APPLICATION STATEMNET

I certify that all information contained in this application is true, correct and complete. I understand that any false information, omissions, or misrepresentations of any kind may result in denial of employment or be cause for subsequent dismissal if I am hired.

I authorize Door County Coffee & Tea Co. to investigate my responses on this application for the purpose of verifying any information that I have provided and/or for the purpose of obtaining any information, whether favorable or unfavorable, about me, my employment, or my educational background. This includes contacting any or all of my former employers, any individuals familiar with me or my employment background, public agencies, licensing authorities and/or any or all of the educational institutions I attended. I voluntarily and knowingly fully release and hold harmless any person or organization that provides information pertaining to me or my employment. I also release Door County Coffee & Tea Co., its agents, employees or representatives for seeking, gathering and using such information to make employment decisions.

Regardless of whether or not I become employed by Door County Coffee & Tea Co., I recognize that this application is not and should not be considered a contract of employment. I understand that employment at Door County Coffee & Tea Co. is on an “at-will” basis and that my employment may be terminated with or without cause, with or without notice, at any time at my option or the option of Door County Coffee & Tea Co. unless specifically provided otherwise in a written employment contract. I further understand that no employee or representative of Door County Coffee & Tea Co. has the authority to enter into a contract regarding the duration or terms and conditions of employment, or changing the at-will employment relationship, except for the President of Door County Coffee & Tea Co., and then only by means of a written employment agreement signed by the President of Door County Coffee & Tea Co.

I understand that (i) any offer of employment with Door County Coffee & Tea Co. may be contingent upon successful completion of a physical examination, drug screen test, and/or background screening process; and (ii) while performing certain job duties I may be exposed to allergens of the industry, including but not limited to eggs, wheat, peanuts, dairy products, tree nuts, and soy products, as well as latex, etc.

I understand that compliance with all Door County Coffee & Tea Co. practices and procedures, such as attendance, safety, and Good Manufacturing Practices, is expected of all employees at all times. If I am hired by Door County Coffee & Tea Co., I will abide by all such practices and procedures.

Applications are not typically considered beyond 30 days.