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Lasaters Coffee & Tea
Barista Application
Lasaters is an Equal Opportunity Employer
First Name
Last Name
Email
Phone
Are you over the age of 18?
Are you legally eligible to work in the USA?
Have you ever been convicted of a felony?
Have you ever worked for us in the past?
At which Lasaters location do you wish to apply today?*
FORT CAMPBELL
HOPKINSVILLE
JSMC
LONG HOLLOW
RIVERSIDE
SANGO
SPRING CREEK
TENNOVA
TINY TOWN
WILMA
How many hours per week do you desire?
What is your availability during the week?
Date You Can Start*
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What are some of your relevant skills?
What is your knowledge of coffee?
Why would you like to work for Lasaters?
Current or Most Recent Employer
Supervisor Name
Supervisor Phone
Starting Date of Employment
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Ending Date of Employment
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Brief Description of Duties
Reason for Leaving (If Applicable)
Recent Employer #2
Supervisor Name
Supervisor Phone
Starting Date of Employment
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dd
/
yyyy
Ending Date of Employment
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dd
/
yyyy
Brief Description of Duties
Reason for Leaving (If Applicable)
Reference #1 Name
Reference #1 Phone
Reference #2 Name
Reference #2 Phone
Reference #3 Name
Reference #3 Phone
Submit
