Team Member Job Application

The Coffee Spot is an equal opportunity employer. This application will not be used for limiting or excluding any applicant from consideration for employment on a basis prohibited by local, state, or federal law. Should an applicant need reasonable accommodation in the application process, he/she/they/them should contact a company representative.

Please complete all sections below:

APPLICANT INFORMATION

First name

Last name

Email

Phone

Birthday

Month

Day

Year

Multi-line address

Country/Region

Address

City

Zip / Postal code

EMPLOYMENT POSITION

How did you hear about this position?

How many hours are you looking for?

What shifts are you available to work? (Check all that apply)

6 am - 12 pm (M-F)

12 pm - 5 pm (M-Sun)

7 am - 12 pm (Sat/Sun)

5 pm - 9 pm (Thursday)

On what date can you start working if you are hired?

PERSONAL INFORMATION

Are you 18 years of age or older

Yes

No

Are you a US Citizen or approved to work in the US?

Yes

No

What document can you provide as proof of citizenship or legal status? (Check all that apply)

Do you have any condition which would require job accomodations? (If yes, please describe)

Have you ever been convicted of a criminal offense (felony or misdemeanor)? If yes, please state the nature of the crime(s), when and where convicted, and disposition of the case.

*Note: No applicant will be denied employment solely on the grounds of conviction of a criminal offense. The date of the offense, the nature of the offense, including any significant details that affect the description of the event, and the surrounding circumstances, and the relevance of the offense to the position applied for may, however, be considered).

JOB SKILLS/QUALIFICATIONS

Please list below the skills and qualifications you possess for the position for which you are applying.

*Note: The Coffee Spot complies with the ADA and considers reasonable accommodation measures that may be necessary for eligible applicants/employees to perform essential functions.

EDUCATION/TRAINING

High School - Name, Location, Year Graduated

College/University - Name, Location, Year Graduated

Vocational School/Specialized Training - Name, Location, Year Graduated

Military - Are you a member of the Armed Services? If yes, what branch of the military? What was your military rank when discharged? How many years did you serve in the military? What military skills do you possess that would be an asset for this position

PREVIOUS EMPLOYMENT

Most recent Employer

Job Title

Supervisor Name

Employer Address

Employer Telephone #

Dates Employed

Reason for Leaving

Employer Name

Job Title

Supervisor Name

Employer Address

Employer Telephone #

Dates Employed

Reason for Leaving

List any other places of employment, job title, dates employed, and reason(s) for leaving

REFERENCES

Please provide 2 references (at least one professional) - include name, how you know them, and email address and phone number

ADDITIONAL INFORMATION

Will you be attending school away from home within the next 6-12 months? If so, when will you be leaving?

Will your availability be changing within the next 6-12 months (due to school/classes or other commitments? If so, please describe

AT-WILL EMPLOYMENT

The relationship between you and The Coffee Spot is referred to as "employment at will." This means that your employment can be terminated at any time for any reason, with or without cause, with or without notice, by you or The Coffee Spot. No representative of The Coffee Spot has authority to enter into any agreement contrary to the foregoing "employment at will" relationship. You understand that your employment is "at will," and that you can acknowledge that no oral or written statements or representations regarding your employment can alter your at-will employment status, except for a written statement signed by you or one of the owners of The Coffee Spot.

APPLICANT SIGNATURE

By hitting "Submit," you are signing the application.