Application for EmploymentTraveling Barista PositionPlease enable JavaScript in your browser to complete this form. - Step 1 of 3Personal InformationFull Name *FirstMiddleLastNickname (if any)Preferred Pronoun *She/HerHe/HimThey/ThemEmail *Cell PhoneAddressAddress Line 1Address Line 2CityState / Province / RegionPostal CodeAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBolivia (Plurinational State of)Bonaire, Saint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCongo (Democratic Republic of the)Cook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Kingdom of)EthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIran (Islamic Republic of)IraqIreland (Republic of)Isle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea (Democratic People's Republic of)Korea (Republic of)KosovoKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesia (Federated States of)Moldova (Republic of)MonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth Macedonia (Republic of)Northern Mariana IslandsNorwayOmanPakistanPalauPalestine (State of)PanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint Maarten (Dutch part)SlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyrian Arab RepublicTaiwan, Republic of ChinaTajikistanTanzania (United Republic of)ThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUgandaUkraineUnited Arab EmiratesUnited Kingdom of Great Britain and Northern IrelandUnited States Minor Outlying IslandsUnited States of AmericaUruguayUzbekistanVanuatuVatican City StateVenezuela (Bolivarian Republic of)VietnamVirgin Islands (British)Virgin Islands (U.S.)Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland IslandsCountryAre you a US Citizen? *YesNoDate of Birth *What is your current employment status? *Self-EmployedUnemployedEmployedStudentHave you ever been convicted of a felony? *NoYesIf yes, please explain below.Felony ExplanationDo you have any restrictions that would prevent you from going onto school, private, or government property? *NoYesHave you had a driver's license for two or more years? *YesNoDo you have valid auto insurance? *YesNoHave you had your driver's license suspended or revoked in the last three years? *NoYesIf yes, please explain below.DUI ExplanationDo you have a vehicle you're willing to use for work purposes, with mileage reimbursement? *YesNoVehicle Make, Model and Year *NextPlease attach your resume or fill out the information below. Click or drag files to this area to upload. You can upload up to 2 files. EducationHighest Level of EducationHigh School DiplomaBachelor's DegreeGraduate DegreeOtherLast School Attended (include city and state)Employment HistoryCurrent or Most Recent EmployerDates of EmploymentLayoutDirect SupervisorPhonePosition & Duties PerformedReason for LeavingMay we contact them? YesNoEmployerDates of EmploymentDirect Supervisor PhonePosition & Duties Performed May we contact them? YesNoReferencesNameRelationshipPhoneNameRelationshipPhoneNextAvailabilityAvailable to Start *The Traveling Barista position is part time. Upon being hired, you will be expected to establish and maintain a consistent availability. Please check the days and general times you feel best describes your availability.Days you're available to work *MondayThursdaySaturdayTuesdayFridaySundayWednesdayMonday *All DayMorningAfternoonEveningTuesday *All DayMorningAfternoonEveningWednesday *All DayMorningAfternoonEveningThursday *All DayMorningAfternoonEveningFriday *All DayMorningAfternoonEveningSaturday *All DayMorningAfternoonEveningSunday *All DayMorningAfternoonEveningIs there anything else you'd like us to know about your availability?Why are you a good candidate for The Funky Brewster Coffee Catering, Inc?Paragraph TextAcknowledgments & SignaturesCheckbox 1 *I certify that all answers given herein are true and complete to the best of my knowledge.Checkbox 2 *I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision. This may include, and is not limited to, background check, pre-employment drug testing, or driving record screening.Checkbox 3 *In the event of employment, I understand that false or misleading information given on my application or in my interviews may result in termination.Checkbox 4 *I understand that this application, verbal statements by management, or subsequent employment, does not create and express or imploied contract of employment, nor guarantee employment for any definite period of time. Only the hiring manager of the organization has the authority to enter into an agreement of employement for any specified period and such agreement must be in writing, signed by the hiring manager and employee. If employed, I understand that I have been hired at the will of the employer and my employment may be terminated at any time, with or without reason and with or without notice. I have read, understand, and by my signature consent to these statements. Clear SignatureSubmit