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Job Application – Java Crew

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STATEMENT*
I agree to the following requirements:
(Please read this statement carefully before signing this application):
I understand that employment with Java Crew is at-will, meaning that I or Java Crew may terminate my employment at any time, or for any reason consistent with applicable state or federal law.
I authorize Java Crew to conduct a thorough background investigation of my work and personal history, and verify all data given on this application and during interviews. I hereby release the Organization, and its representatives or agents, from any liability that might
result from such an investigation. I authorize all individuals, schools, and firms named to provide any requested information and release them from all liability for providing the requested information.
I understand that Java Crew requires the successful completion of a drug and/or alcohol test as a condition of employment.
I understand this application will be active for a period of 90 days; after that time, if I wish to be considered for employment, I must submit a new application. I certify that all the statements in this completed application are true and understand that any falsification or willful omission shall be sufficient cause for dismissal or refusal to hire.
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Date
MM slash DD slash YYYY

Introductory Information:
Name*
First Last
Phone*
Email:*
Enter Email Confirm Email
Address*
Street Address City State ZIP Code
Which location would you prefer to work at?*
- Select All
- South Salem
- West Salem
- Keizer
- Corvallis
Applicant Questions
Are you 16 years of age or older?*
- Yes
- No
Upload Resume (optional)
Accepted file types: jpg, pdf, jpeg, doc, docx, png, Max. file size: 32 MB.

EDUCATION:
High School or Last Grade Completed:
School Name:*
School Address:
Street Address City State
Years Completed:
Degree/Diploma
College or Technical School:
School Name:
School Address:
Street Address City State
Years Completed:
Degree/Diploma
Would you like add additional schooling or training?
- Yes
- No
Other Schooling or Training
School Name:
Address
Street Address City State
Years Completed:
Degree/Diploma
Would you like to add Military Experience?
- Yes
- No
Military Service
Branch of Service:
Rank/Type of Service:
Job-related Training/Experience:

Three Work Related References:
(Do not include relatives)
1
Name:*
First Last
Occupation:
Contact Info:*
2
Name:*
First Last
Occupation:
Contact Info:*
3
Name:*
First Last
Occupation:
Contact Info:*

Record a short video and tell us about about yourself!
Additional Comments (optional):

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