Hot Bagels and More Application for Employment

    Personal Information

    First Name (required)

    Last Name (required)

    Present Address (required)

    City (required)

    State (required)

    Zip (required)

    Permanent Address (required)

    City (required)

    State (required)

    Zip (required)

    Contact Phone Number (required)

    Your Email (required)

    Referred By

    Employment Desired

    Position Desired

    Date you can start

    Salary Desired(per hour)

    Location preference

    Preferred Availability
    Saturday and Sunday (Mandatory)
    MTWTHF

    Some positions require start times of 4:00am, are you able to work these shifts?

    Are you willing and able to lift 30lbs or less?
    YesNo

    Are you currently employed
    YesNo

    If so, may we inquire of your present employer?
    YesNo

    Are you legally authorized to work in the US?
    YesNo

    Have you ever worked/applied to this company before?
    YesNo

    Which Location?

    YesNo

    When?

    What's your favorite bagel sandwich?

    Education History

    High School

    Name of High School

    High School Address

    City

    State

    Zip

    Years Attended

    Did you Graduate?
    YesNo

    Subjects studied?

    College

    Name of College

    College Address

    City

    State

    Zip

    Years Attended

    Did you Graduate?
    YesNo

    Subjects studied?

    Trade/Business School

    Name of Trade/Business School

    Trade/Business School Address

    City

    State

    Zip

    Years Attended

    Did you Graduate?
    YesNo

    Subjects studied?

    General Information

    Special Training/Skills

    US Military Service?
    YesNo

    Rank

    Former Employers (Last four employers starting with most recent)

    Employer 1

    Employer Name

    Employer Address

    City

    State

    Zip

    Supervisor

    Contact Phone Number

    Position

    Salary

    From

    To

    Reason for leaving

    Employer 2

    Employer Name

    Employer Address

    City

    State

    Zip

    Supervisor

    Contact Phone Number

    Position

    Salary

    From

    To

    Reason for leaving

    Employer 3

    Employer Name

    Employer Address

    City

    State

    Zip

    Supervisor

    Contact Phone Number

    Position

    Salary

    From

    To

    Reason for leaving

    Employer 4

    Employer Name

    Employer Address

    City

    State

    Zip

    Supervisor

    Contact Phone Number

    Position

    Salary

    From

    To

    Reason for leaving

    References

    List below two individuals, not related to you, whom you have known at least one year.

    Reference 1

    Name

    Address

    City

    State

    Zip

    Occupation

    Years known

    Reference 2

    Name

    Address

    City

    State

    Zip

    Occupation

    Years known

    Authorization

    "I certify that the facts contained in this application are true and complete to the best of my knowledge and understand that, if employed, falsified statements on this application shall be grounds for dismissal.
    I authorize investigation of all statements contained herein and the references and employers listed above to give you any and all information concerning my previous employment ad any pertinent information they may have, personal or otherwise, and release the company from all liability for any damage that may result from utilization of such information.
    I also understand and agree that no representative of the company has any authority to enter into any agreement for employment for any specified period of time, or to make any agreement contrary to the foregoing, unless it is in writing and signed by an authorized company representative.
    This waiver does not permit the release or use of disability-related or medical information in a manner prohibited by the Americans with Disabilities Act (ADA) or other relevant federal and state laws."