LaJava Employment Application
1

Employment Application

Date
Name
Address
City/Town
State/Province
Zip/Postal Code
Phone number
Cell Number
Email Address
2

Are you 16 to 18 years of age?

 Yes
 No
3

Have you ever been convicted of a crime?

Yes
No
If yes please explain:
4

AVAILABILITY:

Please indicate the hours you are available to work between 5:30am and 9pm.

Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
5

Are you involved in any outside activities that would limit your ablity to work during different times of the year?  If so when do they occur?
6

 Employment Questions

What is your pay expectation?
How many hours per week would you like to work?
When could you start?
What position are you applying for?
How long would you like to work at LaJava?
DO YOU LIKE COFFEE OR TEA?
7

Work Experience

List your current employer if not currently working your last employer.

Dates employed:
Company & address:
Position & Duties:
Pay:
Reason for leaving:
8

Describe your best customer service experience?
9
List your prior employer.
Dates employed:
Company & address:
Position & Duties:
Pay:
Reason for leaving:
10

SUPPLEMENTAL INFORMATON

Have you ever visited LaJava before?
If so, please describe you experience:
Why do you think you will enjoy about working at LaJava?
List three things that are important to you and why?
1.
2.
3.
Why should we hire you?
11

Any thing else you would like to tell us?
12

Authorization: Please read below and check the box if agreed.

"I certify that the facts contained in this application are true and complete to the best of my knowledge, and understand that falsification of these statements is grounds for dismissal. I authorize LaJava a roasting house to confirm all statements made in this application and to contact previous employers and personal references."