Online Employment Application

Please select the location you are applying for:

(a selection is required for form to submit)

Store Location and Address (required)
 

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

 
Full Name (required)
 
Other than a maiden name, have you ever been employed or enrolled in any school other than this name?
No Yes 
 
Address
(where we can contact you)
 
City
 
State
 
Zip Code
 
Phone Number
(where we can contact you)
 
If hired, can you show proof of age or provide a permit to work? You will be required to do so after employment.
Yes No 
 
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 No 
 
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 No 
 
If "yes", please explain:
 
Have you ever applied for employment with Bakers?
Yes No 
 
If "Yes", when did you last apply for employment with Bakers?
 
Have you ever worked for Baker's in the past?
Yes No 
 
If "Yes", when did you last work for Baker's?
 
Where?
 

Employment Interest

For what position are you applying?
 
Are you able to perform the essential duties of the position for which you are applying?
Yes No 
 
Are you available for work:
Full Time Part Time 
 
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?
 

Education

 

High School

 
Name of School and City Where Located
 
Graduated or GED?
 
 

Community College

 
Name of School and City Where Located
 
Major
 
Number of years completed
 
Graduate?
 
 

College/University

 
Name of School and City Where Located
 
Major
 
Number of years completed
 
Graduate?
 

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 Number
 
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?
$
 
May we contact this employer?
Yes No 
 
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 of immediate prior employer
include street, city , state & zip
 
Phone Number
 
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?
$
 
Why did you leave this employer?
 

Immediate Prior Employer

 
Name of immediate prior employer
 
Duration of employment
From
To
 
Address of immediate prior employer
include street, city , state & zip
 
Phone Number
 
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?
$
 
Why did you leave this employer?
 

Immediate Prior Employer

 
Name of immediate prior employer
 
Duration of employment
From
To
 
Address of immediate prior employer
include street, city , state & zip
 
Phone Number
 
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?
$
 
Why did you leave this employer?
 

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 medical reasons.

 
 
from
to
because
 
from
to
because
 
from
to
because
 

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 origin, 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 employers.

 
Name
 
Phone
 
Name
 
Phone
 
Name
 
Phone
 
Name
 
Phone
 

Emergency Notification

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

 
Name
 
Phone Number
 
Address
 
City
 
State
 
Zip
 

Certification and Considerations

 

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 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, agreement to mediate and arbitrate claims, as well as the satisfactory completion of a post-offer medical examination.

 1 “I Acknowledge that I have read the U.S. Department of Labor’s copy of the poster EMPLOYEE RIGHTS AND RESONSIBILITIES UNDER THE FAMILY AND MEDICAL LEAVE ACT.”
http://bakersdrivethru.com/pdf/fmlaen.pdf

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