Potential Employee Form

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Bridge Bread Bakery provides supportive employment opportunities to people experiencing homelessness. In order to keep our employees safe in the kitchen, we cannot employ people who have been convicted of violent crimes, people with untreated addictions, or people with untreated severe mental illness. We will require approval by an occupational therapist of the workplace for people with disabilities.

Please fill out this form to see if you qualify for potential employment at Bridge Bread Bakery

Name: *

Email Address:

Phone Number: *

Are you currently experiencing homelessness? *

Yes

Do you currently have a case worker? *

Yes

Caseworker's Agency or Program (if applicable)

Can you work hard up to eight hours a day on your feet in a hot kitchen? (With or without reasonable accommodation) *

Yes

Do you understand that we cannot hire someone who has been convicted of a violent crime in the past 7 years? *

Yes

Do you understand that we cannot hire someone that has untreated addictions? *

Yes

Do you understand that we cannot hire someone who is suffering from untreated severe mental illness? *

Yes

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This form was created inside of Bridge Bread Bakery.