APPLICANT INFORMATION

First Name     Middle Initial   Last Name     Today's Date

Street Address  APT/Unit #  City  Zip Code

Phone   Email Address

Please indicate any other names by which you have been known:

Date Available:   Salary Desired  Position(s) Applied For:  Type:

Please indicate hours you are available to work:
Monday Tuesday Wednesday Thursday Friday Saturday Sunday

Are you available to work holidays?         If Yes, Which ones?

GENERAL INFORMATION 
Have you ever been involuntarily terminated or asked to resign from a position?  
If yes, explain:
Are you legally eligible to work in the United States?  NOTE: If hired, you will be required to produce evidence
Have you ever been convicted of a felony or misdemeanor?
If yes, please state the nature of the crime(s), when and where convicted, and disposition of the case(s):
Note: No applicant will be denied employment solely on the grounds of conviction of a criminal offense.  The nature, date, surrounding circumstances and relevance of the offense to the position for which you are applying will be taken into consideration.  False information could be grounds for termination
EDUCATIONAL BACKGROUND
Level School Name and Address
(city, state)		 Major/Field of Study Degree(s)/Diploma(s) Earned GPA
High School
College
Other
Any other special training or skills?
Do you have experience with Aloha Computer Software?
EMPLOYMENT BACKGROUND
Employer Telephone Dates Employed Summarize the type of work performed and the job responsibilities
From
  		To
  
Address
Job Title   Pay Rate (starting)
Immediate Supervisor & Title $ Per
Reason For Leaving Pay Rate (final)
May we contact for reference? $ Per
 
Employer Telephone Dates Employed Summarize the type of work performed and the job responsibilities
From
  		To
  
Address
Job Title   Pay Rate (starting)
Immediate Supervisor & Title $ Per
Reason For Leaving Pay Rate (final)
May we contact for reference? $ Per
 
Employer Telephone Dates Employed Summarize the type of work performed and the job responsibilities
From
  		To
  
Address
Job Title   Pay Rate (starting)
Immediate Supervisor & Title $ Per
Reason For Leaving Pay Rate (final)
May we contact for reference? $ Per
 
APPLICANTS CERTIFICATE AND RELEASE
I hereby certify that the information provided on this application is true and complete. I understand and agree that any falsification or significant omissions on this application may result in not being hired or, if found out after employment, may be grounds for dismissal. I understand and agree that under the terms of employment with YoguLatte, the employment relationship is terminable “at will” without notice or cause, unless set out in writing, dated, and executed by both parties. I understand that neither this document nor any offer of employment from YoguLatte constitutes an employment contract.

I understand that any offer of employment may be contingent upon my ability to comply with INS regulations establishing my identity and right to work in the United States . I understand that YoguLatte is an Equal Employment Opportunity employer. YoguLatte recruits and hires persons in all job titles without regard to race, color, religion, sex, age, disability, or national origin.

I hereby authorize YoguLatte to investigate fully all information contained in this employment application and to investigate and compile any other information that may bear upon my suitability for employment. I further authorize my past and present employers to furnish YoguLatte with my records of employment and the reasons for my separation and any and all information those employers may possess concerning me. I further release YoguLatte and/or its agents to make an independent investigation of criminal or police records, including those maintained by both public and private organizations and all public records for the purpose of confirming the information contained on my application. I release YoguLatte from liability or damages for compiling such information. Additionally, I release any organization that provides information pursuant to this authorization from any and all liabilities, claims, or lawsuits in regard to the information obtained from any and all of the above-referenced sources used. Further, I understand that this application will be considered active for a period of ninety days. I have read and understand the foregoing statements and accept the same as conditions of employment.


PRESS SUBMIT ONCE - YOU WILL BE EMAILED A COPY OF YOUR APPLICATION