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Café Yumm!
Employment Application
Step
1
of
9
- Personal Information
11%
LOCATION WHERE YOU ARE APPLYING TO WORK
*
ID - Eagle - Lakemoor
OR - Beaverton - Millikan Pointe
OR - Bend - Neff Place
OR - Bend - Old Mill District
OR - Clackamas - Happy Valley
OR - Corvallis - On Monroe
OR - Eugene - North Delta Center
OR - Eugene - Oakway Center
OR - Eugene - East 13th
OR - Eugene - 5th Street
OR - Eugene - The Meridian
OR - Keizer - Keizer Station
OR - Lake Oswego - Meridian Square
OR - Portland - NE 7th & Holladay
OR - Portland - PDX Airport
OR - Portland - PSU Rec Center
OR - Salem - Candalaria Crossing
OR - Springfield - On Gateway
OR - Springfield - Sacred Heart at RiverBend
OR - Wilsonville - Argyle Square
WA - Vancouver - Cascade Park Plaza
WA - Vancouver - Mill Plain Crossing
ADDITIONAL LOCATION(S) WHERE YOU CAN WORK
List other cities or restaurant location(s) where you would like to work
DO YOU HAVE A DRIVER'S LICENSE?
*
Yes
No
IF YES, WHAT STATE
*
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
IllinoisIndiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
MontanaNebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
PennsylvaniaRhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
DO YOU HAVE A SOCIAL SECURITY NUMBER?
*
Yes
No
NAME
*
First
Middle
Last
Phone
*
Email
*
Mailing Address
*
Street Address
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
ARE YOU LESS THAN 18 YEARS OF AGE?
Yes
No
REGULATIONS PROHIBIT USE OF SOME EQUIPMENT BY THOSE UNDER 18.
ARE YOU ELIGIBLE FOR EMPLOYMENT IN THE U.S.?
Yes
No
NOTE: PROOF OF U.S. CITIZENSHIP OR IMMIGRATION STATUS WILL BE REQUIRED IF HIRED.
SEEKING A POSITION THAT IS
*
Permanent
Temporary
Either
SEEKING WORK HOURS THAT ARE
*
Full Time
Part Time
Either
DATE YOU CAN START
*
MM slash DD slash YYYY
WAGE EXPECTED
HOURS AVAILABLE WEEKLY
*
This could be left as "Full time" or you may type in a number of hours between 5 and 40.
HOURS AVAILABLE DAILY
This could be left as is or you may type in certain days or times as "unavailable."
NAME & LOCATION OF SCHOOL, COLLEGE OR UNIVERSITY
*
COURSE OF STUDY OR MAJOR
*
HOW LONG DID YOU ATTEND?
*
DID YOU GRADUATE?
*
Yes
No
DEGREE OR CERTIFICATE RECEIVED
*
Specialized Skills and Knowledge
Please list any other employment, voluntary work, or personal projects that you think may be related to the job for which you are applying.
Please provide the names of three references other than friends or family whom you have known for at least one year.
Reference 1
NAME
*
CITY AND STATE
*
PHONE
*
YEARS KNOWN
*
Reference 2
NAME
CITY AND STATE
PHONE
YEARS KNOWN
Reference 3
NAME
CITY AND STATE
PHONE
YEARS KNOWN
DO YOU KNOW ANY CAFE YUMM! TEAM MEMBERS?
*
Yes
No
(CURRENT OR PREVIOUS)
IF YES, WHO?
*
IS THERE A PARTICULAR REASON YOU ARE APPLYING AT CAFE YUMM!?
DO YOU HAVE A CURRENT FOOD SERVER'S PERMIT?
*
Yes
No
DO YOU HAVE A CURRENT LIQUOR SERVER'S PERMIT?
*
Yes
No
CAN YOU LIFT 50 LB. ITEMS AS PART OF YOUR JOB?
*
Yes
No
HAVE YOU EVER WORKED IN A TEAM ENVIRONMENT?
*
Yes
No
HAVE YOU EVER WORKED INDEPENDENTLY?
*
Yes
No
LIST HOBBIES/LEISURE ACTIVITIES
*
WHAT WAS YOUR FAVORITE JOB & WHY?
*
LIST THREE WORDS THAT BEST DESCRIBE YOURSELF
*
WHAT IS A PET PEEVE OF YOURS?
*
WHAT WAS YOUR LEAST FAVORITE JOB & WHY?
*
LIST YOUR SHORT-TERM GOALS (6-12 MONTHS)
*
LIST YOUR LONG-TERM GOALS (3-5 YEARS)
*
HAVE YOU EVER EATEN AT A CAFE YUMM!?
*
Yes
No
IF YES, WHAT DID YOU HAVE?
*
WHAT ARE YOUR FAVORITE FOODS OR TYPES OF FOOD?
*
WHAT ARE YOUR *LEAST* FAVORITE FOODS OR TYPES OF FOOD?
*
NAME OF BUSINESS, CITY, STATE
TYPE OF BUSINESS / YOUR JOB TITLE
DUTIES PERFORMED AT THIS JOB
SUPERVISOR'S NAME AND PHONE NUMBER
MAY WE CONTACT HIM/HER?
Yes
No
START AND END DATES
Month And Year for each Start and End dates
TOTAL TIME IN POSITION
AVERAGE HOURS WORKED PER WEEK
SUPERVISION / LEAD WORK (CHECK AREAS OF RESPONSIBILITY)
HIRE OTHERS
RECOMMEND HIRING
ASSIGN AND REVIEW WORK
HANDLE DISCIPLINARY OPTIONS
RATE WORK PERFORMANCE
RESPOND TO GRIEVANCE
REASON FOR LEAVING
NAME OF BUSINESS, CITY, STATE
TYPE OF BUSINESS / YOUR JOB TITLE
DUTIES PERFORMED AT THIS JOB
SUPERVISOR'S NAME AND PHONE NUMBER
MAY WE CONTACT HIM/HER?
Yes
No
START AND END DATES
Month And Year for each Start and End dates
TOTAL TIME IN POSITION
AVERAGE HOURS WORKED PER WEEK
SUPERVISION / LEAD WORK (CHECK AREAS OF RESPONSIBILITY)
HIRE OTHERS
RECOMMEND HIRING
ASSIGN AND REVIEW WORK
HANDLE DISCIPLINARY OPTIONS
RATE WORK PERFORMANCE
RESPOND TO GRIEVANCE
REASON FOR LEAVING
BEFORE SUBMITTING THIS WEB FORM, PLEASE REVIEW THIS APPLICATION TO MAKE SURE YOU HAVE ANSWERED ALL QUESTIONS.
I understand that any statement, verbal or written, made by me or by others at my request, contained in this application or attached hereto, or in the course of any related employment process, that is false, fraudulent or misleading, will result in rejection of my application, denial of employment, or if hired, dismissal from employment if discovered after employment.
I understand that, if hired, I may be required to sign a confidentiality and/or non-compete agreement.
I understand that nothing contained in this application, or conveyed during any interview that may be granted, is intended to create an employment contract.
I certify that all statements contained herein are true and complete whether made by me or others at my request.
I understand that if hired, I must prove that I am legally authorized to work in the United States.
I understand that filling out this form does not indicate there is a position open and does not obligate employer to hire me.
I authorize employer to investigate my background, references, employment record, education information, and other matters related to my suitability for employment.
I understand that I will be required to provide my driving record if the position for which I am applying requires driving.
I authorize persons, schools, my current employer (if applicable), and previous employers and organizations contacted by employer to provide any relevant information regarding my current and/or previous employment and I release all persons, schools, and previous employers of any and all claims for providing such information.
I understand that I may be asked to submit to a pre-employment drug test, a credit history check, and/or a criminal history background check as a condition of employment.
I understand and agree that, if hired, my employment is at-will, which means that it is for no specified period and may be terminated by me or employer at any time without prior notice for any reason.
I release employer and all providers of information from any liability as a result of furnishing and receiving any information related to the hiring process.
Consent
*
I ACCEPT THE ABOVE TERMS
IF YOU DO NOT ACCEPT THE ABOVE TERMS, YOUR INTEREST FORM WILL NOT BE FULLY PROCESSED.
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