Employment Application "*" indicates required fields Step 1 of 4 0% APPLICANT INFORMATIONApplicant's Name* Email* Birth Date* MM slash DD slash YYYY Pronoun Preference Address* Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Preferred A&E Cafe location* Amherst Manchester Select AllApplying for the position of* Desired hourly pay* Desired weekly hours* Days available* Monday Tuesday Wednesday Thursday Friday Saturday Sunday Select All(Some weekend availability is mandatory.) EDUCATIONName of school & dates attended* List most recently attending schoolDegree or certification received* Subjects studied and special skills or awardsFeel free to include additional schooling and interests. EMPLOYMENT HISTORYName of last employer* Please list most recently held position.Date hired* MM slash DD slash YYYY Date of separation MM slash DD slash YYYY 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 employmentFeel free to include additional employment history and references.References*Please add 2 additional references. Include name, email and phone number.INTERESTSIn 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? Consent* I verify that all the information provided is fully accurate and best of my knowledge. I understand this application is not a valid contract for employment.
