Fillable Printable Panera Bread Application Form
Fillable Printable Panera Bread Application Form
Panera Bread Application Form
PANERABREADEMPLOYMENTAPPLICATION
PANERA BREAD IS COMMITTED TO MAINTAININGA SMOKE AND DRUG FREE WORKPLACE.
PERSONAL DATA
NAME(LAST)
FIRST
MIDDLE
SOCIALSECURITYNUMBER
-
-
PRESENTADDRESS
STREET
CITY
STATE(ZIPCODE)
PHONE
(
)
AREYOUACITIZENOFTHEU.S.ORDOYOUHAVEALEGALRIGHTTOWORKINU.S.?
Yes
No
AREYOUSIXTEENYEARSOFAGEOROLDER?
Yes
No
You will be required to provide proper identification at the time of hire.
POSITION APPLYING FOR (And For Which You Are Qualified)
SEEKING:
FullTime
Summer
PartTime
Temporary
_____________(Other)
STORE LOCATION PREFERRED
: ______________________________
HOURSAVAILABLEPERWEEK:_________________
MONDAY:
___________________________
TUESDAY:
___________________________
OTHER AVAILABLE LOCATIONS?
______________________________
WEDNESDAY:___________________________
THURSDAY:
___________________________
DATE AVAILABLE FOR EMPLOYMENT:_________________________
FRIDAY:
___________________________
SATURDAY:
___________________________
SUNDAY:
___________________________
WITHINTHEPASTFIVEYEARSHAVEYOUBEEN
WEREYOUREFERREDBYANYCURRENT
HAVEYOUPREVIOUSLYWORKEDATANYPANERAorSAINTLOUIS
CONVICTEDOFAFELONY?
ASSOCIATEATPANERABREAD?
BREADCOMPANY?
Yes
No
Yes
No
Yes
No
IFYES,WHEN?WHERE?NATUREANDDISPOSITIONOF
IF YES, INDICATENAMEANDLOCATION
IF YES, WHENANDWHERE?
CONVICTION:
EMPLOYED:
WEREYOUINTERVIEWEDPREVIOUSLY?
Yes
No
Convictionofafelonywillnotautomaticallydisqualifyyoufrom
IFYES, INDICATEBYWHOM(IFYOUREMEMBER)
employment.
EDUCATIONALDATA
GRADUATED
NAME&ADDRESSOFSCHOOL
Yes
No
MAJOR
MINOR/ADDITIONALSUBJECTSOFINTEREST
HIGHSCHOOL
COLLEGE/
OTHER
GRADUATE
SCHOOL
EMPLOYMENTHISTORY
List all present and past employment, beginning with your most recent. Please attach additional sheets if necessary.
COMPANYNAME/ADDRESS/TELEPHONENUMBER:
IMMEDIATESUPERVISOR:
(
)
YOURJOBTITLEORPOSITION:
DATESEMPLOYED
IFSTILLEMPLOYED,MAYWECONTACTYOURPRESENTSUPERVISOR?
Yes
No
IF YES, PLEASEPROVIDENAMEANDPHONENUMBER
FROM:(Mo/Yr)
TO:(Mo/Yr)
NAME:
(______)_______________EXT.:______
REASON(S)FORLEAVING:
DESCRIBEYOURDUTIES:
COMPANYNAME/ADDRESS/TELEPHONENUMBER:
IMMEDIATESUPERVISOR:
(
)
YOURJOBTITLEORPOSITION:
DATESEMPLOYED
IFSTILLEMPLOYED,MAYWECONTACTYOURPRESENTSUPERVISOR?
Yes
No
IF YES, PLEASEPROVIDENAMEANDPHONENUMBER
FROM:(Mo/Yr)
TO:(Mo/Yr)
NAME:
(______)_______________EXT.:______
REASON(S)FORLEAVING:
DESCRIBEYOURDUTIES:
COMPANYNAME/ADDRESS/TELEPHONENUMBER:
IMMEDIATESUPERVISOR:
(
)
YOURJOBTITLEORPOSITION:
DATESEMPLOYED
IFSTILLEMPLOYED,MAYWECONTACTYOURPRESENTSUPERVISOR?
Yes
NoIFYES,PLEASEPROVIDENAMEANDPHONENUMBER
FROM:(Mo/Yr)
TO:(Mo/Yr)
NAME:
(______)_______________EXT.:______
REASON(S)FORLEAVING:
DESCRIBEYOURDUTIES:
OTHERACCOMPLISHMENTS
Please list below any other job related accomplishments, professional distinctions, certifications, or verifiable volunteer work that STLBC should know about.
MILITARY HISTORY
MILITARYSERVICESTATUS
BRANCHOFSERVICE
DATESOFSERVICE
From
To
VETERAN
NON-VETERAN
NATIONALGUARD
RESERVES
ADVANCEDROTC
DIDYOURECEIVEANYMILITARYTRAININGRELATEDTOTHEJOBFORWHICHYOUAREAPPLYING?
Yes
No
IF YES, PLEASEEXPLAIN:
REFERENCES
NAME
ADDRESS
OCCUPATION/TELEPHONE#
Occupation:
1.
Telephone#:(
)
Occupation:
2.
Telephone#:(
)
SIGNATURE(Pleasereadcarefullybeforesigning)
Icertifythattheanswersgivenhereinaretrueandcompletetothebestofmyknowledge,andIauthorizeinvestigationofallstatementscontainedinthisapplication,withexceptionofcontactingmypresent
employerifIhavesorequestedonpagetwo.Ihaveread,understandandagreetotheabovestatement.(pleaseinitialhere)_______
Whilethisapplicationwillberetainedonfileforaperiodofoneyear(asrequiredbylaw),Iacknowledgethatthisapplicationwillbeconsideredactiveforaperiodofsixty(60)days.Atthattime,Imustsubmita
newapplicationtobeconsideredforanyemploymentopenings.Ihaveread,understandandagreetotheabovestatement.(pleaseinitialhere)________
IunderstandandacknowledgethatunlessotherwisedefinedbyapplicablelaworwrittenagreementwithPaneraBread,anyemploymentrelationshipwiththeCompanyisconsidered“employmentatwill,”which
meanstheemployeemayresignatanytimeandtheEmployermaydischargetheEmployeeatanytime,withorwithoutcause.Itisfurtherunderstoodthatthis“atwill”employmentrelationshipmaynotbe
changedbyanywrittendocumentorbyanyconductunlesssuchchangeisspecificallyexecutedbythePresident/VicePresidentofPaneraBread.Ihaveread,understandandagreetotheabovestatement.
(pleaseinitialhere)______
IfIshouldbeemployedbytheCompany,Iunderstandthatanyfalse,incomplete,ormisleadinginformationgivenonthisapplicationorduringaninterviewshallresultinimmediatedischarge.Ihaveread,
understandandagreetotheabovestatement.(pleaseinitialhere)________
Iauthorizeaninquiryintomybackgroundbyallpeople,schools,companies,corporations,creditbureaus,lawenforcementagencies,doctorsandotherconsumerreportingagenciestosupplyinformation
concerningmypreviousemployment,education,credit,drivingrecord,etc.Ihaveread,understandandagreetotheabovestatement.(pleaseinitialhere)________
IauthorizethereferenceslistedabovetogiverepresentativesofPaneraBreadanyandallinformationconcerningmypreviousorcurrentemploymentandanypertinentinformationtheymayhave,personalor
otherwise,andreleaseallpartiesfromanyandallliabilityfromanydamagethatmayresult.Ihaveread,understandandagreetotheabovestatement.(pleaseinitialhere)________
SIGNATURE
DATE
PaneraBread isan EqualOpportunity Employer. Panera Breaddoes notdiscriminate inemployment and noquestion onthis application isused forthe purpose
oflimiting orexcusing anyapplicant's considerationforemploymenton abasis prohibited bylocal, state orfederallaw.
