Bean and Bagel Cafe

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Employment Application

Please fill out application and click "submit", or print and drop off at Bean and Bagel Cafe for consideration for employment.
*Last Name *First Name *Phone Number E-mail Address *Address *City/State/Zip *Date Available to Start *Social Security Number *Salary Requirements *If you are under 18 years of age, can you provide a work permit?
Yes
No
I'm over 18 years of age
*Are you legally allowed to work in the U.S.?
Yes
No
*Type of Employment Desired
Full-Time
Part-Time
Temporary
Seasonal
*Have you ever been convicted of a crime?
Yes
No
If yes, give dates and details:
Answering yes to these questions does not constitute an automatic rejection for employment. Date of offense, seriousness and nature of the violation, rehabilitation and position applied for will be considered.
Driver's license number (if applicable to position): State Summarize and special skills or qualifications:
*List last three most recent employers, job title and beginning/ending salary, dates employed, brief description of duties, reason for leaving/termination, name and contact info for your supervisor, and if we may contact them.
By signing and/or submitting this application, I certify that my answers are true and complete to the best of my knowledge. I authorize you to make such investigations and inquiries of my personal, employment, educational, financial, and other related matters as may be necessary for an employment decision. I hereby release employers, schools or individuals from all liability when responding to inquiries in connection with my application.

In the event that I am employed, I understand that false or misleading information given in my application or interview(s) may result in termination.

Name: _________________________________

Date: _______________________