Application Form

"*" indicates required fields

Personal Information

Name*

First Last

Email*

Date of birth*

Phone*

Address*

Street Address City State / Province / Region ZIP / Postal Code Country

Are you legally eligible for employment in the U.S.?*

Yes

Please list any other names you are known by or names previously used*

Employment Information

Why do you want to work at Ntaba?*

How did you hear about Ntaba?*

What are your 3 best and worst qualities as an employee*

Please list your times of availability:

Monday time available (From)*

Monday time available (To)*

Tuesday time available (From)*

Tuesday time available (To)*

Wednesay time available (From)*

Wednesday time available (To)*

Thursday time available (From)*

Thursday time available (To)*

Friday time available (From)*

Friday time available (To)*

Saturday time available (From)*

Saturday time available (To)*

Sunday time available (From)*

Sunday time available (To)*

How many hours per week would you like to work?*

For what period of time do you anticipate your availability remaining the same as listed above?*

For what period of time do you anticipate your availability remaining the same as listed above? (i.e. next 3 months, until school semester finishes, etc.)*

Please list any other schedule related comments or concerns:

Education

List your highest level of education (including name, address, number of years attended, year graduated (if applicable), course of study/degree):*

Previous Employment

List your three most recent employers:

Company:*

Address:*

Responsibilities:*

Reason for leaving:*

Length of employment (approx.):*

Contact person (include number):*

May we contact them? If no, why?*

Company:*

Address:*

Responsibilities:*

Reason for leaving:*

Length of employment (approx.):*

Contact person (include number):*

May we contact them? If no, why?*

Company:*

Address:*

Responsibilities:*

Reason for leaving:*

Length of employment (approx.):*

Contact person (include number):*

May we contact them? If no, why?*

Tell us more

Are you a coffee drinker? What’s your favourite drink?

Describe your best and worst coffee shop experience:

If you were stranded on a deserted island, what three things would you want to have with you, other than food and water?

If you could have a super power, what would you like to have?

If you died today, what would your eulogy say about you?

If you were an ice cream flavor, which would you be?

What song best describes you?

PEPSI or COCA-COLA?

Have you been to Starbucks in the last week?

What are your three biggest pet peeves?

References

List two references (that are not related to you):

Name*

First Last

Email*

Phone*

How do you know them?*

How long have you known them?*

Name*

First Last

Email*

Phone*

How do you know them?*

How long have you known them?*

Consent*

I adhere to the following:

I hereby authorize Ntaba Coffee Haus to investigate my background, references, and oth er matters related to my suitability for employment. I authorize individuals, schools, current/past employers, and organizations contacted by Ntaba Coffee Haus to provide relevant information regarding my current and/or previous employment. I understand that misrepresentation or ommission of facts may result in rejection of this application, or if hired, discipline up to and including discharge. I understand that misrepresentation or ommission of facts may result in rejection of this application, or if hired, discipline up to and including discharge. I understand that I may be required to sign a confidentiality agreement should I become an employee of Ntaba Coffee Haus I understand that nothing contained in this application, or conveyed during an interview which may be granted is intended to create an employment contract. Finally, I understand that filling out this form does not indicate there is a position available and does not obligate Ntaba Coffee Haus to make an offer of employment to me.