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201 F St NE, Washington DC

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(202) 558-6900

Employment Opportunities

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Application for Employment

*Name

E-Mail

Contact Number

Alternative Number

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

Are you less than 18 years of age?

Yes

No

Current Home Address

City, State, Zip:

Most recent prior address:

City, State, Zip:

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

Yes

No

Employment Desired

Why do you want to work at Ebenezers?

How did you hear about Ebenezers or by whom were you referred?

For what position are you applying?

Barista

Shift Supervisor

List any skills, licenses (with expiration dates), or certifications you believe are relevant to this/these position(s):

We will need staff to cover the following hours (subject to change). Please note all staff is required to have full weekend availability:

Mon-Fri: 6:30am-7:30pm Sat & Sun: 7:30am-7:30pm

Please list your hours of availability:

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday

How many hours per week would you like to work?

What date can you start?

For what period of time do you anticipate your availability remaining the same as listed above? (i.e. for the next 3 months until my school schedule changes, or I plan to be in the D.C. area for the next 6 months, etc.):

Please list any other schedule related comments:

Education

High school, college, trade school, and/or other education:

Year graduated (if applicable):

Years attended:

Course of study and degree received:

Past Employment

Please describe any past experience (work or non-work related) that you have had that you feel will help you positively contribute to Ebenezers:

List your three most recent employers:

Company Name:

Address:

Duties Performed:

Reason for Leaving:

Length of employment (list approximate dates):

Contact person/manager:

Phone Number

Email

May we contact this person?

Yes

No

Company Name:

Address:

Duties Performed:

Reason for Leaving:

Length of employment (list approximate dates):

Contact person/manager:

Phone Number

Email

May we contact this person?

Yes

No

Company Name:

Address:

Duties Performed:

Reason for Leaving:

Length of employment (list approximate dates):

Contact person/manager:

Phone Number

Email

May we contact this person?

Yes

No

Additional Questions

Describe your best customer service experience and your worst customer service experience.

How do you take your coffee?

What makes a good team? What makes good leaders?

References

List two references that are not related to you

Full Name

How do you know the person?

For how long have you known the person?

Contact Number

Email

Full Name

How do you know the person?

For how long have you known the person?

Contact Number

Email

I hereby authorize Ebenezers to investigate my background, references, and other matters related to my suitability for employment. I authorize individuals, schools, current/past employers, and organizations contacted by Ebenezers to provide any relevant information regarding my current and/or previous employment. I understand that misrepresentation or omission 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 Ebenezers. 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 Ebenezers to make an offer of employment to me.

I Agree

I Don't Agree

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