Job Application First Name *Preferred Name We ask for preferred name and pronouns only so we can address the applicant correctly. It is optional and in no way influences hiring decisions.Last Name *Pronouns She/herHe/himThey/themOtherPrefer not to saySelect all that applyPhone *Address Address Line 1Address Line 2CityState / Province / RegionZip / Postal CodeEmail *EmailConfirm EmailPreferred Contact Method *PhoneEmailWhat Position are you applying for? *Café ManagerIT Systems CoordinatorJanitorAvailabilityPlease be very specific and honest. Do not overestimate your true availability.Available Start Date *If no, how long may we expect you to work here? If hired, may we expect you to work here consistently for a year? *YesNoWhich days CAN you work? *MondayTuesdayWednesdayThursdayFridaySaturdaySundayAre there any hours you CAN'T work? *Are you willing to work 6-8 hours on either SAT or SUN? *YesNoAre you willing to work both SAT and SUN? *YesNoDo you have any commitments to another employer that might affect your employment at the Co-op? *YesNoIf yes, please explain Do you expect to be absent any time in the next six months? *Work HistoryPlease provide complete and accurate information on your previous job duties and levels of responsibility. Start with your most recent experiences first. If you have a resume you may upload it at the end of the application instead of filling out this sectionResume Drop your file here or click here to upload You can upload up to 1 files. If you do not have a resume, use the work history fields below.If you have gaps in your employment, please explain them here. Former Employer OneUse these fields if you did not upload a resume.Name of Employer Your Job Title Business Phone Business Address Type of Business Duties Name of Supervisor Beginning Date May we contact this employer? YesNoEnd Date Reason for Leaving Former Employer TwoName of Employer Your Job Title Business Phone Business Address Type of Business Duties Name of Supervisor Beginning Date May we contact this employer? YesNoEnd Date Reason for Leaving Former Employer ThreeName of Employer Your Job Title Business Phone Business Address Type of Business Duties Name of Supervisor Beginning Date May we contact this employer? YesNoEnd Date Reason for Leaving ReferencesPlease list information for three persons not related to you, who are familiar with your past work experience, and have known you for at least one year.Reference OneName *Phone *Relationship *Reference TwoName *Phone *Relationship *Reference ThreeName *Phone *Relationship *EducationName of High School If you didn't graduate, do you have a G.E.D.? YesNoWhen did you graduate? Name of College or University Major Dates Attended Degree Other Training Legal StuffAre you legally authorized to work in the U.S.? *YesNoAre you 18 years or older? *YesNoHave you worked for the Blue Hill Co-op before? *YesNoThe Blue Hill Co-op is an equal opportunity employer. Applicants are considered for positions for which they have applied without regard to race, color, ancestry, religion, sex, gender, national origin, sexual orientation, disability, and other characteristics protected by law.Agreement (Please read carefully)I authorize my present and former employers (unless otherwise indicated on this application) to release to the Co-op any information concerning my employment, including my job performance. Furthermore, I release all these parties from any liability for any damage, (except that resulting from misrepresentation,) which might result from furnishing this information. The information provided on this application (and accompanying resume, if any) is true and complete to the best of my knowledge. I understand that falsified information or significant omissions may disqualify me from further consideration and may be considered justification for dismissal if discovered at a later date. I understand that employment at the Co-op is for no definite period of time. The Co-op, as an At Will Employer, has at all times the right to terminate the employment relationship. I hereby acknowledge that I have read, understand, and agree to the proceeding statement: *I have read and agreeI do not agreeSignature * Date *Captcha * = CommentAPPLY FOR THE JOB
