Note: If necessary, this application can be saved and submitted at a later date by entering an email address and clicking "save" below.

Today's Date: 05-19-2013

Personal Information:

Full Name: Address: City, State: Zip:
Email: Phone: Referred By:
Are you legally eligible for employment in the United States?  Yes:  No:

What have you done for your current employer lately? In other words, describe how you have been an impact player including how you have made your past companies more successful. Connect these actions to your resume history.

What experience and value will you bring to ACR?

How have you interacted with the management team as well as the owner at your past job positions?

What makes you successful? How would describe your style?

Why do you want to work for ACR?

What coffee is in your kitchen at this moment. :)

Resumé: Upload it here.

Authorization: Please read below and check the box if agreed.

I agree:

"I hereby certify that the facts set forth in the above employment application are true and complete to the best of my knowledge and authorize Alterra Coffee Roasters to verify their accuracy and to obtain reference information on my work performance. I hereby release Alterra Coffee Roasters from any/all liability of whatever kind and nature which, at any time, could result from obtaining and having an employment decision based on such information.

I understand that, if employed, falsified statements of any kind or omissions of facts called for on this application shall be considered sufficient basis for dismissal.

I understand that should an employment offer be extended to me and accepted that I will fully adhere to the policies, rules and regulations of employment of the Employer. However, I further understand that neither the policies, rules, regulations of employment or anything said during the interview process shall be deemed to constitute the terms of an implied employment contract. I understand that any employment offered is for an indefinite duration and at will and that either I or the Employer may terminate my employment at any time with or without notice or cause."

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Alterra Coffee Roasters is an equal opportunity employer and does not discriminate against otherwise qualified applicants on the basis of race, color, creed, religion, ancestry, age, sex marital status, national origin, disability or handicap, or veteran status.