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Gibs Online Employment Application
First Name
Middle Initial
Last Name
Date
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yyyy
Address
Apartment/Unit #
City
State
ZIP Code
Phone
Email
Date Available
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Are you a citizen of the United States?
If no, are you authorized to work in the U.S.?
Have you ever worked for Gib's Bagels?
If yes, when?
Have you ever been convicted of a felony? (Yes will not necessarily bar an employment offer)
If yes, explain
High School
High School Address
Did you graduate?
If yes, what year?
College
College Address
Did you graduate?
If yes, what year?
Position Applied For
When are you available to work?
Wage Desired
Amount of Hours Desired
How did you hear about us?
In 25 words or less, describe why you would be a great Gib's employee
Occupational Reference #1 - Full Name
Occupational Reference #1 - Relationship
Occupational Reference #1 - Company
Occupational Reference #1 - Phone
Occupational Reference #2 - Full Name
Occupational Reference #2 - Relationship
Occupational Reference #2 - Company
Occupational Reference #2 - Phone
Previous Employment #1 - Company Name
Previous Employment #1 - Phone
Previous Employment #1 - Address
Previous Employment #1 - Supervisor
Previous Employment #1 - Job Title
Previous Employment #1 - Starting Salary
Previous Employment #1 - Ending Salary
Previous Employment #1 - Responsibilities
Previous Employment #1 - Date Started
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/
dd
/
yyyy
Previous Employment #1 - Date Left
mm
/
dd
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yyyy
Previous Employment #1 - Reason for Leaving
Previous Employment #2 - Company Name
Previous Employment #2 - Phone
Previous Employment #2 - Address
Previous Employment #2 - Supervisor
Previous Employment #2 - Job Title
Previous Employment #2 - Starting Salary
Previous Employment #2 - Ending Salary
Previous Employment #2 - Responsibilities
Previous Employment #2 - Date Started
mm
/
dd
/
yyyy
Previous Employment #2 - Date Left
mm
/
dd
/
yyyy
Previous Employment #2 - Reason for Leaving
Previous Employment #3 - Company Name
Previous Employment #3 - Phone
Previous Employment #3 - Address
Previous Employment #3 -Supervisor
Previous Employment #3 - Job Title
Previous Employment #3 - Starting Salary
Previous Employment #3 - Ending Salary
Previous Employment #3 - Responsibilities
Previous Employment #3 - Date Started
Previous Employment #3 - Date Left
Previous Employment #3 - Reason for Leaving
Emergency Contact Name
Emergency Contact Relationship
Emergency Contact Phone
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.
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