Great harvest bread Co.

Job application
C-U in the Dough Inc. dba Great Harvest Bread Co. is an Equal Opportunity Employer. We do not discriminate on the basis of race, religion, color, gender, age, national origin, or disability.

Name:______________________________________

Date:________

Address: ______________________________________________________________ Street city/state zip Phone #: ________________________ Best time to call:___________ E-mail address: Under 18 years old?__________ If in school, what school and what year?______________ Hours per week desired (list minimum needed and max.) ________________ List all available hours and days : _________________________

Date you can start: Desired Position: Will your availability listed above change in the next 6 months?__________

If this is a good fit, how long do you plan on working for us? __________________

Have you ever been convicted of a crime? ____ (if yes, date, place & nature)

Please answer the following: 1. Give us your 2 best work-related references (like previous workemployers/supervisors – not your friends) and phone numbers. Clearly spell employers/supervisors their names, business and relationship to you.

2. List a brief job history. Include name of employer, supervisor’s name, dates employed and reason for leaving.

3.

A brief education history:

4. Why did you choose to apply at Great Harvest? Also, how does your personality and work ethic fit with our mission/culture?

5. Great Harvest is a very service-oriented business. What does good service mean to you?

6. Great Harvest is a high-volume business with a work day that can be long and stress-filled. What makes you believe you can perform well and excel under these working conditions?

7.

What could you bring to this job that will benefit Great Harvest, and/or our customers?

8.

Do you have any physical or health limitation which may prevent you from enduring prolonged standing, moderate physical labor, which includes lifting, or which would otherwise affect your ability to perform your job duties?

If yes, please explain:

9.

Are you a U.S. Citizen, or do you have a permit which allows you to work?

10. I certify that the facts contained in this application are true and correct,

and I confirm that any omission or misrepresentation of any fact on this application is sufficient reason for Great Harvest to deny me employment. If employed, such an omission or misrepresentation shall be grounds for dismissal. I authorize investigation of all statements contained herein and the references listed above. I agree that if an employment relationship is established with Great Harvest, it will be of an “at will” nature. This means that I may resign at any time and Great Harvest may dismiss me at any time with or without cause. Date:

Signature: