Name *

First Name

Last Name

Phone Number *

(###)

###

####

Are you authorized to work for any employer in the United States? *

Yes

No

Do you now or in the future require sponsorship by the company to retain employment in the United States? *

Yes

No

Select the job for which you are applying. *

Shift Manager

Are you applying for a full-time or part-time position? *

Part-Time

Full-Time

Can you perform the essential functions of the position in which you are applying? *

Yes

No

Please send a resume with relevant education, work and volunteer experience, and other experiences to hiring@321coffee.com. *

I understand.

I authorize, without liability, the investigation of all statements in this application. *

I accept.

I authorize all schools which I attended and all previous employers to furnish to 321 Ventures LLC DBA 321 Coffee my record, reason for leaving and all information they may have concerning me, and hereby release them and 321 Ventures LLC DBA 321 Coffee from all liability for any damage whatsoever arising therefrom. *

I accept.

I attest with my signature below that I have given to 321 Ventures LLC DBA 321 Coffee true and complete information on this application. No requested information has been concealed. I authorize 321 Ventures LLC DBA 321 Coffee to contact references provided for employment reference checks. I release such persons and organizations from any legal liability in making such statements. *

I accept.

I understand that in the event of my employment by 321 Ventures LLC DBA 321 Coffee it shall be sufficient cause for dismissal if any of the information I have given in this application is false or if I have failed to give any information herein requested. I understand that proof of identity and work authorization will be required upon employment in accordance with federal regulations. In the event of my employment by 321 Ventures LLC DBA 321 Coffee, I agree to abide by all present and subsequently issued rules of the Company. *

I accept.

If hired, in consideration of my employment, I agree to comply with the policies, standards, and business ethics of 321 Ventures LLC DBA 321 Coffee. I understand that my employment is at will and may be terminated by me or the company at any time without additional consideration or notice. I understand that no representative of 321 Ventures LLC DBA 321 Coffee has the authority to commit to any definite term of employment or alter the at-will employment agreement, and any such agreement must be in writing. *

I accept.