Name *

First Name

Last Name

Phone *

(###)

###

####

Mailing Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Are you under 18? *

Yes

No

Time *

Full Time

Part Time

Availability

When you're able to work?

Morning

Evening

Holidays

Weekends

What days can you work? *

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday

When can you start?

MM

DD

YYYY

First Reference Name

First Name

Last Name

First Reference Phone #

(###)

###

####

Second Reference Name

First Name

Last Name

Second Reference Phone #

(###)

###

####

Are you legally authorized to work in the United States? *

Federal law requires you to produce within 3 business days of hire speci!c documents establishing your identity and authorization for employment in the US.

Yes

No

Agreement *

I certify that the facts contained in this application are true and complete to the best of my knowledge. I understand that if I am employed, any misrepresentations, omissions, or false statements on this application will disqualify me from further consideration and may be grounds for immediate dismissal. I authorize investigation of all statements contained in this application. I also grant permission to contact all references listed above, and authorize them to release all information concerning my previous employment and any other pertinent information these references might have, personal or otherwise. I release all parties from all liability for any damage that may result from furnishing this information to you. I understand and agree that, if hired, my employment is for no definite period and no promise is binding unless in writing and signed by the owner. I understand that this application is not an offer, promise, or contract of employment, either expressed or implied. If hired, my employment would be “at will” and could be terminated by either Wunderbar Coffee House or me at any time, with or without notice or cause.

I agree