Job Application Job Application APPLICANT INFORMATIONApplicant's Name*Birth Date* Date Format: MM slash DD slash YYYY Pronoun PreferenceAddress* Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Email* Preferred A&E Cafe location* Select All Amherst Manchester Goffstown Applying for the position of*Desired hourly pay*Desired weekly hours*Days available* Select All Monday Tuesday Wednesday Thursday Friday Saturday Sunday (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* Date Format: MM slash DD slash YYYY Date of separation Date Format: MM slash DD slash YYYY Leave blank if you still work there.Reason for separation*Job description & responsibilities*Rate of payName of supervisor*Email of supervisor* Enter Email Confirm Email 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.
