Application

UM is an equal opportunity employer.

Last Name*
First Name*
Middle
Phone*
Email*
Street Address
City
State
Zip

How did you hear about UM?

Notice
Some positions may require completion of a multiple choice, typing or other job-related test. Please indicate if you need accommodations to complete the application process.
YesNo

Have you ever worked in an environment where age restricted sales were present?
YesNo

Do you have any restricted right to work for any employer in the US?
YesNo

If yes, explain

Will you at some point in the future sponsorship for employment authorization?
YesNo

If yes, explain

Have you or anyone under your supervision, ever been cited for a violation of age-restricted product sales laws (e.g., sales of tobacco, alcohol or lottery tickets to underage customers)?
YesNo

If yes, explain

Can you upon employment, submit verification of your legal right to work in the United States and documentation verifying your identity?
YesNo

How did you hear about us?

Were you referred by an UM employee?
YesNo

If yes, please write the employee name here.

Employment Interests

Position for which you are applying?
Date Available

Certain position within the company may require use of a car or other motorized vehicle. If use of such a vehicle where required in the job for which you are applying...

Do you have or can you get a valid driver's license?
YesNo

Do you have access to a car or other motorized vehicle?
YesNo

Do you have or can you get liability insurance on such a vehicle?
YesNo

Your driving record will be check if you drive a company vehicle.

Specialized Skills

What software have you used?

Do you have cash handling experience?
YesNo

If yes, explain.

Are you a trained barista?
YesNo

Other machines operated?

Do you have food handling/food service experience?
YesNo

If yes, explain

Do you have customer service experience?
YesNo

If yes, explain

Other specialized skills or information you feel are pertinent to the job for which you are applying.

Education - Information Will Be Verified

High School

School Name/ City, State
Highest Grade, Diploma or Degree
Course Major

College, Business, Vocational or Other Training

School Name/ City, State
Highest Grade, Diploma or Degree
Course Major

Certifications

Please list any certifications.

Do you have a certification in age restriction/alcohol awareness?
YesNo

Do you hold a certification in food handling?
YesNo

Have you been fingerprinted?
YesNo

Employment History - Information will be verified. Complete telephone number with area codes are necessary.

Please list ALL JOBS, beginning with your present or last employer. Account for ALL time periods, including UNEMPLOYMENT, EMPLOYMENT and US MILITARY SERVICE.

Company Name
Street Address
City
State
Zip
Job Title
Department
Supervisor

Dates of Employment:

Start Month
Start Year
End Month
End Year
Start Salary
End Salary
Total Months Worked
Type of Business
Duties and Responsibilities
If currently employed, may we contact your employer?
YesNo
Telephone Number

Reason for Leaving

If other, explain

Former Employer 2

Company Name
Street Address
City
State
Zip
Job Title
Department
Supervisor

Dates of Employment:

Start Month
Start Year
End Month
End Year
Start Salary
End Salary
Total Months Worked
Type of Business
Duties and Responsibilities
Telephone Number

Reason for Leaving

If other, explain

Former Employer 3

Company Name
Street Address
City
State
Zip
Job Title
Department
Supervisor

Dates of Employment:

Start Month
Start Year
End Month
End Year
Start Salary
End Salary
Total Months Worked
Type of Business
Duties and Responsibilities
Telephone Number

Reason for Leaving

If other, explain