Survey

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Which location would you prefer working?

Which location would you prefer working? Longwood

Milennia

Waterford Lakes

Winter Park

Any

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Position applied for:

Position applied for: Cook

Server

Host/Hostess

Buser

Dishwasher

Expeditor

What rate of pay will your require for this position.

SERVERS AND HOST/HOSTESS ONLY:
What Point of Sale System(s) are you proficient

SERVERS AND HOST/HOSTESS ONLY: What Point of Sale System(s) are you proficient PosiTouch

Aloha

Micros

Other

None

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Type of work interested in:

Type of work interested in: Full time

Part time

Permanent

Second Job

Temporary

Seasonal

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Check ALL OF THE DAYS that you ARE available to work from 7:00 a.m. to 4:00 p.m.
*Applicants must be available EVERY SATURDAY, SUNDAY and HOLIDAY to be considered for employment.

Check ALL OF THE DAYS that you ARE available to work from 7:00 a.m. to 4:00 p.m. *Applicants must be available EVERY SATURDAY, SUNDAY and HOLIDAY to be considered for employment. Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday

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Personal Information

Personal Information Name:
Address:
Address 2:
City/Town:
State:
ZIP/Postal Code:
Email Address:
Phone Number:

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What date will you be available and/or how much notice do you require before beginning employment:

What date will you be available and/or how much notice do you require before beginning employment:

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Languages Spoken, Read and Written.

Languages Spoken, Read and Written. English	Spanish
Other (please specify)

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Personal Information Continued

	Yes	No
Are you legally permitted to work in this country?	*Personal Information Continued Are you legally permitted to work in this country? Yes	Are you legally permitted to work in this country? No
Have you ever been convicted of a crime?	Have you ever been convicted of a crime? Yes	Have you ever been convicted of a crime? No
Have you ever worked at another Keke's Breakfast Cafe?	Have you ever worked at another Keke's Breakfast Cafe? Yes	Have you ever worked at another Keke's Breakfast Cafe? No
Do you require special accommodations to perform the job applied for?	Do you require special accommodations to perform the job applied for? Yes	Do you require special accommodations to perform the job applied for? No

Use this space to explain any above.

POSITION INTEREST AND PERSONAL INFORMATION

*Which location would you prefer working?

*Position applied for:

What rate of pay will your require for this position.

SERVERS AND HOST/HOSTESS ONLY:What Point of Sale System(s) are you proficient

*Type of work interested in:

*Check ALL OF THE DAYS that you ARE available to work from 7:00 a.m. to 4:00 p.m.*Applicants must be available EVERY SATURDAY, SUNDAY and HOLIDAY to be considered for employment.

*Personal Information

*What date will you be available and/or how much notice do you require before beginning employment:

*Languages Spoken, Read and Written.

*Personal Information Continued