Fillable Printable Paner Bread Employment Application Form
Fillable Printable Paner Bread Employment Application Form
Paner Bread Employment Application Form
PANERA BREAD EMPLOYMENT APPLICATION
PANERA BREAD IS COMMITTED TO MAINTAINING A SMOKE AND DRUG FREE WORKPLACE.
PERSONAL DATA
NAME (LAST) FIRST MIDDLE SOCIAL SECURITY NUMBER
- -
PRESENT ADDRESS STREET CITY STATE (ZIP CODE) PHONE
( )
ARE YOU A CITIZEN OF THE U.S. OR DO YOU HAVE A LEGAL RIGHT TO WORK IN U.S.? Yes No
You will be required to provide proper identification at the time of hire.
ARE YOU SIXTEEN YEARS OF AGE OR OLDER? Yes No
POSITION APPLYING FOR (And For Which You Are Qualified)
STORE LOCATION PREFERRED : ______________________________
OTHER AVAILABLE LOCATIONS? ______________________________
DATE AVAILABLE FOR EMPLOYMENT: _________________________
SEEKING: Full Time Summer Part Time Temporary __ ___ ________(Other)
HOURS AVAILABLE PER WEEK: _________________
MONDAY : ___________________________ TUESDAY: ___________________________
WEDNESDAY: ___________________________ THURSDAY: ________________ ___________
FRIDAY: ___________________________ SATURDAY: ___________________________
SUNDAY: ___________________________
WITHIN THE PAST FIVE YEARS HAVE YOU BEEN
CONVICTED OF A FELONY?
Yes No
IF YES, WHEN? WHERE? NATURE AND DISPOSITION OF
CONVICTION:
Conviction of a felony will not
automatically disqualify you from
employment.
WERE YOU REFERRED BY ANY CURRENT
ASSOCIATE AT PANERA BREAD?
Yes No
IF YES, INDICATE NAME AND LOCATION
EMPLOYED:
HAVE YOU PREVIOUSLY WORKED AT ANY PANERA or SAINT LOUIS
BREAD COMPANY?
Yes No
IF YES, WHEN AND WHERE?
WERE YOU INTERVIEWEDPREVIOUSLY? Yes No
IF YES, INDICATE BY WHOM (IF YOU REMEMBER)
EDUCATIONAL DATA
NAME & ADDRESS OF SCHOOL
GRADUATED
MAJOR MINOR/ADDITIONAL SUBJECTS OF INTEREST
Yes No
HIGH SCHOOL
COLLEGE/
OTHER
GRADUATE
SCHOOL
EMPLOYMENT HISTORY
List all present and past employment, beginning with your most recent. Please attach additional sheets if necessary.
COMPANY NAME/ADDRESS/TELEPHONE NUMBER:
( )
IMMEDIATE SUPERVISOR:
YOUR JOB TITLE OR POSITION:
DATES EMPLOYED
IF STILL EMPLOYED, MAY WE CONTACT YOUR PRESENT SUPERVISOR? Yes No IF YES, PLEASE PROVIDE NAME AND PHONE NUMBER
NAME: (______) _______________EXT.:______
FROM: (Mo/Yr)
TO: (Mo/Yr)
REASON(S) FOR LEAVING:
DESCRIBE YOUR DUTIES:
COMPANY NAME/ADDRESS/TELEPHONE NUMBER:
( )
IMMEDIATE SUPERVISOR:
YOUR JOB TITLE OR POSITION:
DATES EMPLOYED
IF STILL EMPLOYED, MAY WE CONTACT YOUR PRESENT SUPERVISOR? Yes No IF YES, PLEASE PROVIDE NAME AND PHONE NUMBER
NAME: (______) _______________EXT.:______
FROM: (Mo/Yr)
TO: (Mo/Yr)
REASON(S) FOR LEAVING:
DESCRIBE YOUR DUTIES:
COMPANY NAME/ADDRESS/TELEPHONE NUMBER:
( )
IMMEDIATE SUPERVISOR:
YOUR JOB TITLE OR POSITION:
DATES EMPLOYED
IF STILL EMPLOYED, MAY WE CONTACT YOUR PRESENT SUPERVISOR? Yes No IF YES, PLEASE PROVIDE NAME AND PHONE NUMBER
NAME: (______) _______________EXT.:______
FROM: (Mo/Yr)
TO: (Mo/Yr)
REASON(S) FOR LEAVING:
DESCRIBE YOUR DUTIES:
OTHER ACCOMPLISHMENTS
Please list below any other job related accomplishments, professional distinctions, certifications, or verifiable volunteer work that STLBC should know about.
MILITARY HISTORY
MILITARY SERVICE STATUS BRANCH OF SERVICE
DATES OF SERVICE
From To
VETERAN NON-VETERAN
NATIONAL GUARD RESERVES
ADVANCED ROTC
DID YOU RECEIVE ANY MILITARY TRAINING RELATED TO THE JOB FOR WHICH YOU ARE APPLYING? Yes No IF YES, PLEASE EX PL AIN:
REFERENCES
NAME ADDRESS OCCUPATION/TELEPHONE #
1.
Occupation:
Telephone #: ( )
2.
Occupation:
Telephone #: ( )
SIGNATURE (Please read carefully before signing)
I certify that the answers given herein are true and complete to the best of my knowledge, and I authorize investigation of all statements contained in this application, with exception of contacting my
present employer if I have so requested on page two. I have read, understand and agree to the above statement. (please initial here) ______ _
While this application will be retained on file for a period of one year (as required by law), I acknowledge that this application will be considered active for a period of sixty (60) days. At that tim e, I must
submit a new application to be considered for any employment openings. I have read, understand and agree to the above statement. (please initial here) ________
I understand and acknowledge that unless otherwise defined by applicable law or written agreement with Panera Bread, any employment relationship with the Company is considered “employment at
will,” which means the employee may resign at any time and the Employer may discharge the Employee at any time, with or without cause. It is further understood that this “at will” employment
relationship may not be changed by any written document or by any conduct unless such change is specifically executed by the President/Vice President of Panera Bread. I have read, understand
and agree to the above statement. (please initial here) ______
If I should be employed by the Company, I understand that any false, incomplete, or misleading information given on this application or during an interview shall result in immediate discharge. I have
read, understand and agree to the above statement. (please initial here) _______ _
I authorize an inquiry into my background by all people, schools, companies, corporations, credit bureaus, law enforcement agencies, doctors and other consumer reporting agencies to supply
information concerning my previous employment, education, credit, driving record, etc. I have read, understand and agree to the above statement. (please initial here) ________
I authorize the references listed above to give representatives of Panera Bread any and all information concerning my previous or current employment and any pertinent information they may have,
personal or otherwise, an d release all parties from any and all lia bility from any damage that may result. I have read, unde rstand and agree to the above statement. (please initial here) ________
SIGNATURE
DATE
Panera Bread is an Equal Opportunity Employer. Panera Bread does not discriminate in employment and no question on this application is used for the
purpose of limiting or excusing an y applicant's considerati on for emplo yment on a basis prohibited b y local, state or federal law.
