Cassava Bubble Tea - Job Application

*All starred fields are required.
  Personal Information
First Name:*

Last Name:*

Email address:*

Cell phone number:*
(xxx-xxx-xxxx)
Home phone number:*

Date of Birth:*
 (mm/dd/yyyy)
Address (Line 1):*

Address (Line 2):*


Are you currently a student?*

School (current or last completed):*

(Expected) Date of graduation:*
 (mm/dd/yyyy)

Employment History
Employer(1):

Job Title:

Address (Line 1):

Address (Line 2):

Phone number:

Dates of employment: (mm/dd/yyyy)
to (today's date for current)
Reason for leaving:


Employer(2):

Job Title:

Address (Line 1):

Address (Line 2):

Phone number:

Dates of employment: (mm/dd/yyyy)
to
Reason for leaving:


Employer(3):

Job Title:

Address (Line 1):

Address (Line 2):

Phone number:

Dates of employment: (mm/dd/yyyy)
to
Reason for leaving:


Miscellaneous
Have you ever been arrested?*
Yes No
Have you ever been convicted of a felony?*
Yes No
  References
Please list at least two (2) professional references to be considered.

Name(1):*

Relationship:*

Phone number:*


Name(2):*

Relationship:*

Phone number:*


Name(3):

Relationship:

Phone number:


Name(4):

Relationship:

Phone number:


Availability
Please list the days and times you are available:*
Please list at least 40 hours for full time and at least 20 hours for part time. Any special schedule requirements can be listed in the comments section below.
Sunday to
Monday to
Tuesday to
Wednesday to
Thursday to
Friday to
Saturday to

Describe a time where you demonstrated leadership.

Why do you want to work at Cassava?

What do you expect to get out of this job?

Use the space below to tell us a little bit more about yourself, or for general comments and suggestions. Thanks for applying!


I have filled out the job application truthfully and to the best of my knowledge. Please type out your last name below.*