Employment Application

Le Croissant proudly uses e-verify in compliance with state and federal regulations.

• Must be fast and organized.
• Must be a non-smoker
• Must be able pass a drug test and background check.
• Willing to work flexable hours and days.
• Must have a valid drivers license, reliable transportation, and a good driving record.

Applicant Information

Last Name

First Name

M.I.

Today's Date

Street Address

Apartment/Unit #

City

State

ZIP

Home Phone

Work Phone

Cellular

Email Address

Date Available

Social Security No.

Desired Salary

Position Applied For

Are you a citizen of the United States?
 Yes No

If no, are you authorized to work in the U.S.
 Yes No

Have you ever worked for this company?
 Yes No

If so, when?

Have you ever been convicted of a felony?
 Yes No

If yes, Explain

Are you willing to work any shift, including nights and weekends?
 Yes No

If no, Explain

Education

High School

Address

Dates Attended

Did you graduate?
 Yes No

Degree

College

Address

Dates Attended

Did you graduate?
 Yes No

Degree

Other

Address

Dates Attended

Did you graduate?
 Yes No

Degree

Do you have any culinary experience?
 Yes No

If yes, please describe

References
List three professional references. Please include full name, relationship, company, address, and contact information

Reference 1

Reference 2

Reference 3

Previous Employment

Company

Phone

Address

Supervisor

Job Title

Starting Salary

Ending Salary

Responsibilities

Dates Worked

Reason for leaving

May we contact your previous supervisor for a reference?
 Yes No

Company

Phone

Address

Supervisor

Job Title

Starting Salary

Ending Salary

Responsibilities

Dates Worked

Reason for leaving

May we contact your previous supervisor for a reference?
 Yes No

Company

Phone

Address

Supervisor

Job Title

Starting Salary

Ending Salary

Responsibilities

Dates Worked

Reason for leaving

May we contact your previous supervisor for a reference?
 Yes No

Military Service

Branch

Dates Served

Rank at Discharge

Type of Discharge

If other than honorable, explain

Disclaimer

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 knowledge in my application or interview may result in my release.

I understand that unless I am offered a specific written contract of employment signed on behalf of the organization by its Manager, the employment relationship will be entirely voluntary in nature. In other words, with appropriate notice, I will have the full and complete discretion to end the employment when I choose and for whatever reason of my choice. Similarly, my employer would have the same right. Moreover, no agent, representative, or employee of LeCroissant LLC, except in a specific written contract of employment signed on behalf of the organization by its Manager, has the power to alter or vary the voluntary nature of the employment relationship.

I have carefully read the above disclaimer and I understand and agree to its terms.