
EMPLOYMENT HISTORY: Please List Positions Starting with Present or Most Recent
Date Current Employer (Name and Address of Employee-Type of Business) Salary or Hourly Position Reason for Leaving:
From: Starting __________
To: Ending___________
Duties Performed: If hourly, average # of
hours per week_____
Supervisor's Name: Phone Number: May we contact:
Date Previous Employer (Name and Address of Employee-Type of Business) Salary or Hourly
Position Reason for Leaving:
From: Starting __________
To: Ending___________
Duties Performed: If hourly, average # of
hours per week_____
Supervisor's Name: Phone Number: May we contact:
Date Previous Employer (Name and Address of Employee-Type of Business) Salary or Hourly
Position Reason for Leaving:
From: Starting __________
To: Ending___________
Duties Performed: If hourly, average # of
hours per week_____
Supervisor's Name: Phone Number: May we contact:
Date Previous Employer (Name and Address of Employee-Type of Business) Salary or Hourly
Position Reason for Leaving:
From: Starting __________
To: Ending___________
Duties Performed: If hourly, average # of
hours per week_____
Supervisor's Name: Phone Number: May we contact:
REFERENCES: You May List Personal and/or Business References
Name: Address: Phone #: How Acquainted? How Long?
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Hiring Manager's Use Only: WE ARE AN EQUAL OPPORTUNITY EMPLOYER!!!
BigFoot Investment Group, LLC dba BigFoot Java
420 Ellingson Road Suite 200
Pacific, WA 98047
I hereby authorize BigFoot Java® to thoroughly investigate my background, references, employment record and other matters related to my suitability for employment. I hereby authorize the above
schools, references and former (and/or present) employers to give or verify any information they have regarding me, and I release all schools, references and former (and/or present) employers of any
and all claims for providing such information. I understand that misrepresentation or omission of facts may result in rejection of this application, or if hired, discipline up to and including dismissal. I
understand that I may be required to sign a confidentiality and/or non-compete agreement, should I become an employee of BigFoot Java®. I understand that nothing contained in this application, or
conveyed during any interview which may be granted, is intended to create an employment contract. I understand that filling out this form does not indicate there is a position open and does not obligate
BigFoot Java® to hire me. I understand that my employment is at will, which means employment with this company is not for a definite period of time and is based on the mutual consent of each employee
and the company.
Date_______________________________ Signature________________________________________________________________