Application

T.E.A.
Caf APPLICATION FOR EMPLOYMENT

T.E.A. Caf is an equal opportunity employer, dedicated to the policy of non-discrimination in employment on any basis including
race, color, age, sex, religion, national origin, the presence of mental, physical, or sensory disability, sexual orientation, or any other
basis prohibited by federal, state, or provincial law.
Please complete entire application to ensure processing

PERSONAL INFORMATION (PLEASE PRINT)
Name
Last
First
Middle
SS#
DOB (M/D/Y)
____________________________________________________________________________________________________/__/___
Other names you are known by ________________
Are you less than 18 years of age? Yes___ No___
Are you legally eligible for employment in the U.S? Yes___ No___
Proof of U.S. citizenship or immigration status will be required if hired for a position with T.E.A. Caf.
Have you been convicted of a felony in the last seven (7) years? Yes___ No___
If Yes, list of convictions that are a matter of public record (arrests are not convictions). A conviction will not necessarily disqualify you for employment.
Present Address
Street
City
State/Province
Zip Code
______________________________________________________________________________________________
Permanent Address
Street
City
State/Province
Zip Code
______________________________________________________________________________________________
Phone Number
Daytime
Evening
Email Address
EMPLOYMENT DESIRED
(If you are applying for a retail hourly position, please keep in mind that the availability of hours may vary.)
Position
Salary Desired
Date You Can Start

Sunday Monday Tuesday Wednesday Thursday
Friday
Sat.
Specify hrs available for each day

Are you able to work overtime?
EDUCATION
Name & Address of School
Yrs Completed
1 2 3 4
Did you Graduate

Y N
Subjects Studied
High School
College
1 2 3 4
Post College
1 2 3 4
Trade, Business, or
Correspondence School
1 2 3 4
Why would you like to work at T.E.A. Caf?_________________________________________________________

______________________________________________________________________________________________
Have you ever had Bubble tea? If so, what do you think of it?_______________________________________________
_______________________________________________________________________________________________
FORMER EMPLOYERS
Date (M/D/Y)
1. From
List below current and last three employers, starting with most recent one first
Current Employer
(Name & Address, Type of business)
To
Salary or Hourly
Starting _______
Ending
If hourly, average #
of hrs/wk
Position
Reason for Leaving
Duties Performed
Supervisors Name
Phone #
2. From
(Name, Address & Type of Business)
Starting _______
Ending
of hrs/wk
Supervisors Name
Phone #
May We Contact?
3. From
May We Contact?
Previous Employer
To
Duties Performed
Previous Employer
To
Starting _______
Ending
of hrs/wk
Duties Performed
Supervisors Name
Phone #
4. From
Starting _______
Ending
of hrs/wk
Phone #
May We Contact?
May We Contact?
Previous Employer
To
Duties Performed
Supervisors Name
REFERENCES
Name
Give below the names of three professional references, whom you have known at least one year
Address & Phone #
Business
Years Acquainted
1
2
3
I hereby authorize T.E.A. Caf to thoroughly 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 T.E.A Caf 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 I may be required to sign a confidentiality and/or non-compete agreement, should I become an
employee of T.E.A Caf . I understand that nothing contained in this application, or conveyed during any interview which may be granted, is intended to
create an employment contract. I understand that filling out this form does not indicate there is a position open and does not obligate T.E.A. Caf to hire
me.
Signature__________________________________________________ Date_______________________________
We are an equal opportunity employer committed to hiring a diverse workforce

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T.E.A.

Caf APPLICATION FOR EMPLOYMENT

Please complete entire application to ensure processing

Are you less than 18 years of age? Yes_ No_

Date You Can Start

Specify hrs available for each day

Did you Graduate

Why would you like to work at T.E.A. Caf?_________________________________________________________

Reason for Leaving

(Name, Address & Type of Business)

(Name, Address & Type of Business)

(Name, Address & Type of Business)

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