Employment Application • A&E Coffee & Tea

Applicant's Name*

Email*

Birth Date*

Pronoun Preference

Address*

Street Address City State ZIP Code

Preferred A&E Cafe location*

Amherst

Manchester

Applying for the position of*

Desired hourly pay*

Desired weekly hours*

Days available*

(Some weekend availability is mandatory.)

Name of school & dates attended*

List most recently attending school

Degree or certification received*

Subjects studied and special skills or awards

Feel free to include additional schooling and interests.

Name of last employer*

Please list most recently held position.

Date hired*

Date of separation

Leave blank if you still work there.

Reason for separation*

Job description & responsibilities*

Rate of pay

Name of supervisor*

Email of supervisor*

Phone number of supervisor*

Additional employment

Feel free to include additional employment history and references.

References*

Please add 2 additional references. Include name, email and phone number.

In your own words, why do you want to work for A&E Coffee & Tea?*

What do you like to do outside of work and/or school?*

Cats or Dogs

Cats

Dogs

What is your favorite hot drink?