Alterra Coffee Employment Application
Please fill out and submit our application to be considered for employment. If needed, you can print this application, fill it out and return it to one of our cafes.
Personal Information:
Todays Date:
Name (Last, First):
Social Security Number:
Current Address:
Email Address:
City, State:
Zip:
Phone:
Referred By:
Are you
under
18 years old?
Yes:
No:
Are you legally eligible for employment in the United States?
Yes:
No:
Employment Desired:
Position:
Location:
Salary/Wage:
Date you can Start:
Have you applied with us before?:
Where and When:
Availability:
Part-Time
Full-Time
M:
Tu:
W:
Th:
F:
Sa:
Su:
Education:
High School:
Years Attended:
Did you graduate?
Yes:
College:
Years Attended:
Did you graduate?
Yes:
Main fields of study/degree:
Post Graduate:
Years Attended:
Did you graduate?
Yes:
Main fields of study/degree:
Business or Trade School:
Years Atteneded:
Did you graduate?
Yes:
Main fields of study/degree:
Special study/training/skills:
US Military/Naval Service and Rank:
Skills relevant to desired position:
Computer Proficiency (Word, Excel, Access, etc...):
Former Employers:
please list current/most recent employer first.
Employer:
Address:
Phone #:
Position:
Wage:
Type of Business:
Start/End Date:
Reason for Leaving:
Duties Performed:
Supervisor:
Employer:
Address:
Phone #:
Position:
Wage:
Type of Business:
Start/End Date:
Reason for Leaving:
Duties Performed:
Supervisor:
Employer:
Address:
Phone #:
Position:
Wage:
Type of Business:
Start/End Date:
Reason for Leaving:
Duties Performed:
Supervisor:
References:
List the names of three professional references whom you have known for at least 1 year.
Name:
City,St:
Phone:
Business:
Relation to you:
Years known:
Name:
City,St:
Phone:
Business:
Relation to you:
Years known:
Name:
City,St:
Phone:
Business:
Relation to you:
Years known:
Additional Information:
What do you like about coffee/tea?
Why would you like to work for Alterra?
Describe your best customer service experience:
Anything else you would like to tell us?
Authorization:
Please read below and check the box if agreed.
I agree:
"I certify that the facts contained in this application are true and complete to the best of my knowledge, and understand that falsification of these statements is grounds for dismissal. I authorize Alterra Coffee to confirm all statements made in this application and to contact previous employers and personal references."
