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Cafe Piquet Application for Employment

Interested in joining the Cafe Piquet team? Please complete our employment application form with your contact information, desired position, availability, education background, and previous work experience. A member of our team will review your application and contact you if your qualifications match our current hiring needs.

Personal Information

Date (Required)

000-000-0000 or (000) 000-0000

Date Available to Start: (Required)

Position Information

Are you at least 18 years of age? (Required)
Are you legally authorized to work in the United States? (Required)

Proof of identity and work authorization will be required upon hire. If under 18, a work permit may be required.

Education and Employment History

Former Employers:

Employer 1

Start Date (Required)

End Date (Required)

Employer 2

Start Date (Required)

End Date (Required)

Employer 3

Start Date

End Date

References

Give the names of three people, not related to you, who you have known you at least one year.

Reference 1

000-000-0000 or (000) 000-0000

Reference 2

000-000-0000 or (000) 000-0000

Reference 3

000-000-0000 or (000) 000-0000

Physical Requirements

The following questions are job-related and are consistent with business necessity. Reasonable accommodations may be available to enable qualified individuals with disabilities to perform essential job functions.

Are you able to lift and carry up to 30 pounds, with or without reasonable accom (Required)
Are you able to stand for extended periods of time, with reasonable breaks, with (Required)

Background Check Disclosure and Authorization (Please Read Carefully)

Disclosure: Café Piquet may obtain a consumer report and/or investigative consumer report for employment purposes in connection with your application and, if hired, during your employment where permitted by law. These reports may include criminal history, court records, identity verification, prior employment, and other background information relevant to employment.

Authorization: By signing below, I authorize Café Piquet and its agents, including any consumer reporting agency or background screening provider acting on its behalf, to obtain consumer reports and/or investigative consumer reports about me for employment purposes, as permitted by law. I understand that: • this authorization applies to background reports used for employment purposes; • I may request additional information about the nature and scope of any investigative consumer report, where applicable; and • a background check will not automatically disqualify me, and any employment decision will be made in accordance with applicable law.

Have you ever been convicted of a criminal offense? (Do not include arrests that (Required)

Acknowledgment and Signature: I acknowledge that I have read this disclosure and voluntarily authorize the background check described above. Applicant Certification I certify that the information I have provided in this application is true and complete to the best of my knowledge. I understand that any false statement, misrepresentation, or omission may result in removal from consideration or, if hired, termination of employment. I understand that this application is not a contract of employment and that, if hired, my employment will be at will, meaning that either I or Café Piquet may end the employment relationship at any time, with or without cause or notice, subject to applicable law.

Today's Date (Required)

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