Availability
Total hours
avalible per week
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Are you legally able to be employed in the United States? |
YES NO |
Weekly Hours Available
Please provide the daily hours your available to work below.
| Sunday | From: To: |
| Monday | From: To: |
| Tuesday | From: To: |
| Wednesday | From: To: |
| Thursday | From: To: |
| Friday | From: To: |
| Saturday | From: To: |
High School Information
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School
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Last Grade Completed
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GPA
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Teacher Reference
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Class
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Counselor
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| Sports or Activities |
Post High School Education
| School |
| Graduation Date (or anticipated date) |
| GPA |
| Major or Area of Study |
| Teacher Reference |
Job History
List your three most recent jobs below.
| Company | |
| Address | |
| City | |
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| Phone | |
| Job Description | |
| Supervisor | |
| Dates Worked | From: To: |
| Salary | |
| Reason for Leaving |
| Company | |
| Address | |
| City | |
| State | |
| Phone | |
| Job Description | |
| Supervisor | |
| Dates Worked | From: To: |
| Salary | |
| Reason for Leaving |
| Company | |
| Address | |
| City | |
| State | |
| Phone | |
| Job Description | |
| Supervisor | |
| Dates Worked | From: To: |
| Salary | |
| Reason for Leaving |
Personal References
Name
Address
Home Phone
Name
Address
Home Phone
Name
Address
Home Phone
| During the past 7 years have you been convicted of, pled guitly to, or pled no contest to a crime (excluding misdameanors and traffic violations). |
YES NO |
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By sending this form you have agreed to the following 1. I certify that I have read and fully completed allo of this application and that the information contained on this application is correct to the best of my knowledge and understand that any omission or erroneous infromation is grounds for dismissal. 2. I authorize the reference listed on this apllication to give you any and all information concerning my previous employment, personal or otherwise and I release all parties from liability for any damage that may result from funishing same to you. 3.Coffe Crossing LLC, is an Equal Opportunity Employer. Various Frederal State and Local laws prohibit descrimination by race, color, religion, sex , age, national origin, disability or veterans status. It is our policy to fully comply with these laws; information in this application will not be used for any purpose prohibited by law. |
