JOB APPLICATION

iCha Boba
1207 Jackson Ave, Store A, Long Island City, New York 11101
info@ichaboba.com

iCha Boba is an equal opportunity employer. This application will not be used for limiting or excluding any applicant from consideration for employment on a basis prohibited by local, state, or federal law. Should an applicant need reasonable accommodation in the application process, he or she should contact a company representative.

Please fill out all of the sections below:

Applicant Information

Applicant Name:
Address:
City State and Zip Code
Telephone Number
Your email
Date of Application

Employment Positions

applying for
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On what date can you start working if you are hired?

Personal Information

Are you a U.S. citizen or approved to work in the United States?YesNo

Job Skills/Qualifications

Please list below the skills and qualifications you possess for the position for which you are applying:
(Note: iCha Boba complies with the ADA and considers reasonable accommodation measures that may be necessary for eligible applicants/employees to perform essential functions. )

Education and Training

High School

Name
Location (City, State)
Year Graduated
Degree Earned

College/University

Name
Location (City, State)
Year Graduated
Degree Earned

Vocational School/Specialized Training

Name
Location (City, State)
Year Graduated
Degree Earned

Previous Employment 1

Employer Name:
Job Title
Supervisor Name:
Employer Address:
City, State and Zip Code:
Employer Telephone:
Dates Employed:
Reason for leaving:

Previous Employment 2

Employer Name:
Job Title
Supervisor Name:
Employer Address:
City, State and Zip Code:
Employer Telephone:
Dates Employed:
Reason for leaving:

AT-WILL EMPLOYMENT
The relationship between you and the iCha Boba is referred to as "employment at will." This means that your employment can be terminated at any time for any reason, with or without cause, with or without notice, by you or the iCha Boba. No representative of iCha Boba has authority to enter into any agreement contrary to the foregoing "employment at will" relationship. You understand that your employment is "at will," and that you acknowledge that no oral or written statements or representations regarding your employment can alter your at-will employment status, except for a written statement signed by you and either our Executive Vice-President/Chief Operations Officer or the Company's President.

Applicant Signature:

Dated:

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