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Personal Information

Full Name *

Phone Number *

Date of Birth *

Email *

Address

Apt, suite, etc.

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Position Information

Who referred you? Where did you see a posting?

Can you commit to working for us for 2 years? *

Yes

No

What position are you applying for? *

Part-Time Barista

Full-Time Barista

Other

Be honest, are you a morning person? *

Yes!

No Way!

Ummm...I could be.

Be honest again, can you multi-task? *

I am a GREAT multi-tasker!

I strive to be.

I\'m not sure what that means.

I am NOT very good at multi-tasking.

Have you ever worked at a coffee shop before (if so, where)? *

Is there a specific Mountain Mudd location that you would prefer to work at?

Schedule

What are your schedule limitations?

Are you available on weekends? *

Do you currently have another job, are applying for another job, or plan on having another job in addition to applying at Mountain Mudd? If yes, please explain.

Do you have any upcoming trips planned?

If you do have a trip planned, when?

Education

Did you graduate from high school? *

Yes

No

I will this year.

Did you graduate college? *

Yes

No

I am currently a student.

Customer Service

Why is excellent customer service important to you? *

Describe a specific situation where you provided excellent customer service. Why was this effective? *

Coffee

What do you like about coffee? *

Why would you LOVE to work at Mountain Mudd? *

Employment History

List your most recent employer, name, phone number, address and dates employed.

May we contact them?

Yes

No

List your next most recent employer, name, phone number, address and dates employed.

May we contact them?

Yes

No

List your next most recent employer, name, phone number, address and dates employed.

May we contact them?

Yes

No

Please list 2 work references and 1 personal reference *

(Name, Address, Phone Number and Years Acquainted)

Criminal History

Have you ever been charged with a misdemeanor crime?

Yes

No

Have you ever been convicted of a misdemeanor crime?

Yes

No

Have you ever been charged with a felony crime?

Yes

No

Have you ever been convicted of a felony crime?

Yes

No

If yes to any of the above 4 questions, please explain.

Form Submission

I have read and agree that submission of this form authorizes Mountain Mudd to check references and criminal record, and affirms that all statements are true. *

Yes

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