Job Application

Full Name*

First NameMiddle NameLast Name

Current Address*

Street Address

Street Address Line 2

CityState

Zip Code

Email Address*

Phone Number*

Area CodePhone Number

Applying for Position*

Best way to contact you?*

Are You 18 Years or Older?

If under 18, what is your Date of Birth?

Date

Availability (Example: Mondays 5-10pm, Tuesdays N/A )

	Availability Time
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday

Are you applying for?

Full timePart timeTemporaryOther

Hours per week you are willing to work?

If hired, what date would you be able to begin work?

MonthDayYear

First Employer

Company Name

Start Date

DD/MM/YYYY

End Date

DD/MM/YYYY

Job Title

Address

Street Address

Street Address Line 2

CityState

Zip Code

May we contact this employer?

YesNoOther

Reason For Leaving

Type your answer here

Second Employer

Company Name

Start Date

DD/MM/YYYY

End Date

DD/MM/YYYY

Job Title

Address

Street Address

Street Address Line 2

CityState

Zip Code

May we contact this employer?

YesNoOther

Reason For Leaving

Type your answer here

* Please list your highest level of completed education

References

	Full Name	Relationship	Phone Number
1st Person
2nd Person

Why do you want to work at Great Harvest? If you were referred by someone else, whom?

Type your answer here

What are your personal interests, hobbies, or special skills?Are you particularly passionate about something?

Type your answer here

What three things do you need to be successful in this job?

Type your answer here

From everything you know about Great Harvest, tell us how you feel you’d make a contribution to our bakery?

Type your answer here

What do you want to do at Great Harvest Bread Company?

We have two main types of jobs:

PRODUCTION (they make our products) and CUSTOMER SERVICE (they sell them). Job experience in any one area, while helpful, is not required. More important to us at GreatHarvest Maple Groveis an enthusiasm for our productsand an excitement to help our customers.It is important to realize that we function as a team, and although you may have one title, we prefer to cross-train employees so you can jump in and help wherever needed.

There are a few things that are expected of each and every employee:

•Greeting Customers

•Cleaning

•Moving Fast

•Positive Attitude

•Integrity

Legal stuff and your signature:

I hereby certify that the answers given by me are true and correct to the best of my knowledge. I understand that any omission or misstatement of material fact on this application or on any document used to secure employment shall be grounds for rejectionof this application or for immediate discharge if I am employed, regardless of thetime elapsed before discovery.I hereby authorize the company to thoroughly investigate my references, work record, education and other matters related to my suitability for employment and, further, authorize the references I have listed to disclose to the Great Harvest Bread Co. any and all letters, reports and other information related to my work records, without giving me prior notice of such disclosure. In addition, I hereby release the company, my former employers and all other persons, corporations,partnerships and associations from any and all claims, demands or liabilities arising out of or in any way related to such investigation or disclosure.I understand that nothing contained in the application, or conveyed during any interview, which may begranted or during my employment, if hired, is intended to create an employment contract between me and the Great Harvest Bread Company. In addition, I understand and agree that if I am employed, my employment is for no definite or determinable period and may be terminated at any time, with or without prior notice, at the option of either myself or Great Harvest Bread Company.Finally, I understand that a properly executed Confidentiality and Privacy Agreementmust be signed by me as a condition of employment.

Signature

Job Application

Employment History