Bakers Job Application

Baker's is an
Equal Opportunity
Employer

Job Application. Please fill out all text fields to the best of your knowledge:

Full Name:

Other than a maiden name, have you ever been employed or enrolled in any school other than this name?

Yes

Address (where we can contact you):
City:
State:
Zip Code :
Phone : (where we can contact you):	- -

What position are you applying for:

Are you available for work:

Full Time

Part Time

Temporary

What shift would you most like to work:

Day

Night

Swing

Any

Conditioned upon an offer of employment, what date are you available to start work:

Have you ever applied for employment with Baker's or work for Baker's in the past?

Yes

If "Yes", when did you last
apply for employment
with Baker's?

If "Yes", when did you last
work for Baker's?

Where?

General Information

if hired, can you show proof of age or provide a permit to work? You will be required to do so after employment.

Yes

If hired, can you show proof of your legal right to work in the United States? You will be required to do so after employment.

Yes

Have you been convicted of a felony within the past 7 years? (A conviction is not an automatic bar to employment. Each case will be considered on its own merits.)

Yes

If yes to above, please explain:

Education

High School

Name of school & city where located:

Graduated or GED?:

Community College

Name of school and location:

Major:

# of years completed:

Graduated?:

College/University

Name of school and location:

Major:

# of years completed:

Graduated?:

Employment History Starting with your current or last job, list the last 4 places where you have worked. You may include volunteer activities, paid or unpaid. Do not leave out any former employer. Your employment history will be verified.

Current or Last Employer

Name of current or last employer:

Duration of employment:

from:

to:

Address:
include street, city , state & zip:

Phone:

- -

What job did you perform for this employer:

Who was your immediate supervisor:

What was your starting rate of pay?:

What was your final rate of pay?:

If you are now not employed here, why did you leave?:

May we contact this employer?:

Yes

Immediate Prior Employer

Name of Immediate Prior Employer:

Duration of employment:

from:

to:

Address:
include street, city , state & zip:

Phone:

- -

What job did you perform for this employer:

Who was your immediate supervisor:

What was your starting rate of pay?:

What was your final rate of pay?:

If you are now not employed here, why did you leave?:

Immediate Prior Employer

Name of Immediate Prior Employer:

Duration of employment:

from:

to:

Address:
include street, city , state & zip:

Phone:

- -

What job did you perform for this employer:

Who was your immediate supervisor:

What was your starting rate of pay?:

What was your final rate of pay?:

If you are now not employed here, why did you leave?:

Immediate Prior Employer

Name of Immediate Prior Employer:

Duration of employment:

from:

to:

Address:
include street, city , state & zip:

Phone:

- -

What job did you perform for this employer:

Who was your immediate supervisor:

What was your starting rate of pay?:

What was your final rate of pay?:

If you are now not employed here, why did you leave?:

UnEmployment History Please identify and explain all periods of unemployment of more than one month during the past 3 years. Do not include any period of unemployment due to pregnancy or other medial reasons. I was unemployed for more than one month:

from:

to:

because:

from:

to:

because:

from:

to:

because:

Essential Duties

Are you able to perform the essential duties of the position for which you are applying?

Yes

Other Activities

Please list any job related, professional, trade, business or civic activities, organizations and associations you feel we should know about. Do not list any which would indicate or identify race, color, national orgin, ancestry, sex, age or the existence of any disability.

References Please provide the names and telephone numbers (include area code) of three references who know you personally. Do not list relatives or former employees.

Name:
Phone: - -

Emergency Notification in the event that you are employed, who should we notify in the event of an emergency?

Name:

Address:

Phone:

- -

City:

State:

Zip:

Read this Disclaimer!

I hereby certify that the information contained in the Application for Employment is true and correct to the best of my knowledge and agree to have any of the statements checked by the Company unless I have indicated to the contrary. I authorize the references listed above, as well as all other individuals whom the Company contacts, to provide the Company and and all information concerning my previous employment and any other pertinent information that they may have. Further, I release all parties and persons from any and all liability for any damages that may result from furnishing such information to the Company as well as from any use of disclosure of such information by the Company of any of its agents, employees or representatives. I understand that any misrepresentation, falsification or material omission of information on this application may result in my failure to receive an offer, or, if I am hired, my immediate dismissal from employment.

In consideration of my employment, I agree to conform to the rules and standards of the Company. I further agree that my employment and compensation can be terminated at will, with or without cause, and with or without notice, at any time, either at my option or at the option of the Company. I understand that no employee or representative of the Company, other than its president, has the authority to enter into any agreement for employment for any specified period of time, or to make any agreement contrary to the foregoing. Further, the president of the Company may not alter the at-will nature of the employment relationship unless the President and I both sign a written agreement that clearly and expressly specifies the intent to do so. I agree that this constitutes an integrated agreement with respect to the at-will nature of my employment relationship, that it is final and fully binding, and that there are oral or collateral agreements regarding this issue.

I also understand that all offers of employment are conditioned on the provision of satisfactory proof of an applicant's identity and legal authority to work in the United States, as well as the satisfactory completion of a post-offer medical examination.

If you agree to these terms, the two questions must be answered below for your application to be submitted!

Your Email Address:

Type the word"accept" (all lowercase) in this blank: