Atlas Coffee Company - Job Application
Welcome! We are currently taking job applications for cashiers and baristas! We are looking for people who can stand for a long period of time, can hold 15+ pounds if needed, and someone who is motivated to learn about coffee! Please read everything very carefully and fill out ALL of the desired information. We welcome anyone and everyone to apply!

This form has been designed to strictly comply with State and Federal fair employment practice laws prohibiting employment discrimination. This Application for Employment Form is sold for general use throughout the United States. TOPS assumes no responsibility for the inclusion in said form of any questions which, when asked by the Employer of the Job Applicant, may violate State and/or Federal Law.

Email address *
Name (First, Last, Middle.) *
Social Security number *
Date of Birth *
MM
/
DD
/
YYYY
Email *
Phone number *
Are you 18 years or older? *
Are you prevented from lawfully becoming employed in this country because of Visa or Immigration status? *
Present Address (Street, City, State, Zip) *
Permanent Address (Street, City, State, Zip) *
Which position(s) are you interested in? (you can pick more than one.) *
Required
Employment Desired (Position, Date You Can Start, Salary Desired.) *
Are you employed now? *
If so, may we inquire of your present employer? *
Education
For each category please include the location, number of years attended, if you graduated and subject studied.
Grammar School
High School
College
Trade, Business, or correspondence school.
General
Exclude organizations, the name of which indicates the race, creed, sex, age, marital studies, color or nation of origin of its members.
Subjects of special study or research work
Activities & Special Skills.
U.S Military or Naval Service
Rank
Present Membership in National Guard or Reserves
Former Employees
Please list your last four employers.
FOLLOW THIS FORMAT:
NAME AND ADDRESS OF EMPLOYER
SALARY
POSITION
REASON FOR LEAVING

If you do not have past employers please list three people we can contact for recommendations.
Please do not list significant others or family. You must have known this person for more than one year.

Employer #1
Employer #2
Employer #3
Employer #4
The following statement applies in: Maryland & Massachusetts. (Fill in name of state.)
It is Unlawful in the state of _________________ to require or administer a lie detector test
As a condition of employment or continued employment, an employment who violates this law shall be subject to criminal penalties and civil liability.
In case of emergency (Name, Address, Phone no.)
Do you agree: By submitting this application you are agreeing that we can use your typed signature for this application. *
READ
*I CERTIFY THAT ALL THE INFORMATION SUBMITTED BY ME ON THIS APPLICATION IS TRUE AND COMPLETE, AND 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, WITH OR WITHOUT CAUSE, AND WITH OR WITHOUT NOTICE, AT ANYTIME BY THE COMPANY. I UNDERSTAND THAT NO COMPANY REPRESENTATIVE, OTHER THAN IT'S PRESIDENT, AND THEN ONLY WHEN IN WRONG AND SIGNED BY THE PRESIDENT, 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.
Type your full name (signature) and date. *
Please upload your cover letter or resume:
Submit
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This form was created inside of Atlas Coffee Company. - Terms of Service - Additional Terms