Date of Birth
Hours Desired Per Week?—Please choose an option—Up to 8 Hours8-16 Hours16-24 Hours24-32 Hours
I am interested in working at the... (Location)Lancaster LocationNew Holland LocationBotanical Creperie LocationAll/Does Not Matter
Position Applied For (Select all that you are interested in)Barista
Position Applied For (Select all that you are interested in)BaristaKitchenBusser
Position Applied For (Select all that you are interested in)BaristaBusser
Tell us about yourself!
Name & Location
Did you graduate?—Please choose an option—YesNo
Reason for Leaving
Please enter the times you are available during the week.
Are you able to commit to at least one Saturday a month?YesNo
Are you able to commit to at least one Sunday a month?YesNo
Do you have a drivers license?YesNo
Are you interested in working at our Lititz location in the future?YesNo
By submitting this application, 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.