This job requires availabilty to work a minimum of 32 Hours per week. Are you available to work 32 or more hours per week?
              
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                    Yes
                
                    No
                
               
            
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
            
            
            
              
                
            
              Name
              
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                    First Name 
                   
                
                
                  
                     
                    Last Name 
                   
                
               
            
            
            
            
            
            
        
          
          
            
            
            
            
            
              
                
            
              Email Address
              
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              Address
              
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                    Address 1 
                   
                
                
                  
                     
                    Address 2 
                   
                
                
                  
                     
                    City 
                   
                
                
                  
                     
                    State/Province 
                   
                
                
                  
                     
                    Zip/Postal Code 
                   
                
                
                  
                     
                    Country 
                   
                
               
            
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
              
                
            
              Phone number
              
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                Must be a US number - WE WILL CONTACT YOU THRU THIS NUMBER
                
                
                  
                     
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              Are you legally authorized to work in the US?
              
             
          
                
                
                    Yes
                
                    No
                
               
            
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
            
              
                
            
              Work Experience
              
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                Mark if apply
                
                  Coffee shop experience
                
                  None
                
               
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
            
              
                
            
              What shifts can you work
              
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                MUST BE AVAILABLE TO WORK FOR THE ENTIRE SHIFT
                
                  Monday 6:30am to 2:30pm
                
                  Monday 2:30pm to 10:30pm
                
                  Tuesday 6:30am to 2:30pm
                
                  Tuesday 2:30pm to 10:30pm
                
                  Wednesday 6:30am to 2:30pm
                
                  Wednesday 2:30pm to 10:30pm
                
                  Thursday 6:30am to 2:30pm
                
                  Thursday 2:30pm to 10:30pm
                
                  Friday 6:30am to 2:30pm
                
                  Friday 2:30pm to 10:30pm
                
                  Saturday 7:30am to 2:30pm
                
                  Saturday 2:30pm to 10:30pm
                
                  Sunday 7:30am to 2:30pm
                
                  Sunday 2:30pm to 10:30pm
                
               
            
            
            
            
            
            
            
            
        
          
          
            
            
            
              
                
            
              When are you available to start work?	
              
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              Are you currently enrolled in school or plan to enroll in the near future?
              
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                  Yes
                
                  No, I'm not going to school at the moment
                
               
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
              
                
            
              Please tell us about yourself.
              
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                Please describe previous job experience in the coffee industry. Why you would like to work with us, and why you think this job is for you. 
                
               
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
              
                
            
              What is your past education?
              
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              Would you work Holidays?
              
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                We are currently looking for people that can work the Holidays and Weekends if needed. 
                
                  Yes
                
                  No
                
               
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
              
                
            
              What skills or characteristics qualities do you offer to Coffee Box
              
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              At this job, constant cleaning is required.  Is this something that you will mind doing?	
              
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                  YES
                
                  NO
                
               
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
            
              
                
            
              Are you currently employed
              
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                  Yes
                
                  No
                
               
            
            
            
            
            
            
            
            
        
          
          
            
            
            
              
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
        
          
          
            
            
            
              
                
            
              Supervisor's name
              
             
          
                
                 
              
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
        
          
          
            
            
            
              
                
            
              Work dates: from when to when?
              
             
          
                
                 
              
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
        
          
          
            
            
            
              
                
            
              Address (optional)
              
             
          
                
                 
              
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
        
          
          
            
            
            
              
                
            
              City | State | Zip (optional)
              
             
          
                
                 
              
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
        
          
          
            
            
            
              
                
            
              Phone number
              
             
          
                
                 
              
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
        
          
          
            
            
            
              
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
        
          
          
            
            
            
              
                
            
              Wage
              
             
          
                
                 
              
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
        
          
          
            
            
            
              
                
            
              Job title/dutties
              
             
          
                
                 
              
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
        
          
          
            
            
            
              
                
            
              Reason for leaving
              
             
          
                
                 
              
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
            
              
                
            
              Do you follow us on Instagram?
              
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                  Yes
                
                  No
                
               
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
            
              
                
            
              We offer paid training, training is for two weeks, the hourly rate is $8 with out tips, is this ok with you?
              
             
          
                
                
                  Yes
                
                  No
                
               
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
            
              
                
            
              If hired, you will be ask to share our social media content in your social media channels.
              
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                  Yes, I am ok sharing the business content on my social media channels
                
                  No, I am not ok sharing the business content on my social media channels
                
               
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
            
              
                
            
              Have you taken a moment to share your positive experience through a Google review? Your feedback helps us shine and would be greatly appreciated!:
              
             
          
                
                
                   Yes, I gladly left a review on Google!
                
                  No thank you, I prefer not to give a review at the moment
                
               
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
            
            
            
              
                
            
              I, the undersigned, agree to: Without the written consent of the Employer, I agree not to directly or indirectly, engage or participate while employed or up to ONE year after stopping to work with the Employeer, in any other business activities which the Employeer, in their reasonable discretion, determines to be in conflict with the best interest of the Employer or the business. If by as a result of default to this Agreement by the Employee, the Employer will file in Small Claims Curt a case and the Employee will be one hundred percent responsible for any economical damage caused to the business including attorney and court fees. 
              
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                    First Name 
                   
                
                
                  
                     
                    Last Name 
                   
                
               
            
            
            
            
            
            
        
         
      
      
      
      Thank you! We will review you information and get in touch with you to schedule an interview.
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