Employment

Name *

First Name

Last Name

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone *

(###)

###

####

Date You Can Start *

MM

DD

YYYY

Did you graduate High School?

Yes

No

In Progress

Did you graduate College?

Yes

No

In Progress

Do you have a reliable means of transportation? *

Yes

No

Have you ever applied to Rachel's Cafe & Creperie before?

Yes

No

Are You Employed Now?

Yes

No

May we contact your former/present employer? *

Yes

No

Name of Manager/Supervisor

First Name

Last Name

Manager or Supervisors Phone Number

(###)

###

####