Applicants For Employment Form PDF Details

Embarking on a new job journey? An Application for Employment form, like the one used by Crimson Meridian, LLC, operating as Potbelly Sandwich Works, represents a crucial first step. It's more than just paperwork; this document tells your prospective employer who you are, blending personal details with professional aspirations. With a clear commitment to Equal Opportunity Employment, this form ensures every applicant, regardless of race, color, sex, religion, age, national origin, disability, veteran status, or any other legally protected status, has a fair shot. It even accommodates those requiring special provisions under the American With Disabilities Act, indicating a robust support system for people with disabilities to apply comfortably. From personal information to employment history, education background, and special skills, the form covers a wide array of data points, underpinning your candidacy with specifics. Potbelly looks beyond mere qualifications; they're interested in your visits to their locations, reasons for wanting to join the team, and instances of exemplary customer service you've either received or provided. And, they combine this qualitative insight with the quintessential quantitative details of your employment history, skill set, and references. This holistic approach ensures Potbelly, and similar companies, can match the right person to the right role, fostering a diverse and dynamic work environment. So, as you fill out such an application, remember, it's not just a formality. It's your individual story, skills, and spirit, stepping forward to become part of something bigger.

QuestionAnswer
Form NameApplicants For Employment Form
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesjob applications potbelly print, applications potbelly employment fill, applications potbelly form get, applications potbelly employment

Form Preview Example

APPLICATION FOR EMPLOYMENT

Crimson Meridian, LLC. doing business as Potbelly Sandwich Works is an Equal Opportunity Employer and we consider all applicants for employment without regard to race, color, sex, religion, age, national origin, disability, veteran status, or any other basis as prohibited by federal, state or local law. Potbelly is committed to complying with the American With Disabilities Act. If you require a reasonable accommodation to apply for or to complete an application for employment or to perform the essential functions of the job for which you are applying due to a disability, please notify Potbelly of your specific needs for a reasonable accommodation so that Potbelly can assist you where appropriate.

Please complete entire application and email to shop503@potbellyshops.com

PERSONAL INFORMATION (Please PRINT)

Name: LastFirstMiddleToday’s Date

____________________________________________________________________________________________________________________________________________

Are you at least 18 years of age? Yes ____ No ____

Have you ever been involuntarily discharged? Yes ____ No ____

Interested in: Part-time ____ Full-time ____

Have you been convicted of a crime? (You are not required nor will you be asked to report whether you have

conviction records that have been expunged, sealed or impounded.) Yes ____ No ____

An applicant will not be denied employment solely on the grounds of a conviction. The nature of the offense, the date of the offense, the seriousness of the offense, the

surrounding circumstances and the relevance to the position applied for may, however be considered.

 

 

Are you eligible for employment in the United States? Yes____

No _____ (Proof will be required, if

hired.)

 

Complete Address: Street

Apartment

City

State

Zip

____________________________________________________________________________________________________________________________________________

Phone Number: DaytimeEveningHow did you hear about Potbelly?

____________________________________________________________________________________________________________________________________________

EMPLOYMENT DESIRED (If you are applying for a retail hourly position, please keep in mind that the availability of hours may vary.)

 

 

What position are you applying for? ________________ What location? _________________

What date can you start? _____________Salary desired? __________

 

 

Specify hours available for each day of the week.

 

 

 

 

 

 

 

 

 

 

 

 

 

Monday

 

Tuesday

Wednesday

Thursday

 

 

Friday

 

Saturday

Sunday

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Have you ever worked at Potbelly before? Yes ____ No ____

If yes, when? _______________ Which store/department? ________________

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

EDUCATION

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Name of School

 

Years Completed

 

Did You Graduate?

 

 

High School:

______________________________________________

1

2

3

4

 

Yes

No

 

 

College:

______________________________________________

1

2

3

4

 

Yes

No

 

 

Other:

______________________________________________

1

2

3

4

 

Yes

No

List skills relevant to the position applied for ____________________________________________________________________________________________________________________________

ADDITIONAL QUESTIONS

Have you ever visited a Potbelly location? Where? Describe your experience. _________________________________________________________

____________________________________________________________________________________________________________________________

____________________________________________________________________________________________________________________________

Why would you like to work for here? ___________________________________________________________________________________________

____________________________________________________________________________________________________________________________

____________________________________________________________________________________________________________________________

Describe a specific situation where you have provided or received excellent customer service._____________________________________________

____________________________________________________________________________________________________________________________

____________________________________________________________________________________________________________________________

Page | 1 of 2

F: Application for Employment

FORMER EMPLOYERS Below list your current and last three employers, starting with the most recent one first. Please include any non-paid/volunteer experience

which is related to the job for which you are applying. Please complete even if you attach a resume.

 

 

From

Current Employer (Name and Address)

Salary or Hourly

 

Position

Reason For Leaving

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Starting ____________

 

 

 

 

 

 

 

To

 

Ending ____________

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Duties Performed

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Supervisor’s Name

Phone Number

May We Contact?

Yes

No

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

From

Previous Employer (Name and Address)

Salary or Hourly

 

Position

Reason For Leaving

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Starting ____________

 

 

 

 

 

 

 

To

 

Ending ____________

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Duties Performed

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Supervisor’s Name

Phone Number

May We Contact?

Yes

No

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

From

Previous Employer (Name and Address)

Salary or Hourly

 

Position

Reason For Leaving

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Starting ____________

 

 

 

 

 

 

 

To

 

Ending ____________

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Duties Performed

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Supervisor’s Name

Phone Number

May We Contact?

Yes

No

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

REFERENCES List names of three professional references, whom you have known at least one year. If not previously employed, list personal references.

Name

Phone Number

Name of Business

Years Acquainted

1.

2.

3.

By signing this application, I promise that the following information in this employment application (and accompanying resume or documentation, if any) is true and complete, and I understand that any false or misleading information or significant omissions may disqualify me from further consideration for employment, and may lead to my dismissal from employment, if discovered at a later date. I agree to immediately notify my supervisor if I should be convicted of a felony, any crime involving dishonesty, breach of trust, controlled substances, sexual misconduct, abuse or violence, while my job application is pending or during my period of employment, if hired.

I authorize you to investigate any of the information contained on this application, including the examination of past employment records, references, and other facts stated on this application. I waive any right I may have to be notified by any of the individuals and organizations named in this application prior to the release of any information to you. I further authorize all individuals and organizations named in this application to provide you all information relative to such verification. I hereby release such individuals and organizations and Potbelly from any and all liability for any claim or damage resulting therefrom.

I understand that neither this application nor anything conveyed during the interview process, if granted, is intended to create a contract of employment. I understand and agree that, if hired, my employment is at-will, meaning that it is for no definite period of time, and may, regardless of the date of payment of my wages or salary, be terminated at any time for any reason, with or without notice.

I also understand that as a condition of employment, if hired, I will be required to provide evidence of identity and employment eligibility in the United States.

Date

Signature

WE ARE AN EQUAL OPPORTUNITY EMPLOYER COMMITTED TO HIRING A DIVERSE WORKFORCE.

Page | 2 of 2

F: Application for Employment