Applicants For Employment Form PDF Details

The Potbelly Sandwich Works employment application gives hiring managers a complete picture of every candidate. It covers five main areas: personal contact information, employment history, educational background, special skills, and professional references.

What the Form Covers

When you open the form, you will find clearly labeled sections for each type of information. The personal section asks for your name, address, phone number, and confirmation that you are eligible to work in the United States. The employment history section requests the names and contact details of previous employers, your job titles, dates of employment, and reasons for leaving. The education section covers your highest level of schooling, institution name, and any relevant certifications. The skills section lets you list languages, technical abilities, or other qualifications that set you apart.

Equal Opportunity and Accessibility

Potbelly Sandwich Works is an Equal Opportunity Employer. All hiring decisions are based on job-related qualifications and business needs. Applicants who require a reasonable accommodation to complete the form are encouraged to state that need clearly in the designated section. This aligns with the requirements of the Americans With Disabilities Act and ensures every qualified candidate has a fair opportunity to apply.

Why Potbelly Asks About Customer Service Experience

Unlike many generic employment forms, this application includes questions about your personal experiences at Potbelly locations and examples of outstanding customer service you have witnessed or provided. These questions help the company match candidates whose values align with its service culture. Honest and specific answers in these sections strengthen your application.

Looking for other restaurant or retail employment forms? You can also fill out a Chick-fil-A Job Application or a standard Application for Employment on FormsPal.

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

How to Edit Applicants For Employment Form Online for Free

How to Complete the Potbelly Employment Application

Completing a job application accurately is the first step toward getting an interview. Follow these steps to fill out the Potbelly Sandwich Works form correctly.

Step 1: Read the Instructions Before You Start

Skim the entire form before writing anything. Note any sections that require supporting documents, such as copies of certifications or identification. Having everything ready in advance saves time and reduces errors.

Step 2: Complete Every Required Field

Leave no required field blank. If a question does not apply to your situation, write "N/A" rather than leaving the space empty. Incomplete applications are often set aside before the review stage.

Step 3: Use Accurate Employment Dates

List the month and year you started and ended each job. Gaps in employment are common, but unexplained gaps can raise questions during screening. If you took time off for school, caregiving, or personal reasons, a brief note in the comments section explains the gap without raising concerns.

Step 4: Choose References Carefully

Select references who can speak specifically to your work ethic and customer service skills. A former supervisor or manager is stronger than a coworker or personal acquaintance. Always contact your references before listing them to confirm they are available and willing to speak on your behalf.

Common Mistakes to Avoid

Many applicants submit forms that are otherwise strong but contain avoidable errors. The most frequent mistakes include: using an informal email address, providing inaccurate phone numbers, listing salary expectations that conflict with the posted position, and omitting contact information for former supervisors. Review your form once before submitting it.

Submitting Your Application

Once the form is complete, save a copy for your records. Some Potbelly locations accept printed forms delivered in person, while others prefer digital submissions. Check the specific location's requirements before you submit. You can also explore other food service employment forms on FormsPal, such as the Raising Cane's Job Application or the Adams Application for Employment.

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