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The Inclusive Bean Application
We are SO excited you're here! Your first step to potentially join our team is to fill out this application. Please complete the form and we will get back to you!
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* Indicates required question
1. Name of potential employee (First and Last)
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Your answer
2. Best contact phone number for potential employee (000-000-0000)
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Your answer
3. Best e-mail address for us to get in contact with you
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Your answer
4
. Name of parent/guardian of potential employee, if applicable (First and Last)
Your answer
5. Age
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Under 16
16-18
19-21
Over 21
6. Is the potential employee legally authorized to work in the United States?
*
Yes
No
7. Has the potential employee ever been convicted of a crime?
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Yes
No
8. What makes you the perfect fit to work at the coffee shop?
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Your answer
9. How many hours a week is the potential employee available for training?
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5 to 10 hours per week
10 to 15 hours per week
15 to 20 hours per week
20 to 25 hours per week
More than 25 hours per week
10. Will the potential employee have access to reliable transportation to and from The Inclusive Bean?
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Yes
No
Maybe
11. Level of Independence
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Maximum Assistance: Requires regular and consistent verbal prompts or physical assistance to complete tasks
Moderate Assistance: Requires intermittent verbal prompts or physical assistance to complete tasks
Minimal Assistance: Requires infrequent verbal prompts or physical assistance to complete tasks
Independent: Requires no verbal prompts or physical assistance or prompts from adults once they have learned a task
12. What supports will you need in fulfilling the role of the job?
Your answer
13. Has the potential employee had any work experience? If yes, please explain.
Your answer
14. Why are you excited to work at the coffee shop?
Your answer
15. Any other questions, concerns or anything you would like to share with us
Your answer
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