GENERAL EMPLOYMENT APPLICATION

Applications are considered for all positions without regard to race, color, religion,
sex, national origin, age, marital or veteran status, or in the presence of a non-related
medical
condition or handicap. This document is not an offer for employment. Each Fava Tea
Company is independently owned and operated; and any offer may not be on behalf of Fava Tea Company, LLC;
but operated under a different company. Fava Tea Company is a registered trademark of Fava Tea Company, LLC.

Name_____________________________________________________________ Date___________________
Address ___________________________________________________________________________________
City _________________________________ State _____ Zip __________ Phone ______________________
Social Security #_____________________________ Date of Birth _________________________________
Citizen of U.S.A? [ ] Yes [ ] No Veteran of U.S. Military Service? [ ] Yes [ ] No
Start Date Seeking _____________ Hours Seeking [ ] Part-time [ ] Temporary/Seasonal [ ] Other_______
Hours/Times Available _____________________________________________________________________

EMPLOYMENT EXPERIENCE; Start with your present job or last job. Include military assignments
and other volunteer activities. Exclude organizational names which indicate race, color, religion, sex, or national
origin. Please add pages if more room is required for employment experience.

Employer ________________________________________________________________________________
Address_________________________________________City________________State_____Zip_________
Phone #___________________________Supervisors Name______________________________________
Job Title ___________________________Reason for leaving _____________________________________
Dates of Employment: From ______________To _______________ Salary or Hourly rate ____________
Employer ________________________________________________________________________________
Address_________________________________________City________________State_____Zip_________
Phone #___________________________Supervisors Name______________________________________
Job Title ___________________________Reason for leaving _____________________________________
Dates of Employment: From ______________To _______________ Salary or Hourly rate ____________

Employer ________________________________________________________________________________
Address_________________________________________City________________State_____Zip_________
Phone #___________________________Supervisors Name______________________________________
Job Title ___________________________Reason for leaving _____________________________________
Dates of Employment: From ______________To _______________ Salary or Hourly rate ____________

EDUCATION; Start with most recent education.

Schools / College Attended:
________________________________________________________

# Years Year Grad. Degree

_______ ________ __________

________________________________________________________

_______ ________

__________

________________________________________________________

_______ ________

__________

Describe any special qualifications for this job:

________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________

Describe your favorite tea and why:

________________________________________________________________________________________

Have you applied or worked at Fava Tea Company retail location previously? [ ] Yes [ ] No
Drivers License #_____________________________________State_________Expiration______________
I CERTIFY that answers given herein are true and complete to the best of my knowledge. I authorize
investigation of all statements contained in this application for employment as may be necessary in arriving at
an employment decision. I understand that this application is not intended to be a contract of employment. In
the event of employment, I understand that false or misleading information given on my application or
interview may result in termination. I understand as terms with an accepted offer, I may be asked to sign a
confidentiality & non-compete agreement, standards agreement, and will have a 90-day probationary period. I
understand that Fava Tea Company, LLC or Fava World Franchising may not own and/or operate this location.

Signature_______________________________________________ Date:_________________________
FAVA TEA COMPANY RETAIL LOCATIONS MAY BE INDEPENDENTLY OWNED AND OPERATED;
THIS LOCATION IS OWNED AND OPERATED BY: