Join Our Team APPLICATION INFORMATION Name * First Name Last Name Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Phone * (###) ### #### Email * Position Sought Preferred Working Shift * Day Afternoon Overnight No preference Start Date * MM DD YYYY Desired Pay Rate Are you authorized to work in the United States? * Yes No Are you 18 years or older? * Yes No Have you worked for Just Desserts or Rubicon Bakers before? * Yes No If so, when? Do you know anyone that currently or has ever worked for Just Desserts or Rubicon Bakers? * Yes No If so, who? EDUCATION High School When did you attend? Did you graduate? * Yes No Degree College When did you attend? Did you graduate? Yes No Degree Other Education PREVIOUS EMPLOYMENT Company Phone (###) ### #### Location - City, State Job Title & Responsibilities Supervisor First Name Last Name Start Date End Date Reason for leaving May we contact your previous supervisor for a reference? Yes No Company Phone (###) ### #### Location - City, State Job Title & Responsibilities Supervisor First Name Last Name Start Date End Date Reason for leaving May we contact your previous supervisor for a reference? Yes No Company Phone (###) ### #### Location - City, State Job Title & Responsibilities Supervisor First Name Last Name Start Date End Date Reason for leaving May we contact your previous supervisor for a reference? Yes No Authorization and Acknowledgements * I affirm that the information I have provided in this application is true to the best of my knowledge, information and belief, and I have not knowingly withheld any information requested. I understand that withholding or misstating any information requested in this application is grounds for rejection of my application, and that providing false or misleading information in this application is grounds for discharge. I authorize the company to verify my references, record of employment, education record, and any other information I have provided. Unless otherwise noted, I authorize the references I have listed to disclose any information related to my work record and my professional experiences with them, without giving me prior notice of such disclosure. In addition, I release the company, my former employers and all other persons and entities, from any and all claims, demands or liabilities arising out of or in any way related to such inquiry or disclosure. I understand that Just Desserts and Rubicon Bakers are at-will employers. This means that, if hired, Just Desserts and Rubicon Bakers may terminate my employment with or without cause and with or without notice at any time for any reason and that I may also terminate my employment at any time for any reason with or without notice. I further understand that while job titles, duties, benefits, pay rates, and other conditions of employment may be modified at any time, the at-will nature of employment at Just Desserts and Rubicon Bakers can only be changed in writing and signed by Rubicon Bakers LLC President, Andrew Stoloff. YES NO Today's Date * MM DD YYYY Thank for your application! We will be in touch shortly.