Applicants Name - Last, First
Social Security Number:
Are you a citizen of the United States?
if no, are you authorized to work in the U.S.?
Have you ever been convicted of a crime?
if yes, explain:
Do you possess a current and valid driver's license?
Do you have current, valid auto insurance?
High School Address:
Did you graduate?
Did you graduate? If so what is your Degree?
Other: Please list any other special training or certificates that you think would apply to this position - Food Safety Training, etc.
If Serv-Safe Certified list date your certificate is valid until:
Reason for Leaving:
may we contact your previous supervisor for a reference?
Supervisors Full Name:
may we contact you previous supervisor for a reference?
Check if you have previous experience operating an espresso machine.
Check if you have previous experience operating a cash register.
Do you have any other experience not listed above? If so please elaborate:
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 or interview may result in my release. By selecting the "I Accept" button, you are
signing this Application electronically. You agree your electronic signature is the legal equivalent of your manual signature on this
Application - Name:
Click the Submit button to send your Application