Employee Application Form
Today’s Date: __________________
Store: __________________
Personal Information ( Please Print )
Name: Last First Middle
Social Security Number: ______________________________ Birthday ( M/D/Y ) : ______________________
PresentAddress_____________________________________________________________________________________
Street City State Zip
Phone #: Day ( ) __________________ Evening ( ) __________________
Have you been convicted of a felony in the last 7 years? Yes No
If yes, explain:
Are you legally eligible for employment in the U.S.? Yes No
Employment Desired
Position: Salary Desired: $ Date You Can Start: _______________
Specific hours available for each day of the week? Full Time/Part Time? _______________
Sun
Mon
Tues
Wed
Thur
Fri
Sat
From:
To:
What do you like about tea?
_________________________________________________________________________________________________
Why do you want to work for cha FOR TEA?
_________________________________________________________________________________________________
_________________________________________________________________________________________________
Education
Name
Circle Last Year Completed
Did You Graduate?
High School (Working Permit
required if under age 18)
1
2
3
4
Yes
No
College
1
2
3
4
Yes
No
Trade or Business School
1
2
3
4
Yes
No
List skills relevant to position applied f