Open positions are for afternoons and weekends. Rate of pay is $9-$12/hr. Download and Print Application Employment Application "*" indicates required fields PERSONAL DATAName* First Last Referred by: Address:* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Email:* Phone:*Date you can start work: EMPLOYMENT HISTORYPrevious Employer Information: (List below last four employers, starting with last one first)Dates of employment: From when to whenCompany Name PhonePosition Reason for Leaving May we contact? Yes No Dates of employment: From when to whenCompany Name Phone:Position Reason for Leaving May we contact? Yes No Dates of employment: From when to whenCompany Phone:Position Reason for Leaving May we contact? Yes No Dates of employment: From when to whenCompany Phone:Position Reason for Leaving May we contact? Yes No REFERENCESReferences: (List below three persons not related to you, whom you have known at least one year)Reference # 1 Full Name: Phone:Business: Years Known Reference # 2 Full Name: Phone:Business: Years Known: Reference # 3 Full Name: Phone:Business: Years Known: SCHEDULE INFORMATIONSchedule Availability: (List below any prior weekly commitments, including school and other employment. If more space is needed, please attach a schedule to the application.) If you have no commitments, please put none in the box.Sunday*Monday*Tuesday*Wednesday*Thursday*Friday*Saturday*If you have a cover letter or resume, please upload it. Drop files here or Select files Max. file size: 256 MB. If hired, all baristas will be required to work weekends until seniority is established. Opening shifts are also scheduled based on seniority, and are not available at this time. All employees will start at $9.00 per hour. After three consecutive months of employment, or becoming fully trained, baristas will reach a maximum rate of $12.00 per hour until promoted to the management team. New employees will complete one week of training before receiving tips or until helping customers at the window.“I certify that the information provided in this application is true and complete to the best of my knowledge and understand that, if employed, falsified statements on this application shall be considered grounds for dismissal. I authorize inquiries of all statements provided and the references and employers listed above to give you any and all information concerning my previous employment and any information they may have, personal or otherwise, and release the company from all liability or any damage that may result from utilization of such information.”Sign Your Name Below Date:Month123456789101112Day12345678910111213141516171819202122232425262728293031Year202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920 Δ
