Employment Application

Name(Required)

First Middle Last

Address(Required)

Street Address Address Line 2 City State ZIP Code

Phone(Required)

Email(Required)

Enter Email Confirm Email

We communicate via email when scheduling interviews. Make sure your email address is active and you check your inbox regularly.

After reading our Job Descriptions, list the positions for which you are most interested:(Required)

How Many Hours Per Week are You Seeking to Work?(Required)

Please enter the maximum number of hours you want to work per week. Keep in mind, we only hire for part-time (32 hours or less).

Expected Wage Range(Required)

Please give the starting wage you expect to earn. If your answer is higher than we are able to pay, we will not advance your application).

Please select the option that best fits you:(Required)

We rarely hire seasonally. Our preferred applicants have year-round availability.

Select the option that best fits your weekend availability(Required)

We do not advance any applicant who doesn't have strong weekend availability.

After looking at our hours on our website, please describe in detail any days of the week or times of day you are UNAVAILABLE to work.(Required)

Be sure to check our operating hours, so the availability you are listing is relevant to our business needs. We do not keep applications from anyone who does not have at least 10 hours of availability that aligns with our operating hours.

Drug Screening/Background Check

Our onboarding process for new hires includes a state/federal criminal background check and a drug screening.

Do you have a criminal record?(Required)

YES

Can you successfully pass a drug screening?(Required)

YES

Education

High School(Required)

Please enter the high school you are attending or attended.

Graduation Year (if not yet graduated, give expected graduation year)(Required)

Please select one box below which describes your high school experience.(Required)

I am a Junior

I am a Senior

I am a Graduate

I am currently in high school.

I am out of high school, but did not receive a degree.

College

Degree/Major

Please describe how many years of college completed or whether you graduated.

Tell us about yourself, in describing skills and qualifications you obtain, that would add value to our team.(Required)

Employment History

Last two employers

No Employment History

If this would be your first job, please check this box.

If this would be your first job, please skip the rest of employment history section.

My current employer

Name of business

When did you work there?

Enter month/year; ie. Dec. 2020 to Jan. 2022

Supervisor Name

Supervisor Phone Number

Please describe your job and duties

Reason for leaving?

Salary

What was/is your hourly wage

May we contact this employer?

Yes

My last employer

Name of business

When did you start here?

Enter month/year; ie. Dec. 2020 to Jan. 2022

Supervisor Name

Supervisor Phone Number

Please describe your job and duties

Reason for leaving?

Salary

May we contact this employer?

Yes

References

Please list two non-biased references below. We will not accept relatives and friends as valid. Good examples of who to list include teachers, coaches, mentors, tutors, coworkers, past or current supervisors, clergy, etc.

Name(Required)

First Last

Phone(Required)

Your relationship to this reference:(Required)

Name(Required)

First Last

Phone(Required)

Your relationship to this reference:(Required)

Signature

Signature and Date(Required)

Please type your full name and today's date as your online signature. Don't forget to fill out the reCaptcha and hit "Submit" below.

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Art & Clay on Main | Square 7 Coffee House

Drug Screening/Background Check

Education

Employment History

References

Signature