Ladybug Organic Coffee Company

www.ladybugcoffee.com 8438 N. Lombard Street Portland, Oregon 97203 work@ladybugcoffee.com

Application for employment:

Position you are applying for

Name

Address City, State, Zip

Phone e-mail

Why do you want to work at the Ladybug Organic Coffee Company?

Work History: Please start with current or most recent job.

Employer

Address What were

your
Telephone duties?

From To

Supervisor What did

you like
Job Title best about
working
Wage Start Ending here?

Still Employed? Why did you leave?

Employer

Address What were

your
Telephone duties?

From To

Supervisor What did

you like
Job Title best about
working
Wage Start Ending here?

Still Employed? Why did you leave?

Employer

Address What were

your
Telephone duties?

From To

Supervisor What did

you like
Job Title best about
working
Wage Start Ending here?

Still Employed? Why did you leave?

Employer

Address What were

your
Telephone duties?

From To

Supervisor What did

you like
Job Title best about
working
Wage Start Ending here?

Still Employed? Why did you leave?

Your Education
School name, address, city and zip Dates Attended Degree/Major Completed?

High School

College

College

Other

Pop Quiz
Please tell us about a time that you provided excellent customer service.

What one thing makes you absolutely stand out above the rest? Why should we hire you over applicant X?

What is the most important thing that you have ever learned and how has it changed your life?

What are your greatest strengths, the things about yourself that cause you greatest pride?

What are your greatest weaknesses, the things about yourself that you could benefit the most from working to improve?
(It's okay to have weaknesses! Unless of course, you're Superman or Wonder Woman!)

Tell us about your best friend and why they are a part of your life?
What is something that you do on a regular basis to make the world a better place?

What is one thing that you think would make Portland a better city?

Availability: If hired when would you be able to start?

Full or Part time If part time, how many hours? Are you a morning person?

Are you really a morning person? What is the earliest you can work?

Are you eligible to work in the U.S.?

-Schedule-
Please specify which times you are available to work.

MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY SATURDAY SUNDAY

Pop Quiz Part 2

YES NO I can usually work weekends. YES NO I get along well with many different types of people.

YES NO I am always upbeat and positive. YES NO I can work during most holidays.

YES NO I enjoy working evenings. YES NO I am a problem solver.

YES NO I enjoy getting up early. YES NO I like to work by myself.

YES NO I pay attention to details. YES NO I am a good listener.

YES NO I like to clean. YES NO I am a quick learner.

YES NO I can multi-task. YES NO I am self-motivated.

Last question. What one word describes you best and why did you choose that word?

By signing this application I am stating that everything in it (and accompanying resume) is true to the best of my knowledge. I understand that if I falsify or
omit any information it will disqualify me from further consideration and will terminate my employment if discovered at a later date. I understand that my
employment can be terminated at any point, with or without cause, by either the company or myself. I authorize persons, schools, current and previous
employers and organizations named in this application to provide relevant information that may be required to arrive at an employment decision. I understand
that filling out this application does not indicate that there is a position open and does not obligate Ladybug Organic Coffee Company to hire me. If hired, I
agree to abide by Ladybug Organic Coffee Company work rules, policies and procedures and they retain the right to revise policies or procedures, in whole or
part, at any time. I understand that Ladybug Organic Coffee Company does not discriminate against any employee or applicant because of age, religion, race,
sex, color, national origin, disability, non job-related handicap, or because they are a disabled veteran.

electronic signature date

Extra Credit-Give me the question and the answer?