Employment Application Naperville
Employment Application Naperville
Employment Application Naperville
Employment Application
Applicant Information
If yes, explain:
YES NO Do you have a valid driver’s license and your YES NO
Are you at least 18 years old? own transportation to/from work?
Can you perform the functions of this job with or without accommodation, including lifting weights of 25-50
pounds, stooping and bending frequently, performing repetitive hand motions, and remaining on your feet for YES NO
long periods? If you have a disability, please use a separate piece of paper to describe your performance with
reasonable accommodations.
Education
College: Address:
YES NO
From: To: Did you graduate? Degree:
Other: Address:
YES NO
From: To: Did you graduate? Degree:
References
Please list three professional references.
Company: Phone: ( )
Address:
References (Continued)
Company: Phone: ( )
Address:
Company: Phone: ( )
Address:
Previous Employment
Company: Phone: ( )
Address: Supervisor:
Responsibilities:
Company: Phone: ( )
Address: Supervisor:
Responsibilities:
Company: Phone: ( )
Address: Supervisor:
Responsibilities:
Military Service
We are a small family-owned business. We work hard, have a lot of fun, and enjoy working with each other to make the
best bread possible and delight our customers in every way. We would like to know more than “just the facts” about
you, so please take some time and thought to answer the following questions. Use additional paper if needed.
Why do you want to work at our Great Harvest Bread Co?
What recent activities or accomplishments have you found particularly satisfying and why?
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.
Signature: Date: