406.708.4323
109 W. Main St, Lewistown, MT 59457

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PERSONAL INFORMATION
Name (First, Middle, Last)*
First Middle Last
Phone Number*
Email Address*
Enter Email Confirm Email
Your Address*
Street Address City State ZIP Code
Are You Eligible to Work in The United States?*
- Yes
- No
In order to work at 406 Cafe you must be a citizen of the United States, or a permanent legal resident of the United States or have a current U.S. work visa.
Have You Ever Been Convicted of a Felony?*
- Yes
- No
If you answered Yes to a felony, please explain:
Have you previously applied for a position at 406 Cafe?*
- Yes
- No
If you answered Yes to working at 406 Cafe previously, please explain and add dates from and to:
AVAILABILITY
Are you seeking this position as Full Time primary employment or secondary Part-Time employment?
- Full Time
- Part Time
How many hours per week are you looking to work?
- <10
- 10-20
- 20-30
- 30-40
- 40+
EDUCATION
List your educational experience beginning with the most current:
- Currently Enrolled
Name Of School
Major|Diploma
Graduation Date
Name Of School
Major|Diploma
Graduation Date
Name Of School
Major|Diploma
Graduation Date
Skills and Qualifications: Licenses, Training, Awards
Please list any and all bail bonding experience you have that would make you a good candidate for this position:
Please list any leadership, managerial or shift lead experience you have:
YOUR EMPLOYMENT HISTORY
Please list your present employer first
May we contact your present employer?
- Yes
- No
Employer
Address
Telephone
Supervisor
Date From
DD slash MM slash YYYY
Date To:
Starting Wage:
Ending Wage:
Responsibilities
Reason For Leaving:
Employer
Address
Telephone
Supervisor
Date From:
Date To:
Starting Wage:
Ending Wage:
Responsibilities
Reason For Leaving:
Employer
Address
Telephone
Supervisor
Date From:
Date To:
Starting Wage:
Ending Wage:
Responsibilities
Reason For Leaving:
REFERENCES
Name
Occupation
Phone
Address
Name
Occupation
Phone
Address
Name
Occupation
Phone
Address
I certify that information contained in this application is true and complete.*
- I understand that false information may be grounds for not hiring me or for my immediate termination of employment any point in the future if I am hired. I authorize the verification of any or all information listed above.

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406 Cafe · Fresh Homemade food fast!

109 W. Main St, Lewistown, MT 59457 · Tel: (406) 708-4323

Hours: Wed-sat 7am - 3pm · Sun 7am - 2pm (Breakfast Served Only · Prices: $ · Accepts: cash, all major credit cards & debit

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