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Henderson
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Home
Las Vegas
Henderson
Menus
Work Here
Home
Las Vegas
Henderson
Menus
Work Here
Personal Details
Name
*
First
Last
Phone
*
Email
*
Address
*
Street Address
Address Line 2
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Armed Forces Americas
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State
ZIP Code
Social Security Number:
*
Driver License Number:
*
Driver License State:
*
Date of Birth:
*
Date Format: MM slash DD slash YYYY
Are you legally eligible to work in the U.S.?
*
Yes
No
Have you applied to work at Founders Coffee before?
*
Yes
No
Have you ever been convicted of a felony?
*
Yes
No
Do you agree to a drug screening at the company's expense?
*
Yes
No
Do you agree to a criminal background check at the company's expense?
*
Yes
No
Employment Interest
For which position are you applying?
*
Barista
Other staff
Date of first availability:
*
Date Format: MM slash DD slash YYYY
Availability on Monday:
*
Morning shift
Afternoon shift
Evening Shift
Available all day
Not available
Availability on Tuesday:
*
Morning shift
Afternoon shift
Evening Shift
Available all day
Not available
Availability on Wednesday:
*
Morning shift
Afternoon shift
Evening Shift
Available all day
Not available
Availability on Thursday:
*
Morning shift
Afternoon shift
Evening Shift
Available all day
Not available
Availability on Friday:
*
Morning shift
Afternoon shift
Evening Shift
Available all day
Not available
Availability on Saturday:
*
Morning shift
Afternoon shift
Evening Shift
Available all day
Not available
Availability on Sunday:
*
Morning shift
Afternoon shift
Evening Shift
Available all day
Not available
How will you get to work?
*
Education / Service
Have you ever served in the U.S. Armed Services?
*
Yes
No
Highest level of education completed?
*
N/A
GED
High school diploma
Undergraduate degree
Graduate degree
References
List 3-5 people we may contact who are qualified to evaluate your capabilities. Do not include relatives. (Click the + button to add a new row)
*
Name
Phone
Your relationship to them?
Employment History
Company:
Your position / job title:
Your supervisor:
Supervisor phone number:
Date you started:
Date Format: MM slash DD slash YYYY
Date you left:
Date Format: MM slash DD slash YYYY
Description of duties:
Reason for leaving?
May we contact this employer?
Yes
No
Would you like to add an additional employer?
*
Yes
No
Employment History – 2
Company:
Your position / job title:
Your supervisor:
Supervisor phone number:
Date you started:
Date Format: MM slash DD slash YYYY
Date you left:
Date Format: MM slash DD slash YYYY
Description of duties:
Reason for leaving?
May we contact this employer?
Yes
No
Would you like to add a 3rd additional employer?
*
Yes
No
Employment History – 3
Company:
Your position / job title:
Your supervisor:
Supervisor phone number:
Date you started:
Date Format: MM slash DD slash YYYY
Date you left:
Date Format: MM slash DD slash YYYY
Description of duties:
Reason for leaving?
May we contact this employer?
Yes
No
Acknowledgement
Digital Signature
*
Printing your First Name + Middle Initial + Last Name will act as your digital signature
Today's Date:
*
Date Format: MM slash DD slash YYYY
Resume upload (optional)
Accepted file types: pdf, txt, doc, docx, wpd, wpsrtf.
