APPLY FOR EMPLOYMENT


Name:*
Phone:*
-
E-mail:*
Address:*
Type of Work Desired:*
Salary Desired:
Date Available:
If hired, can you provide documents required to establish your eligibility to work in the U.S.?:*
How were you referred to Baristas?:
Have you ever been convicted of, or pled guilty or no contest to, a crime other than a minor traffic violation?:*
If yes, please explain in detail and include the date of final disposition of the case and the nature of the offense. This information will not necessarily disqualify you from employment but false or misleading information will. Factors such as age and time of the offense, seriousness and nature of the violation, and rehabilitation will be taken into account.:

EDUCATION

NAME OF HIGH SCHOOL:*
Address Of High School:*
Course of Study:*
Number of Years Completed:*
Degree/Diploma:*
NAME OF COLLEGE OR TECHNICAL SCHOOL:
Address of School:
Course of Study at College or Technical School:
Degree/Diploma from College or Technical School :
Number of Years Completed at College or Technical School :
NAME OF OTHER SCHOOL OR TRAINING:
Address of other School or Training:
Course of Study or Other Education or Training:
Other Degree/Diploma:
Number of Years Completed at Other Education or Training:

MILITARY EXPERIENCE

Branch of Service:
Date Started:
Date Ended:
Rank/Type of Service:
Job Related Training/Experience:

RECORD OF EMPLOYMENT

EMPLOYER #1:*
Phone #1:*
-
Employer Address #1:*
Position Title #1:*
Supervisor #1:*
Start Date:*
End Date:*
Starting Salary:*
Ending Salary:*
Responsibilities:*
Reason for Leaving:*
EMPLOYER #2:
Phone #2:
-
Employer Address #2:
Position Title #2:
Supervisor #2:
Start Date #2:
End Date #2:
Beginning Salary #2:
Ending Salary #2:
Responsibilities #2:
Reason for Leaving #2:
EMPLOYER #3:
Phone #3:
-
Employer Address #3:
Position Title #3:
Supervisor #3:
Start Date #3:
End Date #3:
Beginning Salary #3:
Ending Salary #3:
Responsibilities #3:
Reason for Leaving #3:

REFERENCES

NAME OF REFERENCE #1:*
Occupation of Reference #1:*
Years You Have Known Reference #1:*
Phone Number of Reference #1:*
-
NAME OF REFERENCE #2:*
Occupation of Reference #2:*
Years You Have Known Reference #2:*
Phone Number of Reference #2:*
-
NAME OF REFERENCE #3:*
Occupation of Reference #3:*
Years You Have Known Reference #3:*
Phone Number of Reference #3:*
-

STATEMENT

I understand that employment with BARISTAS COFFEE BAR (the Organization) is at-will, meaning that I or the Organization may terminate my employment at any time, or for any reason consistent with applicable state or federal law.
I authorize the Organization to conduct a thorough background investigation of my work and personal history, and verify all data given on this application and during interviews. I hereby release the Organization, and its representatives or agents, from any liability that might result from such an investigation. I authorize all individuals, schools, and firms named to provide any requested information and release them from all liability for providing the requested information.
I understand this application will be active for a period of 90 days; after that time, if I wish to be considered for employment, I must submit a new application. I certify that all the statements in this completed application are true and understand that any falsification or willful omission shall be sufficient cause for dismissal or refusal to hire.
I understand that clicking “SUBMIT” to submit my online application is the same as providing my signature proving that I agree with all statements above.


MENU

Back
AS OF 2/24/17

Share to