Step 1 of 9 - Personal Information 11% LOCATION WHERE YOU ARE APPLYING TO WORK*ID - Eagle - LakemoorOR - Beaverton - Millikan PointeOR - Bend - Neff PlaceOR - Bend - Old Mill DistrictOR - Clackamas - Happy ValleyOR - Corvallis - On MonroeOR - Eugene - North Delta CenterOR - Eugene - Oakway CenterOR - Eugene - East 13thOR - Eugene - 5th StreetOR - Eugene - The MeridianOR - Keizer - Keizer StationOR - Lake Oswego - Meridian SquareOR - Portland - NE 7th & HolladayOR - Portland - PDX AirportOR - Portland - PSU Rec CenterOR - Salem - Candalaria CrossingOR - Springfield - On GatewayOR - Springfield - Sacred Heart at RiverBendOR - Wilsonville - Argyle SquareWA - Seattle - 7th & PineWA - Vancouver - Cascade Park PlazaWA - Vancouver - Mill Plain CrossingADDITIONAL LOCATION(S) WHERE YOU CAN WORKList other cities or restaurant location(s) where you would like to workDO YOU HAVE A DRIVER'S LICENSE?*YesNoIF YES, WHAT STATE*AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingDO YOU HAVE A SOCIAL SECURITY NUMBER?*YesNoNAME* First Middle Last Phone*Email* Mailing Address* Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code ARE YOU LESS THAN 18 YEARS OF AGE?YesNoREGULATIONS PROHIBIT USE OF SOME EQUIPMENT BY THOSE UNDER 18.ARE YOU ELIGIBLE FOR EMPLOYMENT IN THE U.S.?YesNoNOTE: PROOF OF U.S. CITIZENSHIP OR IMMIGRATION STATUS WILL BE REQUIRED IF HIRED. SEEKING A POSITION THAT IS*PermanentTemporaryEitherSEEKING WORK HOURS THAT ARE*Full TimePart TimeEitherDATE YOU CAN START* Date Format: MM slash DD slash YYYY WAGE EXPECTEDHOURS AVAILABLE WEEKLY*This could be left as "Full time" or you may type in a number of hours between 5 and 40.HOURS AVAILABLE DAILYThis 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?*YesNoDEGREE OR CERTIFICATE RECEIVED* Specialized Skills and KnowledgePlease 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 1NAME*CITY AND STATE*PHONE*YEARS KNOWN*Reference 2NAMECITY AND STATEPHONEYEARS KNOWNReference 3NAMECITY AND STATEPHONEYEARS KNOWN DO YOU KNOW ANY CAFE YUMM! TEAM MEMBERS?*YesNo(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?*YesNoDO YOU HAVE A CURRENT LIQUOR SERVER'S PERMIT?*YesNoCAN YOU LIFT 50 LB. ITEMS AS PART OF YOUR JOB?*YesNoHAVE YOU EVER WORKED IN A TEAM ENVIRONMENT?*YesNoHAVE YOU EVER WORKED INDEPENDENTLY?*YesNoLIST 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!?*YesNoIF 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, STATETYPE OF BUSINESS / YOUR JOB TITLEDUTIES PERFORMED AT THIS JOBSUPERVISOR'S NAME AND PHONE NUMBERMAY WE CONTACT HIM/HER?YesNoSTART AND END DATESMonth And Year for each Start and End datesTOTAL TIME IN POSITIONAVERAGE HOURS WORKED PER WEEKSUPERVISION / 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, STATETYPE OF BUSINESS / YOUR JOB TITLEDUTIES PERFORMED AT THIS JOBSUPERVISOR'S NAME AND PHONE NUMBERMAY WE CONTACT HIM/HER?YesNoSTART AND END DATESMonth And Year for each Start and End datesTOTAL TIME IN POSITIONAVERAGE HOURS WORKED PER WEEKSUPERVISION / 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 TERMSIF YOU DO NOT ACCEPT THE ABOVE TERMS, YOUR INTEREST FORM WILL NOT BE FULLY PROCESSED.CAPTCHA