TMC-****

APPLICATION FOR EMPLOYMENT

TIERRA MIA COFFEE COMPANY IS AN EQUAL OPPORTUNITY EMPLOYER COMMITTED TO NON-DISCRIMINATION AND DIVERSITY.

(PLEASE PRINT CLEARLY AND ANSWER ALL QUESTIONS)

PERSONAL INFORMATION

Name (last, first, middle): Social Security Number: Address (street, city, state, zip):

Cell phone: Home phone: Email:

Are you 16 or over? Yes

No

(Note: If you are under 18, a work permit may be required for compliance with federal or state law.) Are you legally eligible to work in the U.S.? Yes

No

(Proof of eligibility to work in the U.S. will be required upon employment.) Position applying for: How did you learn about the position?: AVAILABILITY

Please list the times that you are available to work on each day (For example: 6AM – 12PM, 12PM – 5PM, 5PM – 12AM): Sunday Monday Tuesday Wednesday Thursday Friday Saturday Select 2 periods you would generally prefer to work: 6AM-12PM 12PM-5PM 5PM-12 midnight Total hours available each week: Minimum Maximum

How long would you like to work for Tierra Mia Coffee Company?: 8-12 Months 1 year or more 2 years or more EDUCATION

Name and Address of School Circle Last Year Completed Did you graduate? GPA

(Required)

Degree/Diploma

High School

1 2 3 4

College

1 2 3 4

EXTRA-CURRICULAR ACTIVITIES

Organization Name of Activity Dates Participated Hours per Week Position/s Held Bagheri Ali 034734246

521 great bend dr diamond bar, ca 91765

562-***-**** adyrui@r.postjobfree.com

yes

yes

barista indeed

6am-12pm 6am-12pm 6am-12pm 6am-12pm 6am-12pm 6am-12pm 6am-12pm 20 40

esfahan univercity, iran yes bachelor

degree

TMC-1118

WORK EXPERIENCE

Please start with most your recent job, listing paid or relevant non-paid positions. 1. Company & Address Dates employed

(From/To):

Position/s Held Supervisor &

Phone Number

May we contact

for reference?

Duties & Responsibilities:

Hours Per Week: Reason For Leaving:

2. Company & Address Dates employed

(From/To):

Position/s Held Supervisor &

Phone Number

May we contact

for reference?

Duties & Responsibilities:

Hours Per Week: Reason For Leaving:

3. Company & Address Dates employed

(From/To):

Position/s Held Supervisor &

Phone Number

May we contact

for reference?

Duties & Responsibilities:

Hours Per Week: Reason For Leaving:

REFERENCES

Please provide the names and contact information for three professional references. Name Employer Address Phone How acquainted? Yrs/Month Known 1.

2.

3.

ADDITIONAL INFORMATION

Provide 3 reasons why you want to work for Tierra Mia Coffee Company! How often do you drink coffee? What are your 2 favorite coffee beverages? Do you speak any foreign languages fluently or near fluently? Please explain. What makes you a good candidate for Tierra Mia Coffee? I declare that the information given in this application is true and complete to the best of my knowledge. I understand that false or misleading information provided in my application or interview(s) may result in my not being hired, or if hired, in my termination of employment. I hereby authorize Tierra Mia Coffee Company to investigate information and statements contained in this Application For Employment, and I hereby release any present employers and past employers from all liability and damages arising from any and all information they may provide regarding my employment with them. I understand nothing contained in this application or any subsequent interviews is intended to create an employment contract. I understand that if I am hired by Tierra Mia Coffee Company, my employment will be at will, meaning that it is not for a specific period and may be terminated by either me or Tierra Mia Coffee Company at any time without any reason or advance notice. Applicant Signature Date

12077 central ave

chino, ca 91710 11/2022-

07/2023

assistant manager

sayda

909-***-****

yes

cash register, customer service, order, inventory, training 40 better opportunities

4452 mission blvd

montclair, ca 91763 02/2021-

11/2022

cash register

562-***-**** yes

cash register, purchase merchendise

40 better opportunities

moran sayda rocket market 12077 central ave

chino, ca 91710

909-921 coworker 2 years

6728

villafuerte

norma

mission market 4452 mission blv

montclair,91763

562-713-

2607

coworker 8 years

im a coffee enthusiast, i would love to develop

my barista skills, i love interacting with people serving and making a beautiful day for them three cups a day, flat white and latte

turkish and farsi, native fluent

i love this job and im a hard worker

08/05/2023

Contact this candidate