Liv For Sweets Bakery Hiring Application

PERSONAL INFORMATION                                                           Date_________________

Name_______________________________________________________

        (First)                (Middle Initial)                (Last)                  (Maiden)

Present Address ____________________________________________________________

                        Street                                City                State                Zip

Phone Number ______________________                Birthdate _________________________

Email (This is how we will contact you first) _____________________________________________

EMPLOYMENT POSITION DESIRED

Position(s) applying for: (please check all that apply)

____ Pilot Mountain location FRONT-LINE ASSOCIATE

____ Mount Airy location FRONT-LINE ASSOCIATE

____ Pilot Mountain BAKER ASSISTANT

____ Pilot Mountain DECORATOR

Mark the days AND hours available to work: (approximation is fine)

Tuesday ________________________                Friday ______________________

Wednesday _____________________                Saturday ____________________

Thursday _______________________

Can you work evenings?:_________________  Can you work Saturdays?:________________

When are you able to start working?___________________   Desired Wage: ______________

WORK EXPERIENCE                        (Please list the last 3 most recent)

Name of Employer __________________________________________________________

Address __________________________________________________________________

Name of last supervisor ______________________________________________________

Employment dates __________________________________________________________

City, State, Zip _____________________________________________________________

Phone number _____________________________________________________________

Reason for leaving __________________________________________________________

List jobs/duties/skills/promotions________________________________________________

Name of Employer __________________________________________________________

Address __________________________________________________________________

Name of last supervisor ______________________________________________________

Employment dates __________________________________________________________

City, State, Zip _____________________________________________________________

Phone number _____________________________________________________________

Reason for leaving __________________________________________________________

List jobs/duties/skills/promotions________________________________________________

Name of Employer __________________________________________________________

Address __________________________________________________________________

Name of last supervisor ______________________________________________________

Employment dates __________________________________________________________

City, State, Zip _____________________________________________________________

Phone number _____________________________________________________________

Reason for leaving __________________________________________________________

List jobs/duties/skills/promotions________________________________________________

What other qualities, skills, or experiences do you have that might be helpful when working at Liv For Sweets Bakery? This would include any baking, decorating, design work, event planning, or other creative background.

____________________________________________________________________________________________________________________________________________________________________________________________________________________________________

What personality traits do you have that would be an asset in the workplace?

____________________________________________________________________________________________________________________________________________________________________________________________________________________________________

If hired, would you have a reliable means of transportation to and from work?

Yes ____         No ____

Are you able to perform the essential functions and duties of the job for which you are applying?

Yes____        No ____

Do you love desserts and all things pink?

Yes ____        No ____

REFERENCES        

Please list below three persons not related to you who have knowledge of your work performance and/or personal qualifications within the last 5 years.

Name _________________________________________

Occupation_____________________________________

Company Name _________________________________

Address ________________________________________

Email __________________________________________

Phone _________________________________________

Years Acquainted _________________________________

Name _________________________________________

Occupation_____________________________________

Company Name _________________________________

Address ________________________________________

Email __________________________________________

Phone _________________________________________

Years Acquainted _________________________________

Name _________________________________________

Occupation_____________________________________

Company Name _________________________________

Address ________________________________________

Email __________________________________________

Phone _________________________________________

Years Acquainted _________________________________

APPLICATION FORM WAVER

I hereby certify that I have not knowingly withheld any information that might adversely affect my chances for employment and that the answers given by me are true and correct to the best of my knowledge. I further certify that I, the undersigned applicant, have personally completed this application. I understand that any omission or misstatement of material fact on this application or any other document used to secure employment shall be grounds for rejection of this application or for immediate discharge if I am employed, regardless of the time elapsed before discovery.

I understand that nothing contained in the application, or conveyed during any interview which may be granted, or during my employment, if hired, is intended to create an employment contract between me and Liv For Sweets Bakery, other than one that is “at will.” I understand and agree that if I am employed, my employment will be of an “at will” nature, whereby either the employee or the employer may terminate the employment relationship at any time, with or without cause or notice. I further understand that my employment, if hired, is for no definite or determinable period of time and may be terminated at any time, at the option of either myself or Liv For Sweets Bakery and that no promise or representation contrary to the foregoing is binding on the company unless made in writing and signed by me and the company’s designated representative.

Signature of applicant: _____________________________________________________ Date: _______________________

Thank you for completing this application form and for your interest in our business!