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Sonoma Alimentaire, Inc.

Sonoma Muffin Works INSTRUCTIONS

· · · · ·

EMPLOYMENT APPLICATION

1454 Industrial Ave, Sebastopol, CA 95472 · Phone (707) 823-2587 · Fax (707) 823-2936 · www.sonomamuffin.com READ CAREFULLY. PRINT or TYPE responses. COMPLETE ALL fields. Incomplete applications may be disqualified. DO NOT SUBMIT A RÉSUMÉ in lieu of completing the application. Résumés are supplemental information, only. DO NOT REFERENCE A RÉSÚMÉ (i.e. "See Résumé") in lieu of completing the application.

All applicants will be considered for employment with Sonoma Muffin Works without regard to race, color, gender, age, national origin, ancestry, physical or mental disability, medical condition, sexual orientation, creed, religion, marital status, or any other consideration made unlawful by federal, state, or local laws. We are an equal opportunity employer. Applicants who need reasonable accommodation to ensure equal opportunity in the application process should immediately inform the person who provided this Employment Application. Employment Applications remain active for six (6) months after submission, based on the date of the application, after which time they will be placed in an inactive file. To be considered for employment opportunities after the 6-month period, a new Employment Application must be completed.

Date of Application

PERSONAL INFO

Full Name AKA (other names you're known by)

Street Address

City

State

Zip

Phone

Cell Phone/ Alternate Phone

Email Address

JOB INFO

Applying to work in which department?

Administration (Approx. Office Hours: 8:00 a.m. to 5:00 p.m., Monday-Friday) Bakery/Production (Approx. Production Hours: 2:30 p.m. to 11 p.m., 7 days a week) Packing/Delivery (Approx. Delivery Hours: 10:30 p.m. to 6:00 a.m., 7 days a week)

Position: Preferred Starting Rate:

$

How did you find out about us?

Employee (Current or Former), Name: Job Advertisement Other:

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Sonoma Alimentaire, Inc.

Sonoma Muffin Works AVAILABILITY

Full-Time (30 HRS) Part-Time (<30 HRS) Long-Term (1 YR) Temporary (<1 YR)

EMPLOYMENT APPLICATION

1454 Industrial Ave, Sebastopol, CA 95472 · Phone (707) 823-2587 · Fax (707) 823-2936 · www.sonomamuffin.com

If applying for Full-Time work, are you also available to work overtime? Yes No Start Date: Days and Hours of Availability:

AVAILABLE From: To: MONDAY

AM PM AM PM

TUESDAY

AM PM AM PM

WEDNESDAY

AM PM AM PM

THURSDAY

AM PM AM PM

FRIDAY

AM PM AM PM

SATURDAY

AM PM AM PM

SUNDAY

AM PM AM PM

GENERAL INFO

· ·

READ carefully. CHECK all that apply.

I am eligible to work in the United States, either by citizenship, or with a Unites States Citizenship & Immigration Services (USCIS) authorization. I can work for an ongoing, indefinite basis, without your sponsorship (for USCIS authorization). I have been convicted of a felony, or a misdemeanor involving a violent act, use or possession of a weapon, or an act of dishonesty. (Exclude convictions for marijuana-related misdemeanors that are more than two (2) years old, and convictions that have been sealed, expunged, or legally eradicated.) IF Yes, briefly outline the following information below: date(s), place(s) of conviction, describe the nature of the crime(s), and the court's final decision.

Sonoma Muffin Works will not deny employment to any applicant solely because the person has been convicted of a crime. However, we will consider the nature, date, and circumstances of the offense, and whether or not the offense is relevant to the duties of the position applied for.

I am currently out on bail, the subject of a current warrant for arrest, or released on my own recognizance pending trial. IF Yes, please explain below. I have worked for Sonoma Muffin Works before. Position: IF Yes, cause of separation: I have applied to work for Sonoma Muffin Works before. Approx. Date: I have a relative(s) who currently works for Sonoma Muffin Works. IF Yes, list name(s) and department(s): From: To:

Additional Information

Page 2 of 8

Sonoma Alimentaire, Inc.

Sonoma Muffin Works ADDITIONAL QUALIFICATIONS

LANGUAGE SKLLS

EMPLOYMENT APPLICATION

1454 Industrial Ave, Sebastopol, CA 95472 · Phone (707) 823-2587 · Fax (707) 823-2936 · www.sonomamuffin.com

Rate your language skills: 1- Beginner (poquito); 2- Intermediate (intermedio); 3- Fluent (con soltura)

Understand entiendo Speak hablo Read leo Write escribo

English (Inglés) Spanish (Español)

Other

1 2 3

1 2 3

1 2 3

1 2 3

APPLYING FOR AN ADMINISTRATIVE POSITION?

·

Visit www.typingtest.com and complete a typing test.

ADJUSTED Typing Speed:

·

WPM

Operating System & Software Rate your proficiency level: 0-No Experience; 1-Beginner; 3-Intermediate; 5-Adept 0 1 2 3 4 5 Windows (Vista) QuickBooks Microsoft Word Microsoft Excel

APPLYING FOR A DRIVING POSITION?

· A recent copy of your DMV Driving Record is required, if you are called back for an interview. · AUTHORIZATION TO REVIEW DRIVING RECORD I am aware that consumer and Motor Vehicle Reports will be obtained by Sonoma Muffin Works and/or its insurance company representatives, for the purposes of assessing my insurability. By typing my name an driver's license information below, I hereby provide my authorization for Sonoma Muffin Works and/or their insurance company representatives to procure such information and reports, as well as additional reports about me from time to time, as deemed appropriate, to evaluate my insurability, or for other explicitly permitted purposes.

Name (as it appears on your driver's license) Driver's License Number State Expiration Date

SKILLS & ACCOMPLISHMENTS

(Use last page if you need it.)

Page 3 of 8

Sonoma Alimentaire, Inc.

Sonoma Muffin Works EDUCATION

Graduated High School:

Name of High School

EMPLOYMENT APPLICATION

1454 Industrial Ave, Sebastopol, CA 95472 · Phone (707) 823-2587 · Fax (707) 823-2936 · www.sonomamuffin.com

City

State

Passed High School Equivalency Test or GED. Some College:

Name of College or University City State

Number of Years Attended:

Name of College or University City State

Number of Years Attended: Graduated College:

Name of College or University City State

Degree/Certification:

Name of College or University City State

Degree/Certification: Trade or Business School:

Name of College or School City State

Certification:

Name of College or School City State

Certification: Other:

Name of Organization City State

Training/Certification:

Name of Organization City State

Training/Certification:

MILITARY SERVICE

I have been a member of the US Armed Forces. From: / To: / Branch:

Rank at Discharge: Duties:

Page 4 of 8

Sonoma Alimentaire, Inc.

Sonoma Muffin Works PROFESSIONAL REFERENCS

EMPLOYMENT APPLICATION

1454 Industrial Ave, Sebastopol, CA 95472 · Phone (707) 823-2587 · Fax (707) 823-2936 · www.sonomamuffin.com List three prior supervisors, co-workers, or clients we may contact for references prior to hiring you.

Name- Title

Company

Phone Number

EMPLOYMENT HISTORY

INSTRUCTIONS

· · · ·

Begin with your most recent work experience. Complete every applicable field for each employer. Incomplete information may disqualify your application. Use last page if you need more room to describe job duties. You can include military assignments and volunteer work, too, but please refrain from using organizational names that reference race, color, religion, gender, or national origin.

TYPES OF SEPARATION, DEFINED Termination: The company voluntarily released you from employment. Layoff: The company involuntarily released you from employment, due to financial distress, closing a branch office, etc. Resignation: You voluntarily ended employment with the company.

CURRENT or MOST RECENT EMPLOYMENT

I am currently employed.

IF Yes, may we contact your current employer? Yes No

Company Name Phone Number

Street Address

City

State

Supervisor's Name

Full Time Part Time:

Type of Separation: Reason for Separation: Position(s) Held: Duties:

Start Date: Hrs/ Wk

Termination

Start Rate: End Rate:

Resignation

$ $

End Date:

Layoff

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Sonoma Alimentaire, Inc.

Sonoma Muffin Works

EMPLOYMENT HISTORY 2

Company Name

EMPLOYMENT APPLICATION

1454 Industrial Ave, Sebastopol, CA 95472 · Phone (707) 823-2587 · Fax (707) 823-2936 · www.sonomamuffin.com

Phone Number

Street Address

City

State

Supervisor's Name

Full Time Part Time:

Type of Separation: Reason for Separation: Position(s) Held: Duties:

Start Date: Hrs/ Wk

Termination

Start Rate: End Rate:

Resignation

$ $

End Date:

Layoff

EMPLOYMENT HISTORY 3

Company Name Phone Number

Street Address

City

State

Supervisor's Name

Full Time Part Time:

Type of Separation: Reason for Separation: Position(s) Held: Duties:

Start Date: Hrs/ Wk

Termination

Start Rate: End Rate:

Resignation

$ $

End Date:

Layoff

Page 6 of 8

Sonoma Alimentaire, Inc.

Sonoma Muffin Works APPLICANT STATEMENT

· ·

EMPLOYMENT APPLICATION

1454 Industrial Ave, Sebastopol, CA 95472 · Phone (707) 823-2587 · Fax (707) 823-2936 · www.sonomamuffin.com READ the following statement carefully. SIGN to acknowledge the statement, at the bottom of this page. Unsigned applications will be disqualified.

I understand that this application and any attachments are the property of Sonoma Muffin Works. I certify that the statements and answers made by me in this application are true, complete and correct to the best of my knowledge and are made in good faith. I hereby grant Sonoma Muffin Works permission to verify such statements and answers, and I understand that any false statement or omission on this application may be considered sufficient cause for rejection of the application, or for dismissal if such false statement or omission is discovered after I have been hired. I authorize any of the persons or organizations referenced in this application to verify the information set forth herein, and I release all such parties from all liability for any damage that may result from furnishing such information. Any offer of employment is based upon my agreement to abide by the rules and regulations of Sonoma Muffin Works. I acknowledge that such rules and regulations may be changed, interpreted, withdrawn or added to at the sole discretion of Sonoma Muffin Works, at any time without prior notice to me. I further acknowledge that if I am offered and accept employment with Sonoma Muffin Works, my employment may be terminated at will. This means that either Sonoma Muffin Works or I may terminate the employment relationship at any time for any reason, or for no particular reason or cause. It also means that Sonoma Muffin Works reserves the right to determine and change at any time my job duties, title, level and responsibilities, reporting relationships, compensation and benefits, as well as its company and employee related policies and procedures, for any reason or no particular reason or cause. I also agree that any offer of employment, if such is made, may be withdrawn, with or without cause, and with or without prior notice, at any time. No representative of Sonoma Muffin Works other than the Managing Owner has the authority to enter into any oral or written agreement for employment for any specified period of time, or to make any representation regarding any benefits or terms and conditions of employment, or make any agreement contrary to the company policy of employment "at will." I further understand that any such agreement must be in writing and signed by the Managing Owner of Sonoma Muffin Works. Finally, I understand and agree that this constitutes the entire agreement between Sonoma Muffin Works and me with regard to this subject.

X

Signature of Applicant (Type full name if submitting form electronically.) Date

Page 7 of 8

Sonoma Alimentaire, Inc.

Sonoma Muffin Works

Additional Information

EMPLOYMENT APPLICATION

1454 Industrial Ave, Sebastopol, CA 95472 · Phone (707) 823-2587 · Fax (707) 823-2936 · www.sonomamuffin.com

Page 8 of 8

Information

8 pages

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