Scribd Logo
Upload

Welcome to Scribd!

  • 4 views

    Employment Application Naperville

    Uploaded by

    sianisd

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Employment Application Naperville

    Uploaded by

    sianisd
    4 views3 pages

    Original Title

    Employment_Application_naperville

    Copyright

    © © All Rights Reserved

    Available Formats

    PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    4 views3 pages

    Employment Application Naperville

    Uploaded by

    sianisd

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 3

    Great Harvest Bread Co.

    192 W. Gartner Road


    Naperville, IL 60540
    630-369-5115

    Employment Application
    Applicant Information

    Full Name: Date:


    Last First M.I.
    Address:
    Street Address Apartment/Unit #

    City State ZIP Code


    Phone: ( ) E-mail Address:

    Date Available: Social Security No.: Desired Salary: $

    Position Applied for:


    YES NO YES NO
    Are you a citizen of the United States? If no, are you authorized to work in the U.S.?
    YES NO
    Have you ever worked for this company? If so, when?
    YES NO
    Have you ever been convicted of a felony?

    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.

    Days of the week you can work:

    Your preferred working hours:

    Education

    High School: Address:


    YES NO
    From: To: Did you graduate? Degree:

    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.

    Full Name: Relationship:

    Company: Phone: ( )

    Address:
    References (Continued)

    Full Name: Relationship:

    Company: Phone: ( )

    Address:

    Full Name: Relationship:

    Company: Phone: ( )

    Address:

    Previous Employment

    Company: Phone: ( )

    Address: Supervisor:

    Job Title: Starting Salary: $ Ending Salary: $

    Responsibilities:

    From: To: Reason for Leaving:


    YES NO
    May we contact your previous supervisor for a reference?

    Company: Phone: ( )

    Address: Supervisor:

    Job Title: Starting Salary: $ Ending Salary: $

    Responsibilities:

    From: To: Reason for Leaving:


    YES NO
    May we contact your previous supervisor for a reference?

    Company: Phone: ( )

    Address: Supervisor:

    Job Title: Starting Salary: $ Ending Salary: $

    Responsibilities:

    From: To: Reason for Leaving:


    YES NO
    May we contact your previous supervisor for a reference?

    Military Service

    Branch: From: To:

    Rank at Discharge: Type of Discharge:

    If other than honorable, explain:


    About You

    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?

    What do you like to do for relaxation and recreation?

    Describe your ideal work environment.

    What would you contribute to our work environment?

    Disclaimer and 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.

    Signature: Date:

    You might also like