Name*
Current Address*
Address
—Please choose an option— Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Washington DC Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennslyvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming State
Permanent Address
Address
—Please choose an option— Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Washington DC Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennslyvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming State
Have you ever been employed by BuffaLouie's or Gables Bagels in the past?*
—Please choose an option— Yes No
Are you legally eligible for work in the United States?*
—Please choose an option— Yes No
(if hired, verification is required by law)
Have you been convicted of a crime in the last 7 years?*
—Please choose an option— Yes No
If yes, please list convictions that are a matter of public record (an arrest is not a conviction)
A conviction will not necessarily disqualify you from employment
Do you have reliable means of transportation to work?*
—Please choose an option— Yes No No, but I will soon
What position are you applying for?*
What skills do you have that are applicable to position(s) applied for?
Date available for employment:
If hired, how long do you plan to be employed by Gables Bagels?
How many hours are you able to work per week?
(Gables Bagels is open for business 7 days a week)
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Do you have any regularly scheduled or intermittent obligations that may affect your availability to work?*
—Please choose an option— Yes No
If yes, please list:
Mark the boxes where you are available to work*
Please keep in mind that the more available you are, the better the chances are that you will get the hours you want.
The only boxes that should be open will be the hours of your classes/appointments.
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Education
Name and Address of High School
Did you Graduate?
—Please choose an option— Yes No
Subjects studied, Degrees received
Name and Address of College
Did you Graduate?
—Please choose an option— Yes No
Subjects studied, Degrees received
Name and Address of Post College
Did you Graduate?
—Please choose an option— Yes No
Subjects studied, Degrees received
Name and Address of Trade/Business/Correspondence School
Did you Graduate?
—Please choose an option— Yes No
Subjects studied, Degrees received
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Employment History
(Provide information for your last 3 employers starting with the most recent. If never employed, list any volunteer activities)
Are you eligible for rehire?
—Please choose an option— Yes No It's Complicated
Are you eligible for rehire?
—Please choose an option— Yes No It's Complicated
Are you eligible for rehire?
—Please choose an option— Yes No It's Complicated
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Personal References
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Gables Bagels provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, sexual orientation, national origin, age, disability, or genetics.