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APPLICATION

It is Mildred's policy to comply with all applicable state and federal laws prohibiting discrimination in employment based on race, age, color, sex, religion, national origin, disability or other protected classifications.

Legal Name *

First Name

Last Name

Preferred Name

Optional*

Preferred Pronouns

Optional*

Date of Birth *

MM

DD

YYYY

Email Address *

Current Mailing Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone *

(###)

###

####

Preferred Work Location *

Please let us know if you prefer a specific Mildred's location for your employment.

Crossroads (1901 Wyandotte)

Downtown (908 Baltimore)

South Plaza (5060 Main *opening mid december '24)

No Preference

Desired Position *

Please let us know your ideal position. Please note - Some positions may not be available at this time.

Front of House: Barista / Cashier / Food Runner

Back of House: Line Cook / Kitchen

Back of House: Dish Washer

Desired Weekly Commitment *

Full Time

Part Time

Availability *

Please tell us your weekly work availability.

Education *

Tell us about your highest level of education and your area of study. Please Include the name of the institution and years of attendance.

Special Skills / Extracurricular Activities

Current / Most Recent Employment

Name of Company *

Length of Employment *

Job Title *

Salary / Hourly Wage *

Description of Job Duties *

Reason for Leaving *

May we contact your current / most recent employer?

Employer Contact Information

Name of Manager/Supervisor Telephone Number or Email Address

Former Employer 1

Name of Company

Length of Employment

Job Title

Description of Job Duties

Reason for Leaving

Former Employer 2

Name of Company

Length of Employment

Job Title

Description of Job Duties

Reason for Leaving

3 Professional References

Name / Contact Information

Name / Contact Information

Name / Contact Information

Legal *

I certify that the facts set forth in this Application for Employment are true and complete to the best of my knowledge. I understand that if I am employed, false statements, omissions or misrepresentations may result in my dismissal. I authorize the Employer to make an investigation of any of the facts set forth in this application and release the Employer from any liability. The employer may contact any listed references on this application. I acknowledge and understand that the company is an “at will” employer. Therefore, any employee (regular, temporary, or other type of category employee) may resign at any time, just as the employer may terminate the employment relationship with any employee at any time, with or without cause, with or without notice to the other party.

I agree

*

Your employment application has been received. We’re glad you’re interested in joining our team. We’ll get in touch with you as soon as possible.

Love,

Mildred’s