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Employment Application

We’re a superfood cafe and kombucha brewery in downtown Mount Shasta — voted Best Place to Work — and we hire people who care about good food, good coffee, and taking care of the folks who walk through our door.

Fill this out and it comes straight to us. Give it 10–15 minutes — have your work history and two references handy, and a resume to attach if you’ve got one.

Alua Probiotics, LLC
315 Chestnut St, Mount Shasta, CA 96067 · (530) 918-3388

It is the policy of Alua Probiotics, LLC to provide equal employment opportunities to all applicants and employees without regard to any legally protected status such as race, color, religion, gender, national origin, age, disability or veteran status.

01Applicant

Full name*

Email*

Phone*

Phone type

Home address*

City*

State*

ZIP*

Yrs at address

02Emergency Contact

Contact name*

Relationship*

Phone*

Phone type

Address

City / State / ZIP

03Position Sought

Job position applied for*

Full or part time*

If part time — days / hrs per week

Salary desired ($ / per)

How did you hear about us?

Friends or relatives who work here

How will you get to work?

Earliest available start date*

If limits on shifts, state them

04Eligibility

Are you at least 18 years old? Yes No

If applicable, available to work overtime? Yes No

Willing to work any shift, incl. nights & weekends? Yes No

Can you submit proof of legal eligibility to work in the U.S.? Yes No

Can you perform the essential functions of this position, with or without reasonable accommodation? Yes No

What reasonable accommodation, if any, would you request?

05Skills

Check the skills you have, note years of experience, and pick a rating — 1 is poor ability, 5 exceptional. Add any other skills useful for the job you are seeking.

Skill	Years	Rating

1 = poor ability · 5 = exceptional

06Employment History

Most recent first. Include self-employment and military service. If you attach a resume below, you may omit duplicate information.

Most recent employer

Employer*

Supervisor

City / State

Dates (mo/yr – mo/yr)

Job duties

Reason for leaving

Previous employer

Employer

Supervisor

City / State

Dates (mo/yr – mo/yr)

Job duties

Reason for leaving

Earlier employer (optional)

Employer

Supervisor

City / State

Dates (mo/yr – mo/yr)

Job duties

Reason for leaving

Attach your resume — optional

PDF, Word, or a clear photo. 8 MB max.

07Education & Training

High school / GED — name & address

Did you receive a degree? Yes No

College / university — name & address

If yes, degree(s) received

Other training (graduate, technical, vocational)

Current professional licenses or certifications

08References

Two non-relatives willing to provide a reference for you.

Reference one

Name*

Relationship*

Telephone*

City / State / ZIP

Address

Reference two

Name*

Relationship*

Telephone*

City / State / ZIP

Address

09Anything Else

Other information you believe should be considered, including whether you are bound by any agreement with a current employer.

Certification

I certify that the information provided on this application is truthful and accurate. I understand that providing false or misleading information will be the basis for rejection of my application, or if employment commences, immediate termination.

I authorize Alua Probiotics, LLC to contact former employers and educational organizations regarding my employment and education. I authorize my former employers and educational organizations to fully and freely communicate information regarding my previous employment, attendance, and grades. I authorize those persons designated as references to fully and freely communicate information regarding my previous employment and education.

If an employment relationship is created, I understand that unless I am offered a specific written contract of employment signed on behalf of the organization by its CEO, the employment relationship will be “at-will.” In other words, the relationship will be entirely voluntary in nature, and either I or my employer will be able to terminate the employment relationship at any time and without cause. With appropriate notice, I will have the full and complete discretion to end the employment relationship when I choose and for reasons of my choice. Similarly, my employer will have the right. Moreover, no agent, representative, or employee of Alua Probiotics, LLC, except in a specific written contract of employment signed on behalf of the organization by its CEO, has the power to alter or vary the voluntary nature of the employment relationship.

I have carefully read the above certification and I understand and agree to its terms.*

Applicant signature — type your full name*

Typing your name here serves as your electronic signature.

Date*

Goes straight to our hiring inbox. We read every one and reply to the folks we’d like to meet.