MOOR Coffee Co Application for Employment

First Middle/Maiden Last Name

If different from your first name.

Area Code Phone Number

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code

Numbers only, no dashes or spaces.

MOOR Coffee Company Manager MOOR Coffee Shift Supervisor MOOR Coffee Barista

Full Time Part Time Internship Summer Temporary

6:30 AM to 9:00 AM 9:00 AM to 12:30 PM 12:30 PM to 3:30 PM 3:30 PM to 6:30 PM 6:30 PM to 9:30 PM

List highest grade completed

High School Name, City, State

School Name, City, State

List the number of credit hours completed or number of years completed.

School Name, City and State

Example: Masters, Doctorate, In Process, etc.

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code

Area Code Phone Number

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code

Area Code Phone Number

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code

Area Code Phone Number

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code

Area Code Phone Number

I certify that the facts contained in this application are true and complete. I also understand that falsified statements on this application shall be grounds for withdrawal of any job offer, or immediate termination regardless of the time of discovery. I authorize that all information on this application is subject to verification and consent that all references and educational institutes may release any and all information concerning my previous (or current) employment and release all parties from all liability, claim or any damage which may result from furnishing any information about me. I understand and agree that in no way does this application offer an employment contract. Employment is not by contract expressed or implied.

I also understand that if employed it is for no definite period and I or Broadmoor Baptist Church may terminate employment at will at any time without notice. I further understand that employment may be contingent on passing personal and/or criminal background checks, a drug screen and other tests the Church deems necessary. By signing below I acknowledge that I have read and understand this authorization agreement and consent to the tests listed above.

MOOR Coffee Co Application for Employment

PERSONAL INFORMATION

DESIRED EMPLOYMENT

CRIMINAL OFFENSES

EDUCATION

ADDITIONAL INFORMATION

REFERENCES

AUTHORIZATION AGREEMENT