Online Employment Application

Personal Information

Name

First Last

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Daytime Phone Number

Email

Date of Birth

Availability

Full or Part Time*

Full Time
Part Time

Maximum Hours Per Week*

Minimum Hours Per Week*

Interested Position*

Barista
Baker
Product Delivery
Data Entry

Location*

Morganton Rd - Fayetteville, NC
Cameron, NC

Weekly Schedule Availability

Sunday*

Monday*

Tuesday*

Wednesday*

Thursday*

Friday*

Saturday*

Education

Name of High School*

Years Attended*

Did you graduate?*

Yes
No

Name of College*

Years Attended*

Did you graduate?*

Yes
No

Employment History

Have you ever been terminated from a postion?*

No
Yes

If yes, please explain the circumstance that lead to your termination:

Have you always given adequate notice before leaving a position (i.e. minimum of 2 weeks)?*

Yes
No

Please provide us with the information about your two most recent employers

Name of company, Direct manager, Daytime number, Dates of employment, and Reason for leaving

Employer (most recent):*

Employer:*

Have you ever been convicted of a felony?*

No
Yes

If yes, explain in the box below:

Questions for you...

What makes you want to become part of The Coffee Scene family?*

Have you had any coffee experience, if yes for how long and where?

By typing my name , I declare that all the information I have provided for The Coffee Scene, Inc.’s review is both accurate and honest, to the best of my knowledge:*

Date submitted*