Panera Bread logo Welcome to Panera Bread of Kansas

Employment Application Form

http://www.panera-kansas.com/
Panera Bread is committed to maintaining a SMOKE and DRUG FREE work place.
All Qualified Applicants will receive consideration without regard to race, color, sex, religion, age, national origin, handicap, or veteran status.

Required Field Indicates required fields

Required Field First Name:
Middle Initial:
Required Field Last Name:
Required Field Present Address(Street):
Required Field Address(City):
Required Field Address(State):
Required Field Zip Code:
Required Field Home Phone:
Mobile Phone:
Required FieldPrimary Email:
Secondary Email:
 
Required Field Are you a citizen of the U.S. or do you have a legal right to work in the U.S.?
 
Required Field Position Applying For: Baker Bakery/café associate Assistant Manager

 
Required Field Preferred Bakery Cafe Location:View Map of our Locations
 
Corinth - Prairie Village Town Center - Overland Park 75th & Antioch - Overland Park Mission - Mission, KS
Lee's Summit Olathe - 119th St. Olathe - Southgate College & Metcalf
Oak Park Mall Deer Creek Plaza Independence Westport
Barry Road - N. Kansas City Country Club Plaza Liberty Shawnee Mission Parkway
87th & Lackman Lawrence Manhattan Topeka
Maize Road - Wichita Rock Road - Wichita College Hill - Wichita Englewood - N. Kansas City
Crown Center Legends - Speedway Watt's Mill - State Line St. Joseph
 
What type of position are you looking for?
 
Required Field In the past 5 years have you been convicted of a felony relating to theft or dishonesty?
 
If Yes, When?
Where?
Nature and disposition of conviction:
 
Have you previously applied for employment with Saint Louis Bread Company or Panera Bread?
 
If Yes, When?
Where?
Were you interviewed?
If Yes, Indicate by whom (If you remember)?
 
Are you related to associate employed by Saint Louis Bread Company or Panera Bread?
 
If Yes, indicate name, relationship, and location:
 
Salary Expected (Minimum):
 
Date available for employment:
 
*Are you 18 years of age or older?
*If under 18 years of age, applicant will be required to submit a birth certificate or work certificate as required by state and federal law.
 
This is when I am available to work:
Monday:
Tuesday:
Wednesday:
Thursday:
Friday:
Saturday:
Sunday:
 
This is what my dream schedule would be:
Monday:
Tuesday:
Wednesday:
Thursday:
Friday:
Saturday:
Sunday:
 
Required Field Total hours per week available:
 
Educational Data:
 
Name and address of High School attended:
Have you graduated?
 
Name and address of College (Other) attended:
Have you graduated?
Date of degree conferred (MM/YY):
Major:
Minor:
 
Name and address of Graduate School attended:
Have you graduated?
Date of degree conferred (MM/YY):
Major:
Minor:
 
Are you presently enrolled in school?
If Yes, give name and address of school:
Are you enrolled day or night?
 
List States and Countries of residence for the past seven years:
 
Please list any other job related accomplishments, professional distinctions, certifications, or verifiable volunteer work that Panera should know about:
 
Office Skills: (If applicable to the position for which you are applying):
 
Typing or keyboarding speed:WPM
 
Shorthand or Notetaking SpeedWPM
 
Describe the office equipment and computer software you can operate:
 
Military History :
 
Military Service Status
 
Branch of Service:
 
Dates of Service:
From (MM/YY): To (MM/YY):
 
Did you receive any military training related to the job for which you are applying for?
 
If Yes, Please Explain:
 
References:
 
Reference 1:
Name and Occupation:
Address:
Phone:
 
Reference 2:
Name and Occupation:
Address:
Phone:
 
EMPLOYMENT HISTORY(list all present and past employment beginning with the most recent)
 
1: Company name and address:
Immediate Supervisor:
Job title:
Phone:
Dates of employment:
From (MM/YY):
To (MM/YY):
Starting Wage or Salary:
Present/Final Wage or Salary:
Reason for leaving(if applicable):
Describe your duties:
 
May we contact this employer?
 
2: Company name and address:
Immediate Supervisor:
Job title:
Phone:
Dates of employment:
From (MM/YY):
To (MM/YY):
Starting Wage or Salary:
Present/Final Wage or Salary:
Reason for leaving(if applicable):
Describe your duties:
 
May we contact this employer?
 
1: Company name and address:
Immediate Supervisor:
Job title:
Phone:
Dates of employment:
From (MM/YY):
To (MM/YY):
Starting Wage or Salary:
Present/Final Wage or Salary:
Reason for leaving(if applicable):
Describe your duties:
 
May we contact this employer?
 
DECLARATION(Carefully read each section and initial then sign at bottom.)
 
I certify that the answers given herein are true and complete to the best of my knowledge, and I authorize investigation of all statements contained in this application, with the exception of contacting my present employer if I have requested so.
 
Required Field I have read, understand, and agree to the above statement.
Please initial here:
 
While this application will be retained on file for a period of one year (as required by law), I acknowledge that this application will be considered active for a period of sixty (60) days. At that time, I must submit a new application to be considered for any employment openings.
 
Required Field I have read, understand, and agree to the above statement.
Please initial here:
 
I understand and acknowledge that unless otherwise defined by applicable law or written agreement with Panera Bread, any employment relationship with the Company is considered "employment at will", which means the Employee may resign at any time and the Employer may discharge the Employee at any time, with or without cause. It is further understood that this "at will" employment relationship may not be changed by any written document or by any conduct unless such a change is specifically executed by the President/Vice President of Panera Bread.
 
Required Field I have read, understand, and agree to the above statement.
Please initial here:
 
If I should be employed by the Company, I understand that any false, incomplete, or misleading information given on this application or during an interview shall result in immediate discharge.
 
Required Field I have read, understand, and agree to the above statement.
Please initial here:
 
I authorize an inquiry into my background by all persons, schools, companies, corporations, credit bureaus, law enforcement agencies, doctors, and other consulting consumer reporting agencies to supply information concerning my previous employment, education, credit, driving record, etc.
 
Required Field I have read, understand, and agree to the above statement.
Please initial here:
 
I authorize the references listed above to give representatives of Panera Bread any and all information concerning my previous and current employment and any pertinent information they may have, personal or otherwise, and release all parties from any and all liability from any damage that may result.
 
Required Field I have read, understand, and agree to the above statement.
Please initial here:
 
Required Field Signature:
Date (MM/DD/YY):


By submitting this application and completing an online signature, I certify that all the information provided is true and complete.

Panera Bread is an Equal Opportunity Employer.

Panera Bread does not discriminate in employment and no question on this application is used for the purpose of limiting or excusing any applicant's consideration for employment on a asis prohibited by local, state or federal law.