Job Application - Lefty's Righteous Bagels

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Lefty's Righteous Bagels is an equal opportunity employer. This application will not be used for limiting or excluding any applicant from consideration for employment on a basis prohibited by local, state, or federal law. Should an applicant need reasonable accommodation in the application process, they should contact a company representative.

Applicant Information

Name *

First and last name

Preferred Pronouns *

Email *

Phone Number *

Address *

Phone number *

Employment Position

Which position are you interested in? *

How did you hear about this position? *

What days are you available for work? *

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday

Required

What hours or shift are you available for work? *

Early morning

Mid-day

Afternoon

Overnight

Required

On what date can you start working if you are hired? *

YYYY

Do you have reliable transportation to and from work? *

Yes

I will use public transportation

Personal Information

Do you have any friends, relatives, or acquaintances working for Lefty's Righteous Bagels? *

Yes

If yes, state name and relationship.

Are you a U.S. citizen approved to work in the United States? *

Yes

What document can you provide as proof of citizenship or legal status?

Do you have any condition(s) which would require job accommodations? *

Yes

If yes, please describe accommodations required below.

(Note: Lefty's Righteous Bagels complies with the ADA and considers reasonable accommodation measures that may be necessary for eligible applicants/employees to perform essential functions.)

Job Skills/Qualifications

Please list below the skills and qualifications you possess for the position for which you are applying.

Education and Training

Please include the name, location, year graduated, and degree earned for any relevant education and training that you've completed.

Previous Employment

Employer Name *

Job Title *

Dates employed (Please provide range) *

Reason for leaving *

Employer Name *

Job Title *

Dates employed (Please provide range) *

Reason for leaving *

Information Certification *

By checking this box I certify that the facts contained in this application are true and complete to the best of my knowledge and understand that, if employed, falsified statements on this application shall be grounds for dismissal.

I authorize the references listed above to give any and all information concerning my previous employment.

Required

AT-WILL EMPLOYMENT:

The relationship between you and Lefty's Righteous Bagels is referred to as "employment at will." This means that your employment can be terminated at any time for any reason, with or without cause, with or without notice, by you or the Lefty's Righteous Bagels. No representative of Lefty's Righteous Bagels has authority to enter into any agreement contrary to the foregoing "employment at will" relationship. You understand that your employment is "at will," and that you acknowledge that no oral or written statements or representations regarding your employment can alter your at-will employment status, except for a written statement signed by you and a member of our management team.

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