For Official Use Only
Date Received:
, 20
Reviewed by:
Comments:
EMPLOYMENT APPLICATION
DA VIEN Coffee provides equal employment opportunity to all qualified persons, and does not unlawfully discriminate against any
person on the basis of race, color, creed, religion, sex, national origin, age, disability, marital or veteran status, sexual orientation, or any
other legally protected status.
• Complete all items on the application, even if the information is included on your resume or other
•
•
•
•
•
document.
Sign and date your application.
Specify the exact title of the position in which you are interested.
Type or print all requested information.
If necessary, attach additional 8 ½ “ x 11” sheets of paper to this application.
Submit your application via email to DaVienCafe@gmail.com
Position Applying For: Barista
Personal Information
1. Name (Last, First Middle) Tran, Alan K
6. Date of Birth 08/06/2005
3. Social Security #
535 -- 57 -- 2458
4. Telephone Number
(657 ) 257 -9561
5. Email Address
2. Address (Street) 6681 Sutton St
Address (City, State, Zip Code)
7. Driver’s License (State/No.)
California, Y9394563
alantranguy2@gmail.com
Westminster, California 92683
General Information
Are you legally eligible for work in the U.S.A.?
 Yes
 No
Have you ever applied to or worked for a restaurant
before? If so, when?
 Yes
 No
(if yes, verification will be required)
06/23/22-02/12/23
Are any of your relatives currently working for a restaurant ?
If so, please list name, location and department, if applicable.
 Yes
 No
Have you ever been convicted of a felony?
If yes, please explain.
 Yes
 No
DA VIEN Coffee- Employment Application
1
Employment Request
Minimum Salary Requested: $ 15.5/hr
If applicable, are you available for overtime?
 Yes
 No
What is the earliest date you can begin work? As soon as Possible
How did you hear about this position?
 Recruiter  Internet Job Posting  Newspaper Classified  Company Website  Other Friend
Employment History
*Please begin with most recent employment
May we contact your current employer?
 Yes  No  Not Applicable
Employer: Tastea
Dates of
Employment:
06/23/22,
Address:
15070 Goldenwest St,
Westminster, Ca 92683
Supervisor:
Telephone: (
)
to
02/12/23,
Dates of
Employment:
,
Address:
to
Supervisor:
)
,
Dates of
Employment:
,
Address:
to
Supervisor:
)
Start: 14.5/hr
prepare addons, brew
Toxic work environment
teas, and coffees, cook
and coworkers, paired
food, clean dishes,
with a new manager that
prepping food, barista,
did not respect the hard
customer service, cleaning
work that every team
the area
member put in
Position:
Duties:
Reason for
Leaving:
Position:
Duties:
Reason for
Leaving:
Course of Study
Degree
Obtained
honors/ap coursework
High school diploma
Final: 16/hr
Pay or
salary
Start:
Final:
-
Employer:
Telephone: (
Position: Team
Reason for
Duties: member/Cook Leaving:
-
Employer:
Telephone: (
Pay or
salary
,
Pay or
salary
Start:
Final:
-
Education
School
Name
High School/GED
Westminster High School
College/University
Location
Westminster, California
(2023
Graduate School
Vocational /
Specialized
DA VIEN Coffee- Employment Application
2
Military
Military Service:  Yes  No
Branch:
Specialized Training:
References
Name
Company
Title
Contact Information
Availability
To 12:00am Notes/Comments:
Monday:
From 3:30pm
Tuesday
From 3:30pm
Wednesday:
From
Thursday:
From 3:30pm To
Friday:
From N/A
Saturday:
From 3:30pm To 12:00am Notes/Comments:
Sunday:
From 3:30pm
N/A
To 12:00am Notes/Comments:
To
To
Notes/Comments:
12:00am
Notes/Comments:
Notes/Comments:
To 12:00am Notes/Comments:
Signature / Certification
I certify that the facts set forth in this application are true, complete, and correct to the best of my knowledge. I understand that
any misrepresentations, falsifications, or omissions on this application can be grounds for rejection of my application or, if I am
employed by this company, for my immediate termination from employment. I authorize DA VIEN Coffee to make any necessary
inquiries and investigations into my education, military, or employment history. I further authorize, unless otherwise indicated
on this application, the release of my information to DA VIEN Coffee by any of the schools, services, or employers listed on this
application.
Signature:
Alan Tran
DA VIEN Coffee- Employment Application
Date: 05/07/2023
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