Job Application

Thank you for your interest in working for Henri's Bakery. Please carefully fill out the form below and we will look over your application at our earliest convenience.

* (denotes required field)

Name: *

E-Mail Address: *

Phone Number

Street Address *

City *

State *

Zip Code

If hired, can you provide evidence of legal eligibility to work in the U.S.?

Position Desired

Wage/Salary Desired

Full Time or Part Time

Have you ever been convicted of a felony, or a misdemeanor involving any violent act, use or possession of a weapon, or act of dishonesty for which the record has not been sealed or expunged, or do you have such a case pending?

If yes, when?

If yes, where?

Date you can begin working:

Are you 18 years of age or older?

If under 18 years of age, you will be required to submit a birth certificate or work certificate as required by federal law.

Name of high school attended:

City

State

Graduate?

Degree?

Major

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Are you presently enrolled in school?

If yes, give name and address of school and expected degree date:

List any job-related skills or accomplishments, including military service:

List the days you can work (Mon-Sunday)

Total hours per week you are available to work:

Do you have any special requests or needs for a work schedule?

Give Three References That Are Not Former Employers Whom We May Contact

Reference 1: (Please include: Name, Occupation, How you know the person and for how long, Phone Number)

Reference 2: (Please include: Name, Occupation, How you know the person and for how long, Phone Number)

Reference 3: (Please include: Name, Occupation, How you know the person and for how long, Phone Number)

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Henri's Bakery

Job Application

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