Join Our Team — CHANGE Cafe

1 Personal Information

Full Name *

Phone Number *

Email Address *

Street Address

City, State, Zip

2 Position & Availability

Which area interests you most?

Front-of-House / Barista

Kitchen / Food Prep

Either / Open to Both

We train everyone from scratch — this just helps us with scheduling.

Desired Start Date

Type of Employment

Availability

Check all times you are available to work.

Day	Morning 7:30 AM – 12 PM	Afternoon 12 PM – 4:30 PM	Late Night Fri & Sat only 8 PM – Midnight
Monday			—
Tuesday			—
Wednesday			—
Thursday			—
Friday
Saturday
Sunday			—

3 Understanding Our Pay Structure

At CHANGE Cafe, we believe in rewarding hard work transparently. We use a hybrid compensation model designed to maximize your take-home pay:

Your Base Cash Rate: $3.35 per hour + tips (accrued from our active daily tip pool).
Our Guaranteed Floor: $16.00 per hour minimum. If your base wage plus tips averages less than $16.00/hr during any pay period, CHANGE Cafe automatically pays the difference. You will never make less than $16.00/hr.
The Federal Tip Tax Deduction: Under federal tax guidelines, food and beverage service workers can deduct up to $25,000 of reported tip income from their federal income taxes. Because a major portion of your $16+/hr earnings comes from our tip pool, you can significantly lower your year-end federal income tax liability — keeping more of your hard-earned cash right where it belongs.

I have read, understood, and agree to the pay structure outlined above. *

4 Experience & Background

Do you have a current Food Handler's Permit or ServSafe certification?

Yes

No

Most Recent Employment

Company / Organization

Role / Title

Dates Employed

Reason for Leaving

5 Culture & Who You Are

This is the heart of our application. We can teach anyone to pull a perfect espresso shot. What we can’t teach is genuine care for people — that’s what we’re looking for. Take your time with these.

1. What does “exceptional hospitality” mean to you in everyday interactions — with customers, coworkers, and your community?

2. Tell us about a time you helped make someone’s day better — at work, in your community, or anywhere. What happened, and why did it matter to you?

3. We believe everyone is both a mentor and a student. Who has invested in you, and how do you invest in the people around you?

4. What does “a culture of excellence” look like to you in the way you show up every day?

6 References

Please list two professional or personal character references (other than family members).

Reference 1 — Name, Phone, Relationship

Reference 2 — Name, Phone, Relationship

7 Certification & Signature

I certify that my answers are true and complete to the best of my knowledge. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.

I certify that the above is true and complete to the best of my knowledge. *