Harmony Tea Bar Pre-Interview Forms
Harmony Tea Bar Pre-Interview Forms
Statement of Values
Dear Applicant:
Welcome to Harmony Tea Bar. Prior to completing the application for employment, please un-
derstand that we are serious about creating a productive working environment for our staff and
maintaining the highest levels of quality, service and attention for our guests.
We want you to understand that we also believe in living our values, some of which are:
• We believe that "good enough" isn't.
• We believe in doing business in a professional and orderly manner.
• We believe in honesty and integrity.
• We believe that only a happy and professional staff can give the level of personal service
we demand.
• We believe in the ongoing training and development of our staff and see it as a worthy
investment in the future of the company.
• We believe in providing legendary service - the unique and powerful sort of personal
care and attention that our guests tell stories about.
• We believe that everyone is capable of being an A+ player.
If this feels like an environment for you, please complete the application.
Harmony Tea Bar - Application for Employment
We consider opp/JCllnts for oB pos/dons witl,011t regord to nee, color, reUgion, 11ex, nodonol origin, oge, disobilily, veteron sllllllll or •ny otl,er legolly prot«ud s11111111.
Are you at least 18 years old? _ _ _ If you are under 18 years of age, can you furnish a work permit? _ _ _ _ _ _ _ __
Are you legally eligible for employment in the U.S.? _ _ _ (Proof of U.S. citizenship or immigration status is required if hired.)
Have you been convicted of a crime? (Applicants should not include marijuana-related convictions that occurred more than 2 years
prior to the application date or convictions that have been sealed, expunged, or statutorily eradicated.) Yes No
If yes, state the nature of the offense and disposition of the case. Include dates and places. (NOTE: The existence of a criminal record
does not constitute an automatic bar to employment.)
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Are you seeking full time, part time or temporary employment? _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
Are you currently employed? _ _ __ If hired, when would you be able to start? _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
Have you ever worked for this organization before? _ __ If yes, name used: _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
Have you ever been discharged or asked to resign from any position? _ _ _ _ If yes, please describe: _ _ _ _ _ _ _ __
Please respond only if a job description is attached for the position for which you are applying. Are you able to perform all these tasks
with or without reasonable accommodation? _ _ Please describe which tasks, if any, you will need accommodation to perform, and
explain what type of accommodation you will need: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
Please describe:
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Education . .;._. . ;.; ,; ;.;. ;,. ; .:;!__~-----------------------------.J
(circle highest level achieved)
-I For references purposes: Have you worked for any of these organizations or attended school under a different name? _ _ __
If yes, give name and organization(s) _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
May we contact the employers listed above? __ If not, list the employers you do not wish us to contact and why:
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Signature _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Date _ _ _ _ _ _ _ _ __