Careers | DayBreak Cafe

Fields marked with * are required.

Step 1: Fill in the fields below, be sure to include the email field.

Step 2: If the email address entered is already in the database, that information will be displayed and can be edited. Otherwise a blank customer form will be displayed. Once this form is added to the database, return to the survey section to fill in the next survey.

Other

Part Time or Full Time? Part Time: Full Time:

Who Referred You?

Personal Information

First Name *	Last Name *

Address *	City *	State *	Zip *

Home Phone *	Cell Phone	E-mail

18 or Older? *

Date Available *

Position Applying For *

Position Applying For (Secondary)

Days Available

	Sunday	Monday	Tuesday	Wednesday	Thursday	Friday	Saturday
Morning
Afternoon
Evening

Education

Type of school	Name of school	Area of study	graduated?
High School *
College
Grad School
Other

Employment History

From *	To *	Employer Name *

Address *	City *	State *	Zip *

May we contact this employer? *

Position

Supervisor Name

Supervisor's Phone Number

Rate of Pay Upon Hire		Rate of Pay Upon Leaving

Reason For Leaving

From *	To *	Employer Name *

Address *	City *	State *	Zip *

May we contact this employer? *

Position

Supervisor Name

Supervisor's Phone Number

Rate of Pay Upon Hire		Rate of Pay Upon Leaving

Reason For Leaving

From *	To *	Employer Name *

Address *	City *	State *	Zip *

May we contact this employer? *

Position

Supervisor Name

Supervisor's Phone Number

Rate of Pay Upon Hire		Rate of Pay Upon Leaving

Reason For Leaving

Legal

Are you a U.S. Citizen or do you have a legal right & necessary documents to work in the U.S.? Identity and employment eligibility of all new hires will be verified as required by the Immigration Reform and Control Act of 1986 *

Were you ever discharged by any company? *

If yes, give the name & reason for being discharged.

Have you ever been convicted of a crime other than a minor traffic violation? (Note: You are not obligated to discuss sealed or expunged records of conviction or arrest nor will such information be asked of you or considered in employment decisions.) The existence of a criminal record will not automatically disqualify you from the job for which you are applying. *

If yes, please explain each offense.

Have you ever been convicted of a felony?

If yes, please explain.

Misc.

What achievement in life are you most proud of? *

What are your personal strengths? *

What are your weakest areas? *

What are your five year goals? *

Why do you want to work here? *

Emergency Contact *	Phone *
		Do you have reliable transportation to work? *

Please Read Carefully

I understand that, with my authorization, an investigation may be made whereby information is obtained regarding my character, previous employment, general reputation, educational background, credit record and/or criminal history, subject to applicable federal, state and/or local laws.

In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in immediate dismissal. I understand, also, that I am required to abide by all rules and regulations of the Day Break Cafe

I understand and agree that if employed, the employment will be 'at will'. That is, either I or Day Break Cafe may end employment relationship at any time, for any reason, or for no reason. I understand that receipt of this application by Day Break Cafe does not imply employment and that this application and/or any other Day Break Cafe documents are not contracts of employment

By clicking submit, you agree to join our email and/or text message club. You can unsubscribe anytime by clicking the unsubscribe link on any email we send you or by replying STOP to any text message we send you. We will send you a maximum of 6 text messages/ month. Reply HELP to any text message we send you for support. Message & data rates may apply. For more details, view our opt-out policy, privacy policy, and terms of use.

Career Opportunities

High School *

College

Grad School

Other