Cashiers Wait Staff Baristas

Caf� Fili Job Application Please fill in all information and sign at the bottom. Email form to [email protected] once completed. Last Name ______________________________ Social Sec # ____-____-______ First Name______________________________ Phone (day) ____-____-______ Address_________________________________ Phone (night) ____-____-______ City/State/Zip_____________________________ Date of Birth _____/_____/_____ month day year Employment Information Position Applying For______________________________ Years of Experience_______________ Date Available_________________________________ Prefer to Work: Day______ Night______ Previous Employment Name______________________________ Number of Years_________ Salary/Hr ___________ Supervisor__________________________ Phone ____-____-______ Name______________________________ Number of Years_________ Salary/Hr ___________ Supervisor__________________________ Phone ____-____-______ Emergency Contact Name______________________________ Phone ____-____-______ Relationship ____________ I understand that the misrepresentation or omission of facts called for above is cause for immediate dismissal. By signing this application, I agree and acknowledge that any employment which may be offered to me is terminal at will, either by Caf� Fili or by myself, with or without notice, and with or without cause. I also expressly acknowledge that no other promise or representation, either verbal or writing, has been made to me that employment with Caf� Fili will be for a specified period of time or on terms or conditions other thatn those which give Caf� Fili or myself the right to terminate the employment at anytime. I certify that the above statements have been read by me and that the statements I have made on this application are complete and true and correct. I understand that Caf� Fili will contact those individuals listed and previous employers I have listed on this application. Caf� Fili is an equal opportunity employer, and selects qualified individuals for the job based upon job related qualifications, regardless of race, color, creed, sex, national origin, or on the basis of age or handicap as defined by law. Applicants Signature____________________________________ Date __________________