Cafe Gratitude KC Employment Interest Form
Discovering if we're meant to be! Thank you for taking the time to share yourself and see if we fit.
Email address *
Preferred Name *
Your answer
Preferred Gender Pronoun
Your answer
Legal Name *
Your answer
Phone Number *
Your answer
Mailing Address *
Your answer
How long have you lived there (Years/Months)
Your answer
If under the age of 18 can you produce the necessary work certificate at the time of employment?
Type of employment desired?
Are you willing to work overtime?
Date on which you can start if hired.
MM
/
DD
/
YYYY
Have you ever plead guilty or no contest to, or been convicted of any criminal offense? (Do not include convictions that were sealed eradicated, annulled by a court, or expunged, or convictions that resulted in referral to a diversion program)
Have you ever been arrested for any matters for which you are currently out on bail or on your own recognizance pending trial?
Please list degree of education i.e. High School, College. Include degrees earned.
Your answer
Work experience ( Please list last 3 places of employment, and include number of years/months worked at each)
Your answer
Please explain all gaps in your employment history greater than one month.
Your answer
Please give three professional references (Name position, company, work relationship, telephone)
Your answer
Please give two personal references (Name, relationship, number of years known, telephone)
Your answer
I certify that all information I have provided on this application is accurate, true and complete.
What positions are you interested in? Check all that apply *
Required
Have you worked at Cafe Gratitude Before? *
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