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Same as Local Address

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Contact Information

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Application Information

Social Security Number

Today's Date

If you are under 18, do you have a work permit?

Yes No

Have you ever applied for work with us before?

Yes No

If yes, when?

Have you ever worked for Ithaca Bakery before?

Yes No

If yes, when?

How did you hear about employment opportunities with Ithaca Bakery?

Do you know anyone who is/has been employed at Ithaca Bakery?

Yes No

If yes, who?

Please check position desired (check all you are interested in)

Manager Office Driver Retail and Retail Support Catering Custodial Entree and salad production Bread and bagel production Pastry production Packer Dishwasher Other:

How many hours are you looking for? (check all that apply)

Full Time (+33hrs) Part Time (-33hrs) Temporary (less than 1yr)

When can you start?

How long do you plan to be with our company?

Please list the dates and times you are available to work.

Will you work weekends?

Saturday Sunday Both None

At which store are you available to work? (Please check all that apply)

Ithaca Bakery
400 N. Meadow St. Ithaca Bakery
Triphammer Mall Collegetown Bagels
415 College Ave. Collegetown Bagels
203 N. Aurora St. Collegetown Bagels
East Hill Plaza

Do you have the ability to carry cases of soda up and down stairs or to stand on your feet for long periods of time?

Yes No

If no, please explain

Have you ever been convicted of a crime?

Yes No

If yes, please explain

High School

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Dates Attended

Graduation Date

Area of Study

College or Technical School

Location

Dates Attended

Graduation Date

Area of Study

Special Training

Location

Dates Attended

Graduation Date

Area of Study

Employer 1

Start Date

End Date

Employer Name

Employer Phone

Employer Email

Employer Address

Supervisor's Name and Title

Duties and Responsibilities

Salary (optional)

Reason for Leaving

May we contact this employer?

Yes No

If no, why not?

Employer 2

Start Date

End Date

Employer Name

Employer Phone

Employer Email

Employer Address

Supervisor's Name and Title

Duties and Responsibilities

Salary (optional)

Reason for Leaving

May we contact this employer?

Yes No

If no, why not?

Employer 3

Start Date

End Date

Employer Name

Employer Phone

Employer Email

Employer Address

Supervisor's Name and Title

Duties and Responsibilities

Salary (optional)

Reason for Leaving

May we contact this employer?

Yes No

If no, why not?

Reference 1

Name

Address/Phone

Email

Relationship

Years Acquainted

Reference 2

Name

Address/Phone

Email

Relationship

Years Acquainted

What applicable skills and/or experience could you bring to Ithaca Bakery?

What do you think your references would name as your greatest strength?

What do you think your references would name as your greatest weakness?

What are your career goals? Where do you see yourself in one year, five years, ten years?

Please describe an experience in which you have given or received excellent customer service.

As an employee, what do you expect from supervisors, managers or owners?

Describe your fantasy meal (food only, please).

We are an Equal Opportunity Employer (EOE). Qualified applicants are considered for employment without regard to age, race, color, religion, sex, national origin, sexual orientation, disability, or veteran status.

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By submitting this application I am representing that the information I have provided is true, correct and complete. If I am hired, I understand that any misstatement or omission of fact on this application may result in my dismissal.

Please note: We use your personal information only for reviewing your application. We do not store your information for any other purpose and do not share your information with any third party for any reason. Thank you for applying.