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Taste Bistro & Coffee Bar Application of Employment

Applicant Information

First Name (Required)

Middle Initial

Last Name (Required)

Street Address

Street Address Line 2

City

State

Zip code

Phone Number (Required)

000-000-0000 or (000) 000-0000

Email Address (Required)

Position Applied For

Date Available to Start (Required)

Are you legally eligible to work in the United States?

Yes

No

Have you ever worked for this company

Yes

No

If yes, when?

Have you ever been convicted of a felony?

Yes

No

If yes, explain.

Availability

If Other, (please specify)

Education

High School Name

Address

From

To

Did you graduate?

Yes

No

Degree

College Name

Address

From

To

Did you graduate?

Yes

No

Degree

Other School Name

Address

From

To

Did you graduate?

Yes

No

Degree

Employment History

Employer 1

Company Name

Address

Phone Number

000-000-0000 or (000) 000-0000

From

To

Position and Responsibilities

Supervisor/Manager

May we contact?

Yes

No

Employer 2

Company Name

Address

Phone Number

000-000-0000 or (000) 000-0000

From

To

Position and Responsibilities

Supervisor/Manager

May we contact?

Yes

No

Employer 3

Company Name

Address

Phone Number

000-000-0000 or (000) 000-0000

From

To

Position and Responsibilities

Supervisor/Manager

May we contact?

Yes

No

Disclaimer and Signature

I certify that the information contained in this application is correct to the best of my knowledge. I understand that to falsify information is grounds for refusing to hire me, or for discharge should I be hired. I authorize any person, organization or company listed on this application to furnish you any and all information concerning my previous employment, education and qualifications for employment. I also authorize you to request and receive such information. In consideration for my employment, I agree to abide by the rules and regulations of the company, which rules may be changed, withdrawn, added or interpreted at any time, at the company's sole option and without prior notice to me. I also acknowledge that my employment may be terminated, or any offer or acceptance of employment withdrawn, at any time, with or without cause, and with or without prior notice at the option of the company or myself.

Agreement

I agree with the statement above

Please submit a copy of your resume (Optional) (pdf, doc, docx, jpg, jpeg):