Personal Info

Tell us more about you

Location

Location You Are Applying For

Contact Information

First Name (Required)

Last Name (Required)

Street Address (Required)

Street Address Line 2

City (Required)

State (Required)

Zip Code (Required)

Email Address (Required)

Phone Number (Required)

In case of emergency contact

Job Details

Will you accept part-time work? Yes No

Will you accept full-time work? Yes No

Have you ever been fired or asked to resign from a job? Yes No

Do you have reliable transportation to/from work? Yes No

If yes explain

Acai republic looks to hire great team members, those who have a great attitude and have the potential and drive to Succeed in many positions. We only have one job description for the reason that since we are a team, everyone is Responsible for the success of the cafe. All team members are cross-trained in all positions. This job requires team Members to have the ability to interact with guests, continuous standing, walking, lifting (0-40 lbs), reaching, Cleaning and smiling.

Can you perform these functions with or without reasonable accomodations? Yes No

Availability

Number of Hours Desired

Monday Availability (select all that apply) AM PM

Tuesday Availability (select all that apply) AM PM

Wednesday Availability (select all that apply) AM PM

Thursday Availability (select all that apply) AM PM

Friday Availability (select all that apply) AM PM

Saturday Availability (select all that apply) AM PM

Sunday Availability (select all that apply) AM PM

Can you accept a position immediately? Yes No

If not when?

Education History

Highschool

Name of School

Academic Major

G.P.A

Did you graduate Yes No

College

Name of School

Academic Major

G.P.A

Did you graduate Yes No

Other

First Name (Required)

Academic Major

G.P.A

Did you graduate Yes No

Employment History

Employer 1

Company Name

Employer Phone

Start Date

End Date

Position

May we contact Yes No

Employer 2

Company Name

Employer Phone

Start Date

End Date

Position

May we contact Yes No

Employer 3

Company Name

Employer Phone

Start Date

End Date

Position

May we contact Yes No

References

Do not list family members

Reference #1

Name

Relationship to you

How long have you known this person

Type of Reference (School, Work, Personal)

Phone Number

Reference #2

Name

Relationship to you

How long have you known this person

Type of Reference (School, Work, Personal)

Phone Number

Reference #3

Name

Relationship to you

How long have you known this person

Type of Reference (School, Work, Personal)

Phone Number

Terms And Agreements

Do you agree with the Terms and Agreements? Yes No

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