Name
*
First Name
Last Name
Address
*
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Phone
*
(###)
###
####
Email Address
*
Position(s) applying for
*
Please check all that apply
If applying for Barista:
*
Baristas are expected to have flexible schedules working a mixture of opening and closing shifts.
If applying for Food Service:
Kitchen positions are expected to have flexible schedules, working a mixture of opening and closing shifts.
How did you hear about this position?
*
Why do you want to work for Artisan Coffee?
*
How many hours per week are you looking for?
*
Barista Availability
Check all that apply.
Food Service Availability
Check all that apply
Any other details about your availability?
*
Do you have any plans in the coming year?
i.e. Going back to school, going home for the summer, moving, getting married, etc.
Where do you see yourself in 5 years?
Are you a U.S. Citizen or approved to work in the United States?
*
What document can you provide as proof of citizenship or legal status?
*
Do you have any condition which would require job accommodations?
*
(Note: Artisan Coffee Shop complies with the ADA and considers reasonable accommodation measures that may be necessary for eligible applicants/employees to perform essential functions.)
If yes, please describe required accommodations below:
Have you ever been convicted of a criminal offense (felony or misdemeanor)?
*
If yes, please state the nature of the crime(s), when and where convicted and disposition of the case:
(Note: No applicant will be denied employment solely on the grounds of conviction of a criminal offense. The date of the offense, the nature of the offense, including any significant details that affect the description of the event, and the surrounding circumstances and the relevance of the offense to the position(s) applied for may, however, be considered.)
Please list below the skills and qualifications you possess for the position for which you are applying:
*
High School
Name / City, State / Year graduated / Degree earned
Are you a member of the Armed Service?
If yes, please state your branch, military rank when discharged, and the number of years you served:
Business Name
Business address
Job title
Supervisor name & phone number
Dates employed
Reason for leaving
Business name
Business address
Job title
Supervisor name & phone number
Dates employed
Reason for leaving
Business name
Business address
Job title
Supervisor name & phone number
Dates employed
Reason for leaving
Please provide 2 personal references below
*
Name / Phone Number
At Artisan Coffee Shop, we value our customers and expect all employees to be welcoming and respectful at all times. Do you feel this is something that you value as well? Please explain: