Cafe Mark - Employment Application

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AN EQUAL OPPORTUNITY EMPLOYER
Discrimination in employment because of race, creed, color, national origin, ancestry, age, sex, physical or mental handicaps, or liability for service in the armed forces of the U.S., is prohibited by federal legislation and/or by laws against discrimination in some states.

FULL NAME *

First Name, Middle Initial & Last Name

PHONE # *

EMAIL ADDRESS *

PHYSICAL ADDRESS *

Street, City, State & Zip

EMERGENCY CONTACT PERSON & NUMBER *

Please share name and number

POSITION YOU ARE INTERESTED IN? *

Management

Chef

Barista

Team Member

Required

KNOWN PHYSICAL LIMITATIONS THAT COULD AFFECT YOUR ABILITY TO PERFORM THE POSITION YOU ARE APPLYING FOR *

If none, please type 'none'

IS YOUR CITIZENSHIP OR IMMIGRATION STATUS SUCH THAT YOU CAN LAWFULLY WORK IN THE U.S.? *

If hired, continued employment may be dependent upon proof of citizenship or presentation of an alien registration number (I-9)

YES

ARE YOU 18 OR OLDER *

Proof of age must be provided prior to hiring

YES

NAME OF JUNIOR HIGH COMPLETED *

Please include City and State - If not completed, please type 'not completed'

NAME OF HIGH SCHOOL COMPLETED *

Please include City and State - If not completed, please type 'not completed'

NAME OF COLLEGE COMPLETED *

Include City and State - If not completed, please type 'not completed'

IF HIRED, WHAT DATE WILL YOU BE AVAILABLE TO START *

PLEASE LIST ANY LIMITATIONS ON THE DAYS / HOURS YOU WILL BE ABLE TO WORK *

If there are no limitations, please type 'none'

WHAT INTERESTED YOU IN WORKING AT CAFE MARK *

WHAT ARE YOUR HOBBIES, SPECIAL INTERESTS AND ACTIVITIES? *

Please do not include those indicating race, creed, nationality or religion

HAVE YOU EVER BEEN CONVICTED OF A FELONY OR MISDEMEANOR OTHER THAN A TRAFFIC VIOLATION? IF YES, STATE CHARGE, COURT DATE AND DISPOSITION OF CASE. *

Do not answer this question in the state of New York or Massachusetts or if conviction occurred more than seven (7) years ago in Washington State. A record or conviction does not disqualify you from employment consideration.

PREVIOUS EMPLOYMENT *

List name of three previous employers, hourly rate/salary, position & reason for leaving. If no previous employment, type 'none'

REFERENCES: GIVE THE NAMES OF THREE PERSONS NOT RELATED TO YOU, WHOM YOU HAVE KNOWN AT LEAST ONE YEAR. *

Please list name, contact number & years acquainted.

ENTER YOUR FULL NAME HERE AS YOUR ELECTRONIC SIGNATURE AND THEN CLICK SUBMIT *

BY CLICKING SUBMIT, I CERTIFY THAT ALL THE INFORMATION SUBMITTED BY ME ON THIS APPLICATION IS TRUE AND COMPLETE, AND ACKNOWLEDGE THAT I AGREE TO ADHERE TO ALL CURRENT AND FUTURE STANDARDS PRESCRIBED BY MANAGEMENT OF CAFE MARK. I UNDERSTAND THAT IF ANY FALSE INFORMATION, OMISSIONS, OR MISREPRESENTATIONS ARE DISCOVERED, MY APPLICATION MAY BE REJECTED AND, IF I AM EMPLOYED, MY EMPLOYMENT MAY BE TERMINATED AT ANY TIME. IN CONSIDERATION OF MY EMPLOYMENT, I AGREE TO CONFORM TO THE COMPANY'S RULES AND REGULATIONS, AND I AGREE THAT MY EMPLOYMENT AND COMPENSATION CAN BE TERMINATED, WITH OR WITHOUT CAUSE, AND WITH OR WITHOUT NOTICE, AT ANY TIME, AT EITHER MY OR THE COMPANY'S OPTION. I ALSO UNDERSTAND AND AGREE THAT THE TERMS AND CONDITIONS OF MY EMPLOYMENT MAY BE CHANGED, WITH OR WITHOUT CAUSE, AND WITH OR WITHOUT NOTICE, AT ANY TIME BY THE COMPANY. I UNDERSTAND THAT NO COMPANY REPRESENTATIVE, OTHER THAN IT'S OWNER, AND THEN ONLY WHEN IN WRITING AND SIGNED BY THE OWNER, HAS ANY AUTHORITY TO ENTER INTO ANY AGREEMENT FOR EMPLOYMENT FOR ANY SPECIFIC PERIOD OF TIME, OR TO MAKE ANY AGREEMENT CONTRARY TO THE FOREGOING.

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