Kumbha-Yah : Job Application

We are currently accepting applications for Team Member positions - Cashier, Barista, and Kitchen Staff. Applicants should be available to work in any of these roles as needed.

First name

Middle Name or Initial

Last name

Phone

Email

Birthday

Month

Day

Year

Multi-line address

Country/Region

Address

City

Zip / Postal code

Available Date

Month

Day

Year

Social Security Number - Last 4 digits only

Are you a

Have you ever been convicted of a felony ?

Yes

No

If Other, Provide additional details

Highest Level of Education

Summary of Previous Experience

Do you work at other Jobs ?

I CONFIRM THAT I AM 18 YEARS OF AGE OR OLDER AND CERTIFY THAT ALL INFORMATION PROVIDED IN THIS APPLICATION IS TRUE AND COMPLETE TO THE BEST OF MY KNOWLEDGE. I UNDERSTAND THAT ANY FALSE OR MISLEADING INFORMATION GIVEN DURING THE APPLICATION OR INTERVIEW PROCESS MAY RESULT IN THE TERMINATION OF MY EMPLOYMENT. ALSO, I AGREE TO WORK IN ANY OF THE ASSIGNED ROLES. I UNDERSTAND THAT REFUSAL TO PERFORM DUTIES IN ANY OF THESE POSITIONS UPON HIRING MAY RESULT IN TERMINATION OF EMPLOYMENT.

Signature

Drawing mode selected. Drawing requires a mouse or touchpad. For keyboard accessibility, select Type or Upload.

Add your signature