The Lovingston Cafe
165 Front Street · Lovingston, Virginia · 22949 · (434) 263-8000

Employment Application



Basic Information
Your Name:
Email:
Phone:

What position(s) are you interested in ?
What pay rate are you requesting (if applicable) ?
Do you have reliable transportation ?
Are you 18 or older or 21 or older (for ABC reasons) ?




Professional References
1
Manager Name:
Company Name:
Contact Number:


2
Manager Name:
Company Name:
Contact Number:




Personal References
1
Name:
Relation:
Contact Number:


2
Name:
Relation:
Contact Number:




Job Experience

1
Company Name: Employment Dates:
Position: Manager: Contact Number:
Responsibilities and Job Description:


2
Company Name: Employment Dates:
Position: Manager: Contact Number:
Responsibilities and Job Description:


3
Company Name: Employment Dates:
Position: Manager: Contact Number:
Responsibilities and Job Description:






More Information, Comments or questions:





Please answer the below question before submitting
What year is it currently (to test if you are a computer)?