I have read and understand the terms stated in the job description
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Name
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First Name
Last Name
Email
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Phone
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Address
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Referred By
Have you been referred/encouraged to apply with us by someone who currently works at Coffee Emporium?
First Name
Last Name
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Do you have dependable transportation to work?
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Are you a student?
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Type of Employment Desired
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Date Available to Start Work
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MM
DD
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Are you available for a 4:00 AM and/or a 6:00 AM start time?
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Describe your availability and how it might change throughout the year.
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The more detail the better!
Have you ever pleaded "Guilty", "No Contest", or been convicted of a crime?
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If yes, please explain.
This will not bar you from employment.
Have you ever been dismissed or terminated from a position?
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If yes, please explain.
This will not bar you from employment.
Most Recent Employer
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Employer Address
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Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Start Date
MM
DD
YYYY
End Date
MM
DD
YYYY
Position Held
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Supervisor's Name
First Name
Last Name
Supervisor's Phone Number
(###)
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Job Summary
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Reason for Leaving
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Previous Employer
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Employer Address
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Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Start Date
MM
DD
YYYY
End Date
MM
DD
YYYY
Position Held
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Supervisor's Name
First Name
Last Name
Supervisor's Phone Number
(###)
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Job Summary
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Reason For Leaving
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How do your personal values align with Coffee Emporium's mission?
Our mission can be found on the previous page under 'Careers'.
What does "intentional customer service" mean to you, and how would you apply it to your interactions with guests at Coffee Emporium?
How would you describe your personality? More introverted, more extroverted, mostly ambivert? Why?
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I hereby authorize the potential employer to contact, obtain, and verify the accuracy of information contained in this application from all previous employers, educational institutions, and references. I also hereby release from liability the potential employer and its representatives for seeking, gathering, and using such information to make employment decisions and all other persons or organizations for providing such information.
I understand that any misrepresentation or material omission made by me on this application will be sufficient cause for
cancellation of this application or immediate termination of employment if I am employed, whenever it may be discovered.
If I am employed, I acknowledge that there is no specified length of employment and that this application does not constitute an agreement or contract for employment. Accordingly, either I or the employer can terminate the relationship at will, with or without cause, at any time, so long as there is no violation of applicable federal or state law.
I understand that it is the policy of this organization not to refuse to hire or otherwise discriminate against a qualified individual with a disability because of that persons need for a reasonable accommodation as required by the ADA.
I also understand that if I am employed, I will be required to provide satisfactory proof of identity and legal work authorization within three days of being hired. Failure to submit such proof within the required time shall result in immediate termination of employment.
