Employment Application Form

Ithaca Bakery & Collegetown Bagels Employment Application

Living Wage Statement
Ithaca Bakery & Collegetown Bagels are very proud to be a Living Wage employer, in fact the largest privately owned living wage employer in Tompkins County. We are extremely proud to be able to make this commitment as a fair and equitable employer in the community. We are currently paying a wage that is far above both the minimum wage and what is typical for the food industry. In addition, we provide many additional benefits like: discounts, retirement plan with matching, meal credits, dental insurance, medical insurance, paid benefit time and holiday pay.
Name:*

First NameLast Name
Phone Number:*

Area CodePhone Number
E-mail Address:*
Local Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Permanent Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
How were you referred to us?

Walk-InEmployee (tell us who!)FacebookCraigslistOther (please specify)
Others:
Upload Resume:

Upload a File

Cancelof
Job Skills & Training
Describe your skills:
Training or Certifications:
If you are under 18, do you have a work permit?

YesNo
Have you ever applied for work with us before?

YesNo
Have you ever worked for Collegetown Bagels before?

YesNo
If yes, when?
Do you know anyone who is/has been employed at Collegetown Bagels? If yes, who?
Please check position desired (check all you are interested in)

ManagerOfficeDriverRetail & Retail SupportCateringCustodialEntree & Salad ProductionBread & Bagel ProductionPastry ProductionPackerDishwasherOther
How many hours are you looking for? (check all that apply)

Full Time (+33 hours)Part Time (-33 hours)Temporary (less than 1 year)
When can you start?
How long do you plan to be with our company?
Please list dates and times you are available to work.
Will you work weekends?

SaturdaySundayBothNone
At which store are you available to work? (Please check all that apply)

Collegetown Bagels (420 College Ave., Ithaca)Collegetown Bagels (301 E. State St., Ithaca)Collegetown Bagels (East Hill Plaza, Ithaca)Collegetown Bagels (177 Marshall St., Syracuse)Ithaca Bakery (400 N. Meadow St., Ithaca)Ithaca Bakery (Triphammer Marketplace, Ithaca)
Do you have the ability to carry cases of soda up and down stairs or to stand on your feet for long periods of time? Yes or No? If No, please explain.
Have you ever been convicted of a crime? Yes or No? If Yes, please explain.
Education & Training
High School
College or Technical School
Special Training
References

Please provide the names of two persons, not related to you, whom you have know for at least one year.
Reference 1
Name:

First NameLast Name
Phone Number

Area CodePhone Number
Relationship
Years Known:
Email
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Reference 2
Name:

First NameLast Name
Phone Number

Area CodePhone Number
Relationship
Years Known:
Email
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Employment History

Please list your last 3 employers (most recent first)
Employer 1
Employer Name
Start Date

MonthDayYear
Date
End Date

MonthDayYear
Date
Employer Phone

Area CodePhone Number
Employer Email
example@example.com
Employer Address
Supervisor's Name & Title
Duties & Responsibilities
Reason for Leaving
May we contact this employer?

YesNo
If no, why not?
Employer 2
Employer Name
Start Date

MonthDayYear
Date
End Date

MonthDayYear
Date
Employer Phone

Area CodePhone Number
Employer Email
example@example.com
Employer Address
Supervisor's Name & Title
Duties & Responsibilities
Reason for Leaving
May we contact this employer?

YesNo
If no, why not?
Employer 3
Employer's Name
Start Date

MonthDayYear
Date
End Date

MonthDayYear
Date
Employer Phone

Area CodePhone Number
Employer Email
example@example.com
Employer's Address
Supervisor's Name & Title
Duties & Responsibilities
Reason for Leaving
May we contact this employer?

YesNo
If no, why not?
Questions

Please answer the following questions.
What applicable skills and/or experience could you bring to Collegetown Bagels?
What do you think your references would name as your greatest strength?
What do you think your references would name as your greatest weakness?
What are your career goals? Where do you see yourself in one year, five years, ten years?
Please describe an experience in which you have given or received excellent customer service.
As an employee, what do you expect from supervisors, managers or owners?
Describe your fantasy meal (food only, please).
Should be Empty: