Employment Application

It is the policy of Early Bird Cafe to provide equal employment opportunities to all applicants and employees without regard to any legally protected status such as race, color, religion, gender, national origin, age, disability or veteran status. Please complete the entire application.

Application Information

Applicant Full Name (Required)

Street Address

Street Address Line 2

City

State

Zip code

Number of years at this address: (Required)

Email Address

Daytime Phone Number

000-000-0000 or (000) 000-0000

Evening Phone Number

000-000-0000 or (000) 000-0000

Mobile Phone Number

000-000-0000 or (000) 000-0000

Social Security Number

Driver's License (State/Number)

Emergency Contact

Who should be contacted if you are involved in an emergency?

Contact Name (Required)

Relationship to you (Required)

Street Address

Street Address Line 2

City

State

Zip code

Daytime Phone Number (Required)

000-000-0000 or (000) 000-0000

Evening Phone Number (Required)

000-000-0000 or (000) 000-0000

Job Position Applied For

Job Position Applied For (Required)

Full or Part Time? (Required)

If hired, are you able to submit proof that you are legally eligible for employm

Yes

Applicant's Skills

List any skills that may be useful for the job you are seeking. Enter the number of years of experience, and circle the number which corresponds to your ability for each particular skill. (One represents poor ability, while five represents exceptional ability.)

Skill (Required)

Years of Experience (Required)

Ability or Rating

Applicant's Employment History

Please list all jobs (including self-employment and military service) which you have held, beginning with the most recent, and list and explain any gaps in employment.

Employer 1

Employer Name

Supervisor Name

Phone Number

000-000-0000 or (000) 000-0000

Email Address

Street Address

Street Address Line 2

City

State

Zip code

Job Duties

Reason for Leaving

Start Date

End Date

Employer 2

Employer Name

Supervisor Name

Phone Number

000-000-0000 or (000) 000-0000

Email Address

Street Address

Street Address Line 2

City

State

Zip code

Job Duties

Reason for Leaving

Start Date

End Date

Applicant's Education and Training

College/University Name and Address

Did you receive a degree?

Yes

High School/GED Name and Address

Did you receive a degree?

Yes

Other Training (graduate, technical, vocational)

Please indicate any current professional licenses or certifications you hold (pdf, doc, docx, jpg, jpeg):

Awards, Honors, Special Achievements (pdf, doc, docx, jpg, jpeg):

References: (List any two non-relatives who would be willing to provide a reference for you.)

Name (Required)

Email Address (Required)

Street Address

Street Address Line 2

City

State

Zip code

Phone Number (Required)

000-000-0000 or (000) 000-0000

Name

Email Address (Required)

Street Address

Street Address Line 2

City

State

Zip code

Phone Number (Required)

000-000-0000 or (000) 000-0000

Agreement

Please provide any other information that you believe should be considered

Please provide any other information that you believe should be considered, including whether you are bound by any agreement with any current employer:

Agreement 1

I certify that the information provided on this application is truthful and accurate. I understand that providing false or misleading information will be the basis for rejection of my application, or if employment commences, immediate termination.

Agree

I certify

Agreement 2

I authorize Early Bird Cafe to contact former employers and educational organizations regarding my employment and education. I authorize my former employers and educational organizations to fully and freely communicate information regarding my previous employment, attendance, and grades. I authorize those persons designated as references to fully and freely communicate information regarding my previous employment and education.

Agree

I certify

Agreement 3

I HAVE CAREFULLY READ THE ABOVE CERTIFICATION AND I UNDERSTAND AND AGREE TO ITS TERMS.

Agree

I certify

Upload Resume (pdf, doc, docx, jpg, jpeg):

Applicant signature (Required)

Full name

Thank you for your interest in joining our team! We will be in touch with you shortly.

Join Our Team

Employment Application

Application Information

Emergency Contact

Job Position Applied For

Applicant's Skills

Applicant's Employment History

Employer 1

Employer 2

Applicant's Education and Training

References: (List any two non-relatives who would be willing to provide a reference for you.)

Agreement

Agreement 1

Agreement 2

Agreement 3

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