City Cafe of Baton Rouge
4710 O'Neal Lane
Baton Rouge, LA  70817 
Voice:  225.753.4420 
Fax:    225.753.4366 
citycafe113@bellsouth.net 

ALL PERSONS SHALL HAVE THE OPPORTUNITY TO BE CONSIDERED FOR EMPLOYMENT WITHOUT REGARD TO THEIR RACE, COLOR, RELIGION, NATIONAL ORIGIN OR ANCESTRY, AGE, PAST OR PRESENT DISABILITY, SEX, OR ANY OTHER CHARACTERISTIC PROTECTED BY THE APPLICABLE STATE AND FEDERAL LAWS.

* Denotes required fields
CONTACT & PERSONAL INFORMATION

*First Name: 

 

*Last Name: 

Please provide us with complete and accurate contact information.  Enter your full email address, for example name@domain.com.  It is very important that you provide a working email address that you have access to.

Street Address:

City: 

State: 

              Zip Code:

Email Address:  

*Home Phone:  
Cellular Phone:  
*Social Security #:  
*Driver's License #:  
*Driver's License State:  
 *Have you ever been convicted of a crime in the last ten (10) years?   

If yes, list convictions that are a matter of public record (arrests are not convictions).   A conviction will not necessarily disqualify you for employment.

 
 
POSITION APPLIED FOR AND AVAILABILITY
*What position are you applying for?   
*What is your availability?  
*What days are you available to work?  
 
EMPLOYMENT INFORMATION
*Are you currently employed?
Please provide us with your current and past employer information.  At least 1 current / previous employer is required.   Additional previous employers will certainly be helpful to processing your application.

EMPLOYER 1

*Employer Name: 
*Employer Address:  
*City:  
*State:  
*Zip:  
*Time Employed:     Years
     Months
*Employer Phone:  
   

EMPLOYER 2

Employer Name: 
Employer Address:  
City:  
State:  
Zip:  
Time Employed:     Years
     Months
Employer Phone:  
   

EMPLOYER 3

Employer Name: 
Employer Address:  
City:  
State:  
Zip:  
Time Employed:     Years
     Months
Employer Phone:  
 
   
EDUCATION
* Name of last school attended:  
Please provide us with your educational history and any other information that you thing will make you a better candidate for employment with City Cafe.
Course of study:  

State any other job related education, training or experience that you may have received through volunteer or other activities that would make a a better candidate for employment with City Cafe:

 
PERSONAL REFERENCES

Please provide THREE references.

REFERENCE 1  
*Name: 
*Address:  
*Relationship: 
*Phone Number: 

REFERENCE 2  
*Name: 
*Address:  
*Relationship: 
*Phone Number: 

REFERENCE 2  
*Name: 
*Address:  
*Relationship: 
*Phone Number: 
 

RESUME UPLOAD

Do you have a resume that you'd like us to review with this job application?   Please use the button below to browse to the document on your computer.   Common acceptable formats are Adobe PDF or Microsoft Word.

 

IMPORTANT, PLEASE READ CAREFULLY

I HAVE READ AND FULLY UNDERSTAND THE QUESTIONS ASKED IN THIS APPLICATION. I CERTIFY THAT ALL ANSWERS GIVEN BY ME ARE TRUE, ACCURATE AND COMPLETE AND UNDERSTAND THAT THE OMISSION AND/OR MISREPRESENTATION OF ANY FACT FROM THIS APPLICATION OR DURING ANY INTERVIEW WILL BE CAUSE FOR IMMEDIATE DISMISSAL. I HEREBY AUTHORIZE THE COMPANY TO OBTAIN REFERENCE INFORMATION ABOUT ME AND RELEASE ALL PERSONS FROM LIABILITY FOR DOING SO.

IF HIRED, I AGREE TO ABIDE BY ALL OF THE COMPANY RULES AND REGULATIONS AND UNDERSTAND THAT, IF EMPLOYED; MY EMPLOYMENT MAY BE TERMINATED WITH OR WITHOUT CAUSE, AND WITH OR WITHOUT NOTICE, AT ANY TIME, AT THE OPTION OF EITHER THE COMPANY OR ME. I FURTHER UNDERSTAND THAT NO REPRESENTATION, WHETHER ORAL OR WRITTEN, BY ANY REPRESENTATIVE OR AGENT OF THE COMPANY, AT ANY TIME. CAN CONSTITUTE A CONTRACT OF EMPLOYMENT. I UNDERSTAND THAT THE COMPANY AND ALL PLAN ADMINISTRATORS SHALL HAVE THE MAXIMUM DISCRETION PERMITTED BY LAW TO ADMINISTER, INTERPRET, MODIFY, DISCONTINUE, ENHANCE, OR OTHERWISE CHANGE ALL POLICIES, PROCEDURES, BENEFITS OR OTHER TERMS OR CONDITIONS OF EMPLOYMENT. NO REPRESENTATIVE OR AGENT OF THE COMPANY HAS THE AUTHORITY TO ENTER INTO ANY AGREEMENT FOR EMPLOYMENT FOR ANY SPECIFIED PERIOD OF TIME OR TO MAKE ANY CHANGE IN ANY POLICY, PROCEDURE, BENEFIT OR OTHER TERM OR CONDITION OF EMPLOYMENT OTHER THAN IN A DOCUMENT SIGNED BY THE OWNER OF CITY CAFE OF BATON ROUGE, AND ME, OR TO MAKE ANY AGREEMENT CONTRARY TO THE FOREGOING.

Authorized / Acknowledged Electronic Signature by (Type your Full Name below:)
*