Work with us

Work with Us

Fill the form below accurately indicating your potentials and suitability to job applying for: "Barista"
Name:*

First NameMiddle NameLast Name
E-mail Address:
Phone Number:*

Area CodePhone Number
Type of Employment desired

Full timePart timeSeasonal
Address:*

Street Address

Street Address Line 2

CityState / Province

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How were you referred to us?

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Others:
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Days and hours available to work

Please specify days and hours of availability below. (A.M./P.M.)*

	Mon	Tue	Wed	Thu	Fri	Sat	Sun
From
To

Date available to start work:*

MonthDayYear
Personal Information
Are you legally eligible for employment in rhis country? Proof of immigration status will be required upon employment*

YesNo
If you are currently employed, may we contact your employer for any job related information?*

YesNo
Have you ever been convicted of a felony?(A conviction will not necessarily result in the denial of employment)*

YesNo
If yes please explain below
Are you able to perform the essential funtions of the job for which you are applying, with or without a reasonable accommodation?*

YesNo
If no please explain below
Employment History

List your last 2 employers, assigments, or volunteer activities, starting with most recent
Most Recent Employer (1)
Name and Address of Employer*
Please state your job title and the type of work you performed:*
Dates From / To
Rate of pay: Start/Finish*
Reason for Leaving*
Supervisor's Name *
Supervisor's Telephone number*
Previous Employer (2)
Name and Address of Employer
Please state your job title and the type of work you performed:
Dates From / To
Rate of pay: Start/Finish
Reason for Leaving
Supervisor's Name
Supervisor's Telephone number
Personal Reference (1)
Name:*

First NameLast Name
Phone Number*

Area CodePhone Number
Years Known:*
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Personal Reference (2)
Name:*

First NameLast Name
Phone Number*

Area CodePhone Number
Years Known:*
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
I understand that any misrepresentation or missing of any material facts by me on this application will be sufficient cause for cancellation of this application or sepparation from Java Group Co. if I have been employed. I give Java Group Co. the right to investigate all references and secure additional job-related information about my background. I release from liability Java Group Co. owners and its representatives for seeking such information all other individuals, entities and organizations for furnishing the information. I understand that any offer of employment may be be contingent upon passing any job-related examination or testing ( to include drug testing) required by Java Group Co. Java Group co. is an Equal Opportunity Employer. * Signature of Applicant and date (below)
Email
example@example.com
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Work with Us

Days and hours available to work

Personal Information

Employment History

Most Recent Employer (1)

Previous Employer (2)

Personal Reference (1)

Personal Reference (2)