INTERESTED INJoining the Early Bird Cafe team?Complete the form below OR download a PDF copy to send us & we will be in touch! Submit an Online Application EMPLOYMENT Name * First Name Last Name Date of Birth: * MM DD YYYY Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Phone * (###) ### #### Email * Are you a citizen of the United States? * Yes No If no, are you authorized to work in the U.S.? Yes No Have you ever been convicted of a felony? * Yes No Please list 3 references * Include: Name, Phone Number, Company & Position, and Email for each contact. Please enter your availability * Desired hours per week: * Disclaimer & Signature * I certify that my answers are true and complete to the best of my knowledge. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release. First Name Last Name Date * MM DD YYYY Thank you!