Apply - Joe and Rosie Coffee and Tea

Apply

Are you someone who:
-Has a passion for coffee/tea?
-Loves working in a high-energy environment?
-Enjoys getting to know customers?
-Works well in a team?
-Is self-driven?

Please send us your resume or fill out the form below for consideration:

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Application

* Indicates required field

Position Applying For *

Date *

Name *

First

Last

Phone Number *

Email *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Driver's License Number (And State) *

Social Security Number *

Are you legally eligible for employment in the United States? *

Yes No

United States Visa status if applicable: *

Have you been convicted of a felony? *

Yes No

If yes, please explain circumstances: *

Employment History

Job Title *

Employer *

Dates Employed (M/Y - M/Y) *

Type of Employment *

Full Time Part Time Temporary

Supervisor Name *

May we contact? *

Yes No

Phone Number *

Starting Salary *

Ending Salary *

Job Duties *

Reason for leaving *

Job Title *

Dates Employed (M/Y - M/Y) *

Employer *

Supervisor Name *

Type of Employment *

Full Time Part Time Temporary

May we contact? *

Yes No

Phone Number *

Starting Salary *

Job Duties *

Ending Salary *

Reason for leaving *

Education

High School *

Did you graduate? *

Yes No Still attending

Dates Attended (M/Y - M/Y) *

Subjects Studied *

After school activity? *

University *

Did you graduate? *

Yes No Still attending

Dates Attended (M/Y - M/Y) *

Major/Minor *

Degree Received *

University *

Dates Attended (M/Y - M/Y) *

Did you graduate? *

Yes No Still Attending

Major/Minor *

Degree Received *

Additional education *

Special courses, training or experience, including military *

Additional Information

Please describe any other experience, abilities, or skills that might be helpful in considering your application: *

When were you last responsible for doing this kind of work? *

How were you able to demonstrate teamwork in your last position? *

What hours are you available? *

What can you bring to the business? *

When can you start? *

Are you willing to work weekends and some holidays? *

Yes No

References

Reference 1 *

First

Last

Reference 2 *

First

Last

Reference 3 *

First

Last

Years Known *

Years Known *

Years Known *

Phone Number *

Phone Number *

Phone Number *

Contract

I hereby certify that all statements made in this application are true and correct to the best of my knowledge and belief. I understand that any misrepresentations or omissions of facts in this application are grounds for disqualification from further consideration or for dismissal from employment.
I authorize the company to inquire into my educational, professional, and past employment references as needed to research my qualifications for this position.
If employed, I agree to conform to the rules, regulations, and policies of the company. I understand that I will be an employee "at will" and either the company or I may terminate my employment at any time for any reason not in violation of law.
I hereby acknowledge that I have read and fully understand the forgoing and seek employment under these conditions.

Signature *

Please enter your name to signify an online signature.

Date *

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