Join our amazing team of baristas and managers. Coffee Hub Job Application Name: * First Name Last Name Phone Number: * Email: * Home Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Birthdate * MM DD YYYY Legal U.S. Citizen: * Yes No Have you ever been convicted of a felony? If yes, please explain. * Do you have previous Barista experience? If yes, please explain. * Why do you want to work at Coffee Hub? * Available Days+ Hours to Work: * Length of time you see yourself working for us: * 6 Months or Less 6-12 Months 12 Months or More Please explain the length of time you chose: * Which location(s) would you be willing to work? * Beavercreek Centerville Dayton Waynesville Xenia Education: High School Name: * Did you graduate? * Yes No Years Attended or Current Grade: * Address: * College Name: Did you graduate? Yes No Years Attended or Current Grade: Address: Other School Name: Did you graduate? Yes No Years Attended or Current Grade: Address: Employment History: COMPANY NAME + ADDRESS: Position There: Dates of employment: Reason Left (explain): Supervisor Name + Number: Is it okay to contact them? Yes No COMPANY NAME + ADDRESS: Position There: Dates of Employment: Reason Left (explain): Supervisor Name + Number: Is it okay to contact them? Yes No COMPANY NAME + ADDRESS: Position There: Dates of employment: Reason Left (explain): Supervisor Name + Number: Is it okay to contact them? Yes No Disclaimer: I state that the information provided, to the best of my knowledge, is correct. I understand that the falsification of any of this information is grounds to not be hired. I authorize that contact to any of the companies provided on this application is allowed. I understand that time is needed for decisions made considering my employment at Coffee Hub. * Sign + Date: Thank you for applying to join our team at Coffee Hub!
