Job Application

Lagom Coffee LLC 
7890 East 106th Place South Suite V-2 Tulsa, Ok 74133
(918)802-9999

Lagom Coffee LLC is an equal opportunity employer. This application will not be used for limiting or excluding any applicant from consideration for employment on a basis prohibited by local, state, or federal law. Should an applicant need reasonable accommodation in the application process, he or she should contact a company representative.

Please fill out all of the sections below:
Application Information

Applicant Name*

Invalid Input

Address*

Invalid Input

City*

Invalid Input

State*

Invalid Input

Zip Code*

Invalid Input

Telephone Number*

Invalid Input

Email Address*

Invalid Input

Employment Position*

BaristaBakerLine Cook Invalid Input

How did you hear about this position?*

Invalid Input

What shifts are you available to work?

Sunday

AMPM Invalid Input

Monday

AMPM Invalid Input

Tuesday

AMPM Invalid Input

Wednesday

AMPM Invalid Input

Thursday

AMPM Invalid Input

Friday

AMPM Invalid Input

Saturday

AMPM Invalid Input

If needed, are you available to work overtime?*

Invalid Input

On what date can you start working if you are hired?*

Invalid Input

Are you 18 years of age or older?*

YesNo Invalid Input

Do you have any friends, relatives, or acquaintances working for Lagom Coffee LLC? If yes, state name & relationship:*

Invalid Input

"In compliance with federal law, all persons hired will be required to verify identity and eligibility to work in the United States and to complete the required employment eligibility verification form upon hire."
Job Skills/Qualifications

Please list the skills and qualifications you possess for the position for which you are applying:*

Invalid Input

Education and Training - High School

Name*

Invalid Input

Location (City, State)*

Invalid Input

Year Graduated*

Invalid Input

Degree Earned*

Invalid Input

College/University

Name

Invalid Input

Location (City, State)

Invalid Input

Year Graduated

Invalid Input

Degree Earned

Invalid Input

Previous Employment

Employer Name

Invalid Input

Job Title

Invalid Input

Supervisor Name

Invalid Input

Employer Address

Invalid Input

City, State and Zip Code

Invalid Input

Employer Telephone

Invalid Input

Dates Employed

Invalid Input

Reason for leaving

Invalid Input

Employer Name

Invalid Input

Job Title

Invalid Input

Supervisor Name

Invalid Input

Employer Address

Invalid Input

City, State and Zip Code

Invalid Input

Employer Telephone

Invalid Input

Dates Employed

Invalid Input

Reason for leaving

Invalid Input

Upload your Résumé

Invalid Input

AT-WILL EMPLOYMENT

The relationship between you and the Lagom Coffee LLC is referred to as "employment at will." This means that your employment can be terminated at any time for any reason, with or without cause, with or without notice, by you or the Lagom Coffee LLC. No representative of Lagom Coffee LLC has authority to enter into any agreement contrary to the foregoing "employment at will" relationship. You understand that your employment is "at will," and that you acknowledge that no oral or written statements or representations regarding your employment can alter your at-will employment status, except for a written statement signed by you and either the Managing Director or the Company's CEO.

I agree to the terms above, and authorize to submit this application.

Applicant Full Name*

Invalid Input

Job Application Form