Atomic Cafe - Employment Application

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Personal Information

First & Last Name *

Email *

Cell Phone Number *

Current Address *

Are you 18 years of age or older?* *

Atomic is required to comply with city, state, and federal labor laws.

Yes

Desired Employment

Which position(s) are you interested in? *

Select all that apply

Front of House Team Member (baristas, cashier, etc.)

Juicery/Smoothie Bar

Back of House (short order cook/prep/expo)

Required

Interested in working at our roastery or cold brew facility? Visit our open jobs at https://atomicroastery.bamboohr.com/jobs/

Full Time or Part Time? *

Full time

Part time

Desired wage per hour

Desired hours per week

Are you employed now? *

Yes

If so, may we inquire who is your present employer?

Availability

Please let us know your availability for the following days (ex. Monday 6am-3pm, Tuesday unavailable, etc).

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday

Education

What is the highest degree, or level of school you have completed? *

Please let us know the name, location, if you graduated, and if so with what degree.

Special training or skills that you believe qualify you for this position:

References

Please list three.

Reference #1

Include name, relationship, years known, and telephone number.

Reference #2

Include name, relationship, years known, and telephone number.

Reference #3

Include name, relationship, years known, and telephone number.

Present & Past Employment

Please list three most recent.

Company #1

Please give us some information about Company #1.

Name, Address, and Number

Include company name, address, and phone number.

How long did you work at Company #1?

Include start and end dates.

Why did you leave Company #1?

What were your duties at Company #1?

May we contact Company #1?

Yes

Clear selection

Company #2

Please give us some information about Company #2.

Name, Address, and Number

Include company name, address, and phone number.

How long did you work at Company #2?

Include start and end dates.

Why did you leave Company #2?

What were your duties at Company #2?

May we contact Company #2?

Yes

Clear selection

Company #3

Please give us some information about Company #3.

Name, Address, and Number

Include company name, address, and phone number.

How long did you work at Company #3?

Include start and end dates.

Why did you leave Company #3?

What were your duties at Company #3?

May we contact Company #3?

Yes

Clear selection

Other Information About You

Ok, here is your chance to tell us something that you think is really great. It can be about you, or about someone or something you love. We want to know what makes you really happy.

If there's anything else you would like us to know about you, please note it here.

Within the last 7 years, have you ever been convicted of a crime?

*Crimes include felonies, misdemeanors and other violations of the law. However, you should not respond “yes” as a result of any conviction that has been judicially sealed, expunged or pardoned. Conviction of a crime will not necessarily disqualify you from consideration for employment and will be considered only as it relates to the job in question.

Yes

Clear selection

Atomic Cafe Agreement

Nature of My Employment:

If Atomic Cafe hires me, I agree that I will be an at-will employee, which means that either Atomic Cafe or I may end employment at any time, with our without cause or notice. I agree that if hired, I will obey Atomic Cafe rules, including treating confidentially any information I learn during my employment.

My Records and References:

I authorize Atomic Cafe to conduct reference checks, either personal or professional.

Information Certification:

I certify that the information I have provided is true and complete. I agree to notify Atomic Cafe if I am later charged or convicted of any crimes. I agree that any false information or omission allows Atomic Cafe to refuse to hire me, or to terminate my employment at any time.

Application Signature *

Please type your name, and date below. This will act as an electronic signature.

Equal Opportunity Employer

Atomic Cafe is an equal opportunity employer.

Our managers review applications daily. If your application fits our criteria you will be contacted to set up an interview.

Thank you!

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