Work with Us Name * First Name Last Name Email * Address Address 1 Address 2 City State/Province Zip/Postal Code Country Phone (###) ### #### Are you a citizen of the United States? * Yes No If no, are you authorized to work in the United States? * Yes No Have you ever been convicted of a felony? * Yes No If yes, when? Employment History Please provide the following information about your 3 most recent employers: + Company name, phone number, address, and supervisor + Your job title, responsibilities, and starting & ending wages + Your beginning and ending dates of employment, and reason for leaving Education Please provide the name and address of your HIGH SCHOOL, dates of attendance, and whether or not you graduated. Please provide the name and address of your COLLEGE, dates of attendance, and whether or not you graduated. Availability How many hours or shifts a week are you looking for? Are you able to work on Sundays? Yes No If you have any trips planned during the next two months, please provide length and dates of your trip. Do you have a reliable mode of transportation? Yes No Which DAYS are you available? Which EVENINGS are you available? Questionnaire Which position(s) are you interested in? Barista Retail Deli Ice Cream What do you know about The Annex? Why are you interested in working here? Tell us something interesting about yourself... What are some hobbies and personal goals? Tell us about 2 recent restaurant or cafe experiences and what you liked or didn't like about them. What are the 3 most influential bands or musicians in your life? Where do you see yourself in 6 months? In 5 years? How do you liked to be managed? Why? What has been your favorite job and why did you love it? Who is your favorite TV show character and why? How have you dealt with a difficult customer/boss/coworker in the past? How many times should you be late in a year? Disclaimer and Signature I certify that my answers are true and complete to the best of my knowledge. If this application leads to employment, I understand that false or misleading information in my application/interview may result in my release. Typing your name and date below serves as your legally binding handwritten signature. Thank you!
