HOFER’S BAKERY & CAFE EMPLOYMENT APPLICATION

  Part 1

Name of Applicant: 
Address
City:  
State: 
Zip:  
Telephone (Day): 
Telephone (Evening): 
Social Security Number
Date of Birth
Expected hourly wage:
Email Address:
Do you have reliable transportation to and from work during our hours of operation? Yes     No 
Do you speak any language other than English? Yes     No 
If yes, what is the second language you speak?
Are you applying for a full-time or part-time position? Full-time     Part-time 
How many hours per week do you want to work?
Position Applying For:

  Part 2

1. If hired, can you submit documents to prove your legal right to work in the U.S.? Yes     No 
2. Are you of legal age to serve alcoholic beverages? Yes     No 
3. We do not permit smoking in the building while on duty. Are you willing to comply? Yes     No 
4. Up to 50 lbs. of lifting several times a day is an essential function of kitchen positions.  Are you willing and able to comply with this requirement? Yes     No 

5. Being on your feet for 6-9 hours at a time is a requirement of most positions. Are you willing and able to comply with this requirement?

Yes     No 
6. Have you ever applied for a position at Hofer’s before? Yes     No 
If yes, what was the result?
7. Have you ever been employed by Hofer’s? Yes     No 
When? List Dates:  From: ____/_____ To:______/_____
What was your position?
Why did you leave?
8. How many jobs have you had in the past year?
9. What were the circumstances for leaving each job?

10. What is the minimum amount you need to earn per week?

11. We may train on days you have other obligations. Are you willing to reschedule your plans to come training?

Yes     No 

*12. Do you have any schedule obligations (e.g., annual trips, vacations, and weddings, reserve duty, or holidays) coming up that we need to know about?

Yes     No 

13. Have you ever:

 Pleaded no contest to a criminal charge? 

 Pleaded guilty to a criminal charge?

  Been indicted by a grand jury? 

 Been placed on probation with respect to a criminal charge?

 Been convicted of or plead guilty to a felony or any act or crime of a sexual,  violent, drug-related, or theft-related nature?

 Yes     No 

If yes to any of the above, give charge, location, date, and describe the circumstances.

*14. What commitments do you have, or do you anticipate, that may affect your schedule?

*15. Would you be willing to work flexible hours (including weekends)?

Yes     No 

*16. Are you willing to work holidays? (We are closed on Thanksgiving and Christmas.)

Yes     No 

*17. Please indicate any days you are regularly unavailable.

18. If hired, what notice do you need to give your current employer?
19. When would you be available to start?
20. Why are you applying for a position with us?
*21. If offered a position with Hofer’s, how long would you plan to remain with us?

*22. Please explain any specialized training or course work you have completed that relates to the position for which you are applying.

23. We have specific requirements for personal appearance of our employees: a clean, proper uniform, no excessive jewelry or makeup, and good general hygiene. Are you willing to comply with these requirements?

 Yes     No 
24. Under what circumstances would you not feel comfortable serving alcohol? (Applies to Server & Sales position only)

*You may omit any information indicating legally protected characteristics.

Part 3

EMPLOYMENT HISTORY - Please complete the information requested below regarding you work history. 

Current or Most Recent Employer

NAME OF EMPLOYER
ADDRESS / LOCATION 

MAY WE CONTACT THIS EMPLOYER?

 Yes     No 

IF NO, PLEASE EXPLAIN

SUPERVISOR’S NAME
PHONE NUMBER
LENGTH OF EMPLOYMENT   From: ____/_____ To:______/_____
POSITION(S) HELD

DESCRIPTION OF DUTIES AND RESPONSIBILITIES

HOURLY PAY RATE  
AVERAGE NUMBER OF HOURS WORKED PER WEEK
REASON FOR LEAVING 

Previous Employer

NAME OF EMPLOYER
ADDRESS / LOCATION 

MAY WE CONTACT THIS EMPLOYER?

 Yes     No 

IF NO, PLEASE EXPLAIN

SUPERVISOR’S NAME
PHONE NUMBER
LENGTH OF EMPLOYMENT   From: ____/_____ To:______/_____
POSITION(S) HELD

DESCRIPTION OF DUTIES AND RESPONSIBILITIES

HOURLY PAY RATE  
AVERAGE NUMBER OF HOURS WORKED PER WEEK
REASON FOR LEAVING 

Previous Employer

NAME OF EMPLOYER
ADDRESS / LOCATION 

MAY WE CONTACT THIS EMPLOYER?

 Yes     No 

IF NO, PLEASE EXPLAIN

SUPERVISOR’S NAME
PHONE NUMBER
LENGTH OF EMPLOYMENT   From: ____/_____ To:______/_____
POSITION(S) HELD

DESCRIPTION OF DUTIES AND RESPONSIBILITIES

HOURLY PAY RATE  
AVERAGE NUMBER OF HOURS WORKED PER WEEK
REASON FOR LEAVING 

 

Optional: Emergency Contact Information

Please list the person we should notify in case of an emergency.
Emergency contact phone number:

 

If employed, I hereby agree to abide by all policies and rules of Hofer’s of Helen, Inc., including those addressing job-related appearance and grooming standards. I understand that these policies and rules may be amended or revised by Hofer’s of Helen, Inc., at any time and that nothing in this application creates, or will create, an express or implied contract of employment between Hofer’s of Helen, Inc., and me. I understand that false, misleading, or omitted information in my application, resume, or interview  may result in termination.

Applicant Signature
Date of Application: