Butter Maid Bakery Employment Application. Dear Applicant:

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1 Butter Maid Bakery Employment Application Dear Applicant:

2 Personal Information Last Name First M.I. Date Street Apartment/Unit # City State ZIP Do you have transportation to work? Best Time To Call Are you 18 years or older? What position(s) are you interested in? Are you available to work full-time? YES NO Are you available to work part-time? YES NO Hours Per Week Desired Pay Rate Desired Date Available To Start How long do you plan on working for us? Have you applied with us before? YES NO During busy holiday seasons you may be asked to work overtime hours, which can include extended hours during the week and/or Saturday s and Sunday s. Are you available to do so? YES NO Hours Available: Sunday Monday Tuesday Wednesday Thursday Friday Saturday Are you a citizen of the United States? YES NO If no, are you authorized to work in the U.S.? YES NO Have you ever been fired from a job? YES NO If yes, please provide a full explanation on the last page. Have you ever been convicted of a felony? YES NO If yes, please provide a full explanation on the last page. Have you ever been convicted of, pled guilty or no contest to a crime, not including misdemeanor or a traffic violation? YES NO If yes, please provide a full explanation on the last page.

3 Education High School From To Did you graduate? YES NO Degree/ Courses GPA Now Enrolled? YES NO Graduation Date What activities were you involved in during high school? College From To Did you graduate? YES NO Degree/ Courses GPA Now Enrolled? YES NO What activities were you involved in during college? Other From To Did you graduate? YES NO Degree/ Courses GPA Now Enrolled? YES NO What activities were you involved in? References Please list any professional references. Full Name Relationship Company ( ) Full Name Relationship Company ( ) Full Name Relationship Company ( ) Please assist us in our job recruiting efforts. Where did you find that we are hiring? Facebook Boardman Plaza Store Other (please specify): Were you referred to us by one of our employees? If so, please provide us with their name so we can thank them!

4 Previous Employment Company Dates Worked Starting Position: Starting Wage: Ending Position: Ending Wage: Responsibilities How would your supervisor rate your performance? Reason For Leaving Supervisor May we contact your previous supervisor for a reference? YES NO Company Dates Worked Starting Position: Starting Wage: Ending Position: Ending Wage: Responsibilities How would your supervisor rate your performance? Reason For Leaving Supervisor May we contact your previous supervisor for a reference? YES NO Company Dates Worked Starting Position: Starting Wage: Ending Position: Ending Wage: Responsibilities How would your supervisor rate your performance? Reason For Leaving Supervisor May we contact your previous supervisor for a reference? YES NO

5 Additional Information (Fired, criminal history, related experience, special skills, etc ) Please Read Thank you for applying for employment at Butter Maid Bakery. After you have submitted your application the hiring manager will review it and decide if you are right for any positions currently open. Please do not check the status of your application by phone, , mail, or in person at the retail location, as the hiring manager is not present and provides no information to staff. If you are not hired at this time, Butter Maid Bakery will keep your application on file. Please Initial: Authorization I certify that my answers are true and complete to the best of my knowledge. I authorize Butter Maid Bakery to make such investigations and inquiries of my personal, employment, educational, financial and other related matters as may be necessary for an employment decision. I release Butter Maid Bakery for all liability for any damage that may result from utilization of such information. I hereby release employers, schools or individuals from all liability when responding to inquiries in connection with my application. If this application leads to employment, I understand that false or misleading information in my application or interview(s) may result in my release. I understand that Butter Maid Bakery reserves the right to employ at will and that employment can be terminated with or without cause, with or without notice, at any time, at the option of Butter Maid Bakery or at the option of the employee. Signature Date

6 Voluntary Information Sex: Female Male Race:

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