Employment - Coffee BouTEAque

Name*
First Last
Are you 16 or older?
Birth Date(optional)
Month
Day
Year
Permanent Address
Street Address City State ZIP Code
Local Address
Street Address City State ZIP Code
Cell Phone
Home Phone
Phone number you can be reached at if hired*
Email address*
Hourly wage desired
Number of hours a week desired
Date You Can Begin Working*
MM slash DD slash YYYY
Last Available Date To Work*
MM slash DD slash YYYY
Holiday Availability*
Are you employed now?
- Yes
- No
If YES, do you plan on keeping the other job if hired
Work Experience - Previous Employers(Company Name, Supervisor and Phone), Dates Working, Job Title, Hourly Rate, Reason for Leaving
Are you a student?
- Yes
- No
Present school attending
Numer of years completed
Do you have any transportation issues?
Have you applied to work here before?
- Yes
- No
if yes, when
How were you referred to this job? - Reference, Address, Phone
Summarize special skills and qualifications you have for the position, and why you want to become part of our staff
Do you use social media? If so please list your favorite ex. Facebook, Twitter, Instagram, Snapchat, Etc.
What Beverages Do You Drink?
Current Photo
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