Job Application Coffee Time by qhu43966

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									                                                                               APPLICATION FOR EMPLOYMENT
                                                                                           1025 E. Camelback Rd. Phoenix, AZ 85014
                                                                                  Phone (602) 274-6900 www.dolceespressousa.com
                                                                             APPLICANT INFORMATION
First Name                                                                                  Middle            Last Name



Social Security Number                                                   Phone Number                                              Cell or Message Number

                           -                -                            (            )               -                           (            )                -

Address                                                                 Apt #               City                                   State                Zip Code



Email Address



How were you reffered to us?                                             List anyone you know, and their relationship to you, working for the company.


Are you able to perform the essential functions of the job for which you are applying?                oYes       oNo
(Note: We comply with the Americans with Disabilities Act and consider reasonable accomidation measures that may be necessary for eligible applicants to perform essential functions.)

                                    Are you at least What position are you seeking?
Are you eligible for                                                                                           Are you seeking                                               Do you have a
                                   18 years of age?                                                                                   Can You Work       Can You Work
employment in the U.S.A?                                                                                         oFull Time                                                  current food
                                    oYes        oNo                                                                                     Holidays?          Weekends?
oYes       oNo                                                                                                         or                                                   handlers card?
                                    If no enter age Which Shift?             o1st         o2nd      o3rd                              oYes       oNo     oYes       oNo
(Verification will be required.)                                                                                 oPart Time                                                 oYes         oNo

Salary Desired?                    Please list any schedule restrictions.                                                                               Date Available to Start?


                                                                                CRIMINAL HISTORY
HAVE YOU EVER BEEN CONVICTED OF A CRIME?                                        oYes               oNo
If yes, explain number of convictions, nature of offense (s) leading to conviction (s), how recently such offense (s) was/were committed, sentence (s) imposed, and type
(s) of rehabilitation. Do not include minor traffic offenses.




                                                                                      EDUCATION
Did you graduate from high school?          oYes          oNo            If No, Did you receive a G.E.D.?          oYes           oNo                   Date Received:

If Yes what is the name and address of your high school?                                    City                                   State                What was your G.P.A.?


Did you attend a College, Business, Professional or Trade School? oYes                oNo If Yes please list below. Documentation required for management positions.

                                                                                                                                                            Years              Degree
              Name of School                                      Address                          City            State                   Zip            Completed           Received
                                                                                                                                                                              oYes oNo

                                                                                                                                                                              oYes oNo

                                                                                                                                                                              oYes oNo


Which languages do you speak and with what proficiency?                  What Computer software can you operate?                                            TYPE WPM            10 KEY
                                                                                                                                                                              o Touch
                                                                                                                                                                               o Sight
Please list any skills that you think may help you with this job.
                                                                    EMPLOYMENT HISTORY
Name of current or most recent employer


Address                                                        Ste #             City                              State              Zip Code



Supervisors Name                                                Phone Number                                       Fax Number

                                                                (            )            -                        (          )              -

Dates Employed mm/yy to mm/yy                        Are you rehireable?         Reason For Leaving?

                                                        oYes        oNo
Please give a description of your duties




Name of previous employer


Address                                                        Ste #             City                              State              Zip Code



Supervisors Name                                                Phone Number                                       Fax Number

                                                                (            )            -                        (          )              -

Dates Employed mm/yy to mm/yy                        Are you rehireable?         Reason For Leaving?

                                                        oYes        oNo
Please give a description of your duties




Name of previous employer


Address                                                        Ste #             City                              State              Zip Code



Supervisors Name                                                Phone Number                                       Fax Number

                                                                (            )            -                        (          )              -

Dates Employed mm/yy to mm/yy                        Are you rehireable?         Reason For Leaving?

                                                        oYes        oNo
Please give a description of your duties




                                                                             REFERENCES
Name                                             Address                                         Phone                                Years Known      Relationship


Name                                             Address                                         Phone                                Years Known      Relationship


Name                                             Address                                         Phone                                Years Known      Relationship


Information to the applicant:
As part of our procedure for processing your employment application, your personal and employment references may be checked. If you have misrepresented or
omitted any facts on this application, and are subsequently hired, you may be discharged from your job. You may make a written request for information derived from
the checking of your references. If necessary for employment, you may be required to: supply your birth certificate or other proof of authorization to work in the US,
have a physical examination and/or a drug test, or to sign a conflict of interest agreement and abide by its terms. By signing this agreement you understand and agree
to the information shown above and to all the terms and conditions herein:

Signature                                                                                                          Date

								
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