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Cook Islands
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(Proof of U.S. citizenship or immigration status will be required if hired)
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Have you ever been convicted of a misdemeanor (other than traffic) or a felony?
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Do you have reliable transportation to work?
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Would you work at more than one Friedrichs location?
Would you work at more than one Friedrichs location?
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EMPLOYMENT DESIRED
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Are you able to work overtime?
Are you able to work overtime?
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EDUCATION
High School
Name and Address of School
Last Year Completed
Last Year Completed
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Did You Graduate?
Did You Graduate?
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Subjects Studied
Degrees Received
Degrees Received
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Name and Address of College
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Last Year Completed
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Did You Graduate?
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Degrees Received
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Did You Graduate?
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Degrees Received
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Last Year Completed
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What unique qualifications, skills, experience, or interests do you have?
Why would you like to work for Friedrichs Coffee?
FORMER EMPLOYERS
List below current, first previous and second previous employer, starting with most recent. Please complete even if you attach a resume.
Name and Address of Employer & Type of Business
From:
To:
Employer Name
Supervisor's Name
Salary History
Starting Salary
Ending Salary
Phone Number
Position
Reason for Leaving
May we contact this employer?
May we contact this employer?
Yes
No
Salary History 2:
Employer's Name
Starting Salary
Ending Salary
Phone Number
Position
Reason for Leaving
May we contact this employer?
May we contact this employer?
Yes
No
Which of the above positions did you like best? Why?
Are you acquainted with anyone who is or was employed by Friedrich's Coffee?
Have you ever been discharged by an employer?
Have you ever been discharged by an employer?
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No
If yes, please explain all terminations:
If hired by Friedrichs Coffee, you may be assigned to various duties from time to time. Is there any work you will not perform?
If hired by Friedrichs Coffee, you may be assigned to various duties from time to time. Is there any work you will not perform?
Yes
No
If yes, please explain
If hired by Friedrichs Coffee, are you prepared to provide your medical history and take a physical exam, including drug and alcohol screening?
If hired by Friedrichs Coffee, are you prepared to provide your medical history and take a physical exam, including drug and alcohol screening?
Yes
No
If no, please explain
Please list your preferences of employment location with Friedrichs Coffee. List a number only for those locations of interest
Select All
22nd Street West Des Moines
86th & Meredith in Urbandale
Hub Tower
801 Grand Ave.
42nd Street
HQ Roastery
Best Contact Email
*
*
I hereby authorize Friedrichs Coffee to thoroughly investigate my background, employment record, and other matters related to my suitability for employment. I authorize persons, schools, my current employer (if applicable), and previous employers contacted by Friedrichs Coffee to provide any relevant information regarding my current and/or previous employment and I release all persons, schools and 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 it hired, discipline up to and including dismissal. I understand that I may be required to sign a confidentiality and/or non-compete agreement should l become an employee of Friedrichs Coffee. 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 fling out this form does not indicate there is an open and does not obligate Friedrichs Coffee to hire me. I understand and agree that my employment is at will, which means that it is for no specified period and may be terminated by me or Friedrichs Coffee at any time without prior notice for any reason
For retail positions, please submit this application at any Friedrichs Coffee location. Otherwise, for non-retail positions, please send to:
WE ARE AN EQUAL OPPORTUNITY EMPLOYER COMMITTED TO HIRING A DIVERSE WORKFORCE.
Friedrichs Coffee Corporate Headquarters 2781 99th Street Urbandale, IA 50322 EMPAPP 082202
Δ