Please complete the form below to apply for a position with us. Job Application Form What position are you applying for? * Name * Address * City * State * ZIP * Phone Number * Email * Are you legally eligible for employment in the U.S.? YESNO (All new hires will be required to provide proof of eligibility to work in the U.S.) LIST FORMER EMPLOYERS List below current and last three employers, starting with most recent one first Current Employer Enter Name and Address of Employer - Type of Business) May We Contact This Person? YESNO Previous Employer Enter Name and Address of Employer - Type of Business) May We Contact This Person? YESNO Previous Employer Enter Name and Address of Employer - Type of Business) May We Contact This Person? YESNO PERSONAL OR PROFESSIONAL REFERENCES Give below the names of three personal or professional references. Reference Name 1 * Phone Number * Email Reference Name 2 Phone Number Email Reference Name 3 Phone Number Email Message/Note What is the earliest date you are available to start employment? * Upload your resume (pdf, text or doc) I hereby authorize Cafe 360 to investigate my background, references, employment record and other matters related to my suitability for employment. I authorize persons, schools, my current employer (if applicable), and previous employers and organizations contacted by Cafe 360 to provide any relevant information regarding my current and/or previous employment and I release all persons, schools, employers of any and all claims for providing such information. I understand that misrepresentation or omission of facts may result in rejection of this application, or if hired, discipline up to and including dismissal. I have read the above statement and agree to the terms stated. Type your full name * This is considered a legal electronic signature Δ
