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Basic Information

Your address:

cOFFEE cROSSING

4212 Charlestown Rd. #5
New Albany, IN 471
Tel (812) 981-2633
Give us a way to contact you:
Weekly Availability:
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High School Information:
Post High School Education:
Are you searching for summer employment?
Job History: List your three most recent jobs below.
Second Most Previous Employer:
Third Most Previous Employer:
Personal References:
Criminal History:
 
During the past 7 years have you been convicted of, pled guilty to, or pled no contest to a crime? (excluding misdemeanours and traffic violations)
By submitting this form you agree 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.