The Slow Train Cafe / The Local & Tea Employment Application

Personal Information

First Name *

Last Name *

Address 1 *

Preferred Pronouns (If you would like to indicate):

City *

State *

Zip Code *

Phone *

Email Address *

Location applying to: *

Are you legally authorized to work in the United States? *

Yes

Have you ever been convicted of a felony? *

Yes

If yes, please explain.

Availability

Indicate availability for each day, between the hours of 6am and Midnight: *

	-	Response:
Sunday	-	Response:
Monday	-	Response:
Tuesday	-	Response:
Wednesday	-	Response:
Thursday	-	Response:
Friday	-	Response:
Saturday	-	Response:
AVAILABLE START DATE:	-	Response:
NUMBER OF DESIRED HOURS PER WEEK:	-	Response:
What are your plans for staying in the area?	-	Response:

Shift preference:

Mornings

Afternoons

Evenings

Relevant Employment History (Please list any customer service or food industry related positions you have held in the past or currently hold).

Employer 1

Company Name

Address

Phone

Start Date +

End Date +

Position

Supervisor/Manager

Reason for Leaving

May we contact? *

Yes

Phone Number

Employer 2

Company Name

Address

Phone

Start Date +

End Date +

Position

Supervisor/Manager

Reason for Leaving

May we contact? *

Yes

Phone Number

Personal Reference

Name

Title

Email Address

Phone

Please tell us why you’d like to come work with us...

Please submit a copy of your resume.

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We are an equal opportunity employer. We do not discriminate on the basis of race, ethnicity, color, national origin, gender identification, disability, veteran status, age, religion or sexual orientation.