Kahawa Coffee House – Job Application Form

Position Applied For:

BaristaCookCashierOther

Other (if selected):

Full Name:

Phone Number:

Email Address:

Address:

Are you available to work:

Full-timePart-timeWeekends

Preferred Shift:

MorningAfternoonEvening

Available Start Date:

Work Experience

Most Recent Employer:

Job Title:

Dates Employed:

to

Responsibilities:

Salary/Hourly Rate:

Reason for Leaving:

Skills & Qualifications

Do you have prior experience in a coffee shop or restaurant?

YesNo

List any relevant skills or certifications:

Why do you want to work at Kahawa Coffee House?

Salary Expectation

Desired pay range ($):

to

Are you legally authorized to work in the USA?

YesNo

References (Optional)

Name:

Phone:

Relationship:

Name:

Phone:

Relationship:

Certification

I certify that the above information is accurate and complete.

Signature:

Date: