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This document is a job application form for Oh My Pan Bakery & Tea, collecting personal information, employment history, education, and references from applicants. It includes questions about citizenship, felony convictions, availability, and desired position. The applicant must certify the accuracy of their information and provide a signature.

Uploaded by

rachelhuang803
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© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
21 views2 pages

A 23 Fee

This document is a job application form for Oh My Pan Bakery & Tea, collecting personal information, employment history, education, and references from applicants. It includes questions about citizenship, felony convictions, availability, and desired position. The applicant must certify the accuracy of their information and provide a signature.

Uploaded by

rachelhuang803
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Oh My Pan Bakery & Tea Date:

Applicant Information

Full Name: DOB:


Last First M.I.
Address:
Street Address Apartment/Unit #

City State ZIP Code


Phone: ( ) E-mail Address:

Date Available: Language Spoken : Desired Salary: $

Position Applied for: Baker Cake Decorator Food Server Tea Bartender Manager
YES NO YES NO
Are you a citizen of the United States? If no, are you authorized to work in the U.S.?

If yes, when?
YES NO
Have you ever been convicted of a felony? Are you able to work before 5 am Yes No

If yes, explain: Are you able to work after 10pm Yes No

Education

High School: Address:


YES NO
From: To: Did you graduate? Degree:

College: Address:
YES NO
From: To: Did you graduate? Degree:

Other: Address:
YES NO
From: To: Did you graduate? Degree:

References
Please list two references.

Full Name: Relationship:

Company: Phone: ( )

Address:

Full Name: Relationship:

Company: Phone: ( )

Address:

Describe Yourself :
Previous Employment

Company: Phone: ( )

Address: Supervisor:

Job Title: Starting Salary: $ Ending Salary: $

Responsibilities:

From: To: Reason for Leaving:


YES NO
May we contact your previous supervisor for a reference?

Company: Phone: ( )

Address: Supervisor:

Job Title: Starting Salary: $ Ending Salary: $

Responsibilities:

From: To: Reason for Leaving:


YES NO
May we contact your previous supervisor for a reference?

Company: Phone: ( )

Address: Supervisor:

Job Title: Starting Salary: $ Ending Salary: $

Responsibilities:

From: To: Reason for Leaving:


YES NO
May we contact your previous supervisor for a reference?

Available Hour

Monday Tuesday Wednesday Thursday Friday Saturday Sunday

How many hours can you work each week?

Disclaimer and Signature

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:

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