Fillable Printable Panera Bread Application Form
Fillable Printable Panera Bread Application Form
Panera Bread 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
ARE YOU SIXTEEN YEARS OF AGE OR OLDER?
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:
Full Time
Summer
Part Time
Temporary
_____________(Other)
STORE LOCATION PREFERRED
: ______________________________
HOURS AVAILABLE PER WEEK: _________________
MONDAY :
___________________________
TUESDAY:
___________________________
OTHER AVAILABLE LOCATIONS?
______________________________
WEDNESDAY: ___________________________
THURSDAY:
___________________________
DATE AVAILABLE FOR EMPLOYMENT: _________________________
FRIDAY:
___________________________
SATURDAY:
___________________________
SUNDAY:
___________________________
WITHIN THE PAST FIVE YEARS HAVE YOU BEEN
WERE YOU REFERRED BY ANY CURRENT
HAVE YOU PREVIOUSLY WORKED AT ANY PANERA or SAINT LOUIS
CONVICTED OF A FELONY?
ASSOCIATE AT PANERA BREAD?
BREAD COMPANY?
Yes
No
Yes
No
Yes
No
IF YES, WHEN? WHERE? NATURE AND DISPOSITION OF
IF YES, INDICATE NAME AND LOCATION
IF YES, WHEN AND WHERE?
CONVICTION:
EMPLOYED:
WERE YOU INTERVIEWEDPREVIOUSLY?
Yes
No
Conviction of a felony will not automatically disqualify you from
IF YES, INDICATE BY WHOM (IF YOU REMEMBER)
employment.
EDUCATIONAL DATA
GRADUATED
NAME & ADDRESS OF SCHOOL
Yes
No
MAJOR
MINOR/ADDITIONAL SUBJECTS OF INTEREST
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
FROM: (Mo/Yr)
TO: (Mo/Yr)
NAME:
(______) _______________EXT.:______
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
FROM: (Mo/Yr)
TO: (Mo/Yr)
NAME:
(______) _______________EXT.:______
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
FROM: (Mo/Yr)
TO: (Mo/Yr)
NAME:
(______) _______________EXT.:______
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 EXPLAIN:
REFERENCES
NAME
ADDRESS
OCCUPATION/TELEPHONE #
Occupation:
1.
Telephone #: (
)
Occupation:
2.
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 time, 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, and release all parties from any and all liability from any damage that may result. I have read, understand 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 any applicant's consideration for employment on a basis prohibited by local, state or federal law.
