Employee Application Form - The Patisserie

Education
High School
Address
From:
To:
Did you graduate?
- Yes
- No
Diploma:
College
Address
From:
To:
Did you graduate?
- Yes
- No
Diploma:
Business/Technical
Address
From:
To:
Did you graduate?
- Yes
- No
Diploma:

REFERENCES
Name*
First Last
Relationship*
Company*
Phone*
Address*
Name*
First Last
Relationship*
Company*
Phone*
Address*

Previous Employment
Company
Phone
Address
Supervisor
Job Title
Starting Salary: $
Ending Salary: $
Responsibilities
From:
MM slash DD slash YYYY
To:
MM slash DD slash YYYY
Reason for leaving
May we contact your supervisor for a reference?
- Yes
- No
MILITARY SERVICE
Branch:
From:
MM slash DD slash YYYY
To:
MM slash DD slash YYYY
Type of Discharge:
Rank at Discharge:
If other than honorable, explain:
Duty/Specialized training:
Information on the applicant: As part of our procedure for processing your employment application, your personal and employment references may be checked. If you have misrepresented or omitted any facts on this application, and are subsequently hired, you may be discharged from your job. You may make a written request for information derived from checking of your references. If necessary for employment, you may be required to supply a birth certificate or other proof of authorization to work in the U.S., have a physical examination and/or a drug test, or to sign a conflict of interest agreement and abide by its terms. I CERTIFY THAT MY ANSWERS ARE TRUE AND COMPLETE TO THE BEST OF MY KNOWLEDGE. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.
Signature*
Date
MM slash DD slash YYYY
While many employers are required by federal law to have an Affirmative Action Program, all employers are required to provide equal employment opportunity and may ask your national origin, race and sex for planning and reporting purposes only. This information is optional and failure to provide it will have no effect on your application for employment.

Step 1 of 4

IF NECESSARY FOR THE JOB I AM ABLE TO:

Education

REFERENCES

Previous Employment

MILITARY SERVICE