Employment Application - Happy Creek Coffee & Tea

- Contact Information
- Applicant Name*
  First Last
- Email Address*
- Best number to reach you at*
- Is your home and mailing address the same?*
  - Yes
  - No
- Home/Mailing Address*
  Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
- Home Address*
  Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
- Mailing Address*
  Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
- Are you under the age of 18?*
  - Yes
  - No
- Birth Date (if under the age of 18)*

- References #1
  Please do not include relatives or previous employers. We will not contact references prior to an initial interview.
- Name (Reference #1)*
  First Last
- Phone Number*
- Email Address*
- Reference #2
  Please do not include relatives or previous employers. We will not contact references prior to an initial interview.
- Name (Reference #2)*
  First Last
- Phone Number*
- Email Address*

- Highest level of education achieved*
- Have you ever been convicted of a crime?*
  - Yes
  - No
- If yes, please explain number of conviction(s), nature of offense(s) leading to conviction(s), how recently such offense(s) was/were committed, sentence(s) imposed, and type(s) of rehabilitation.*
- Briefly explain why you want to work for HCC&T and why you feel you would be a good fit.*
- Please upload a copy of your resume if you have one
  Drop files here or

Contact Information