Application

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Application for Employment at Greenfield's Cafe. I certify that the information furnished below is complete and correct to the best of my knowledge, and I understand that any misrepresentation or omission of material fact will constitute grounds for immediate dismissal. I authorize the companies and persons named below to furnish the above named employer with any information they may have regarding me. I agree that such companies and persons shall not be liable in my respect if any employment is terminated because of the misrepresentation or omission of material facts in this questionnaire.

First Name

Last Name

Email Address

Phone Number

Are you over 19 years old?

If not, are you over 16 years old?

Do you have the right to work in the U.S.?

Have you ever been convicted of a felony?

Position Applying for

Preferred Days (Open 7am-2pm Daily)

Will you work overtime if required?

1) Work Experience: Name & Address of Employer

Your Position and Duties

Employment Dates

Reason for Leaving

May we contact?

Supervisor Name & Phone Number

2) Work Experience: Name & Address of Employer

Your Position & Duties

Employment Dates

Reason for Leaving

May we contact?

Supervisor Name & Phone Number

3) Work Experience: Name & Address of Employer

Your Position & Duties

Employment Dates

Reason for Leaving

May we contact?

Supervisor Name & Phone

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Greenfield's Cafe Location and Hours