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Ku-Tea Coffee & Tea Town
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First name
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Last name
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Email
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Phone
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Birthday
Month
Day
Year
Which location are you applying for? (OK to select multiple)
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Cosner's Corner, Fredericksburg, VA
Potomac Festival, Woodbridge, VA
Embrey Mill, Stafford, VA
Do you have reliable transportation?
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Yes
No
Have you ever been convicted of a felony? If yes, please provide details about the conviction(s), including the nature of the offense, date, and location.
Yes
No
How many hours can you work a week?
Less than 10 hours per week
11–20 hours per week
21–30 hours per week
What is your availability? Mornings (9:30AM-3PM), Evenings (3PM-9:30PM)
Monday (Morning)
Monday (Evening)
Tuesday (Morning)
Tuesday (Evening)
Wednesday (Morning)
Wednesday (Evening)
Thursday (Morning)
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Experiences
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Employment Start & End Date
Employer & Position
Employment Start & End Date
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