
Year
Date
Supervisor 2
Supervisor Phone Number 2
Please enter a valid phone number.
Format: (000) 000-0000.
Duties 2
Reason for Leaving 2
Notice Given 2
Job Title/Position 3
Employer 3
From 3
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Month
-
Day
Year
Date
To 3
-
Month
-
Day
Year
Date
Supervisor 3
Supervisor Phone Number 3
Please enter a valid phone number.
Format: (000) 000-0000.
Duties 3
Reason for Leaving 3
Notice Given 3
Job Title/Position 4
Employer 4
From 4
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Month
-
Day
Year
Date
To 4
-
Month
-
Day
Year
Date
Supervisor 4
Supervisor Phone Number 4
Please enter a valid phone number.
Format: (000) 000-0000.
Duties 4
Reason for Leaving 4
Notice Given 4
Employment Status
Employment Type
*
Full-time
Part-time
Seasonal
Temporary
On-call
Other
Shift Preference
Morning
Afternoon
Flexible
Are you legally authorized to work in the United States?
*
Yes
No
Will you now or in the future require sponsorship for employment authorization?
*
Yes
No
References
Reference 1 Name
*
First Name
Middle Name
Last Name
Reference 1 Company
*
Reference 1 Relationship
*
Reference 1 Years Known
*
Reference 1 Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Reference 1 Email
*
example@example.com
Reference 2 Name
First Name
Middle Name
Last Name
Reference 2 Company
Reference 2 Relationship
Reference 2 Years Known
Reference 2 Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Reference 2 Email
example@example.com
Reference 3 Name
First Name
Middle Name
Last Name
Reference 3 Company
Reference 3 Relationship
Reference 3 Years Known
Reference 3 Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Reference 3 Email
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Agreements/Acknowledgements
Acknowledgement 1
Acknowledgement 2
Acknowledgement 3
Signature Section
Signature
*
Printed Name
*
First Name
Middle Name
Last Name
Date
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Month
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Year
Date
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