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Employment Application

Please fill out the fields below to the best of your ability. The more information we have, the easier it will be to verify for employment consideration. Expect to hear from us soon but please be patient as we research your information. Kaffe Bona is an Equal Opportunity Employer.

Required fields are designated with an asterix: *

Personal Information
Name * SSN (No dashes) *
E-Mail * Date of Birth (MM/DD/YYYY) *
Address * Cell Phone *
City * Other Phone
State * Time at Residence *
Zip * Refered by?
Are you 18 or Older? * Yes No Are you legally allowed to work in the US? * Yes No
 

Desired Employment
Position * Date you can start? *
Employed now? * Yes No If so, may we contact employer? * Yes No
Applied here before? Yes No Where and when?
Worked here before? Yes No Where and when?
Reason for Leaving?
 
Availability » Listing the actual times you are willing and able to work is a big factor when considering employment.
Sunday? * Yes No If so, what hours?
Monday? * Yes No If so, what hours?
Tuesday? * Yes No If so, what hours?
Wednesday? * Yes No If so, what hours?
Thursday? * Yes No If so, what hours?
Friday? * Yes No If so, what hours?
Saturday? * Yes No If so, what hours?
 

Education
Name & Location of School Select Last Year Completed Major Course Diploma/Degree
High School *
College/University
College/University
Business or Trade School
 

Employment History » Please list chronologically, beginning with most recent experience.
Employer * Address/City
From (MM/YYYY) To (MM/YYYY)
Supervisor Phone
Salary/Pay    
Reason for Leaving?
Type of Work?
Employer Address/City
From (MM/YYYY) To (MM/YYYY)
Supervisor Phone
Salary/Pay    
Reason for Leaving?
Type of Work?
Employer Address/City
From (MM/YYYY) To (MM/YYYY)
Supervisor Phone
Salary/Pay    
Reason for Leaving?
Type of Work?
 

Employment References

Below, give the names of three persons you are not related to, whom you have known at least one year.
Name * Occupation
Address/City Years Acquainted
 
Name * Occupation
Address/City Years Acquainted
 
Name Occupation
Address/City Years Acquainted
 

General Information
Special Training
Special Skills
Served in the Armed Forces? Yes No Branch/Rank
Armed Forces Summary
 
Have you ever been convicted of, plead guilty/no contest to, or had a suspended imposition of sentence for any offense (other than minor traffic violation(s))? * Yes No
If Yes, please explain: *

Please note: A convictional record will not necessarily exclude you from consideration. This information will be used only for job-related purposes and only to the extent permitted by law.
 

Sign and Submit

Please read carefully before submitting your application

All information contained in this application is true and correct to the best of my knowledge and belief. I understand that misrepresentations or omissions of any kind may result in denial of employment or be cause for subsequent dismissal if I am hired. I authorize the company to investigate my responses on this application and contact any or all of my former employers or any individuals familiar with me or my employment background for the purpose of verifying any information, I have provided and/or for the purpose of obtaining any information, whether favorable or unfavorable, about me or my employment. I voluntarily and knowingly fully release and hold harmless any person or organization that provides information pertaining to me or my employment. I understand that upon receiving a job offer, a physical examination and drug screening may be required. (Note: If this is a job requirement, you will be notified.)

Regardless of whether or not I become employed by the company, I recognize that this application is not and should not be considered a contract of employment. I understand that employment at the company is on an at-will basis and that my employment may be terminated with or without cause, and without notice, at any time, at my option or the company's unless specifically provided otherwise in a written employment contract. I further understand that no company employee or representative has the authority to enter into a contract regarding duration or terms and conditions of employment other that an officer or official of the company, and then only by means of a signed written document. We have a policy of no smoking on the premises.

Sign with name:   * Check this box to certify that you have read and accept the above statement.
 
Kaffe Bona

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