NEWS
CALENDAR
PHOTOS
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Call 302-539-8710 or email
ccadmin@cottagecafe.com
for more information
Click Here
to print application
First Name*
Middle Name
Last Name*
Email*
Local Address:
Street*
City*
State*
Zip*
Permanent Address:
Street
City
State
Zip
Local Phone Number*
Home Phone Number
Are You 19 Years or Older?*
Yes
No
Position Desired*
Date You Can Start*
Salary Desired*
Work Availability (Indicate shifts You Are Available)
*
Lunch:
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Dinner:
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Are You Interested in*
Part Time
Full Time
Are You Employed Now?*
Yes
No
If So, Can We Inquire of Your Current Employer?
Yes
No
Do You Have a Legal Right to Work in the United States?*
Yes
No
Alien Registration #
Please Specify How You Found Out About The Cottage Cafe?
Education
High School Name and Location
# of Years Attended
Did You Graduate?
Yes
No
Subject Studied
College Name and Location
# of Years Attended
Did You Graduate?
Yes
No
Subject Studied
Other Education
# of Years Attended
Did You Graduate?
Yes
No
Employment History
PLEASE LIST ALL JOBS, BEGINNING WITH YOUR PRESENT OR LAST EMPLOYER. ACCOUNT FOR ALL PERIODS, INCLUDING UNEMPLOYMENT, SELF-EMPLOYMENT, SCHOOL, AND MILITARY SERVICE.
Company Name and Address
Job Title
Supervisor Name and Phone
Start Date
End Date
Type of Business
Job Duties and Responsibilities
Reason for Leaving
Company Name and Address
Job Title
Supervisor Name and Phone
Start Date
End Date
Type of Business
Job Duties and Responsibilities
Reason for Leaving
References From Other Jobs
Name
Address and Phone #
Occupation
Name
Address and Phone #
Occupation
Name
Address and Phone #
Occupation
Who to contact in case of emergency?
I certify the facts set forth in this application for employment are true and complete to the best of my knowledge and I agree you may investigate my statements.. I agree to permit all past employers to give any information concerning me and release them from any liability in furnishing such information. I understand, if employed, false statements on this application shall be considered sufficient cause for dismissal. I understand that, if hired, my employment is for no definite period and may, regardless of date of payment of my wages, be terminated at any time without prior notice.
Date*
Signature (Type Name)*