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 LocationLititz 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)Bar/ServerKitchenBusserAny/does not matter
Position Applied For (Select all that you are interested in)BaristaKitchenBusser
Tell us about yourself!
Name & Location
Did you graduate?—Please choose an option—YesNo
Current & previous sports, clubs, or activities involved in:
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
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.