Employment Application-Ad

    Which location are you applying for?

    Last Name

    First Name

    Your Email

    Phone Number

    Street Address



    Position you are applying for?

    Where did you come across our job advertisement?

    How long do you see yourself working for The Couch Tomato, if hired?

    What is your estimated commute to our branch location utilizing your planned means of transportation?

    Do you have a car? (Answer required IF you would like to apply for a cafe' or catering delivery opportunity)

    All ShiftsMon AMMon PMTue AMTue PMWed AMWed PMThur AMThur PMFri AMFri PMSat AMSat PMSun AMSun PM

    Please explain any scheduling conflicts that resulted in you NOT selecting those specific shifts as being available in the question above:

    Ideal amount of hours worked each week (please give a range):

    Use this space to tell us about yourself or your current situation in life, if you are willing to do so:

    If you are currently a student, are you also around during school breaks, holidays, and Summer as well? If applicable, please describe.

    Desired Salary/Wages

    Previous Employment

    Please list company, position, dates from-to, brief description of duties/title, reason for leaving.


    Tell us about your highest level of education received, and when that took place:

    Please upload your Resume - (PDF ONLY, If Applicable)

    e-Signature (My e-Signature is confirmation that all answers given herein are true and complete)