Rheinlander Bakery Employment Application

First Name: Last Name:
Home Phone: Cell Phone:
Address:
Email:
for work schedules
Date of Birth:
mm/dd/yyyy

(Optional)
Social Security Number: Are you legally able to be employed in the US?
Please indicate below the time you are available to be scheduled.
If you know your availability will be changing (i.e. school schedule, etc.)
please note what the change will be and when it will begin.
Sunday From: To:
Monday From: To:
Tuesday From: To:
Wednesday From: To:
Thursday From: To:
Friday From: To:
Saturday From: To:
Changes/Other Scheduling Notes:

*** Please note that all employees must be available the Eve's and week before major holidays including Thanksgiving, Christmas, New Year's, Fat Tuesday, and Easter. Inability to maintain availability at major holidays may result in dismissal.

How many hours/week would you prefer to be scheduled:
When could you start employment?:
What are your beginning salary expectations (per hour?):
***You Must Fill This Out

School most recently attended:
School Name: City:State:
Grade Point Average: Graduated?Yes:  No:  

Employment: Please list your most recent employer first.
May we contact your present employer?: Yes:  No:  
Company: Phone:
Address: Position:
Period of Employment
Start Date: End Date:
Supervisor:
Contact Person: Contact Phone:
Salary:Full Time:  Part Time:  
Reason for Leaving:
Explain any gaps in work history:
Have you ever been discharged or asked to resign from a job?Yes:  No:  
If yes, please explain:
If you wish to list additional experience it will be considered.
You may also attach additional employment history to this application.
Company: Phone:
Address: Position:
Period of Employment
Start Date: End Date:
Supervisor:
Contact Person: Contact Phone:
Salary:Full Time:  Part Time:  
Reason for Leaving:
Company: Phone:
Address: Position:
Period of Employment
Start Date: End Date:
Supervisor:
Contact Person: Contact Phone:
Salary:Full Time:  Part Time:  
Reason for Leaving:

Please write a paragraph about yourself, your goals and dreams, and why you want to work in the food industry:
Do you smoke?: Yes:  No:  
(Colorado and Arvada have laws barring smoking & vaping in all public areas including 25 feet from the store's front entrance. This ordinance is enforced).
Do you have or have had within the last six months, any contagious or communicable diseases, gastrointestinal infections, or have you ever had hepatitis or salmonella?
Yes:  No:   If yes, please explain:
During the past 10 years, have you ever been convicted of a crime, excluding misdemeanors and traffic violations?
Yes:  No:   If yes, please explain:
I certify that the information above is correct to the best of my knowledge and understand that deliberate falsification of this information is grounds for dismissal in accordance with Rheinlander Bakery's policy.
I understand that Rheinlander Bakery may at its discretion investigate my work and personal history and verify the data given on this application, on related papers, and in interviews.
I understand and agree that, if hired, my employment is considered "employment at will", which means the employee may resign at any time and Rheinlander Bakery Inc. may discharge the employee at any time, with or without cause, with or without notice.
I further understand that the Rheinlander bakery work areas are under surveillance, which includes both audio and video surveillance for the security of Rheinlander bakery and its employees.