A
E
PPLICATION FOR
MPLOYMENT
Name (Last)
First
Middle Initial
Social Security Number
Present Street Address
City/State
Zip Code
Phone number
Are you a citizen of the U.S. or do you
Any offer of employment is conditioned upon completing for I-9
have a legal right to work in the U.S.?
Yes
No
And providing documents establishing identity and work authorization.
Position Applying for:
Bakery Cafe Location preferred:
Full Time
Part Time
If Yes, when?
Where?
In the past 5 years have you been convicted
Of a felony relating to theft or dishonesty?
Yes
No
Nature and disposition of conviction:
If Yes, when?
Where?
Have you previously applied for employment
with Saint Louis Bread or Panera Bread?
Yes
No
If Yes, indicate name, relationship and location:
Are you related to any associate employed
by Saint Louis Bread or Panera Bread?
Yes
No
Date available for
Are you 18 years
If under 18 years of age, applicant will be required to submit a
employment:
of ages or older?
Yes
birth certificate or work certificate as required by State or Federal
No
Law.
Dates attended:
Graduated?
Date of
Name and address of last school attended:
Major
Minor
Degree
From
To
Yes
No
If Yes, give name and address of school:
Are you presently
Day
Night
Enrolled in school?
Yes
No
List any other education, accomplishments or special interests:
Availability
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
From
To
Total hours per week available for work:
How far do you live from the restaurant?
References
Name/Occupation
Address
Phone