Position Applied For Location ---Broad Ripple VillageCarmel City Center Name Telephone Number Alternate Telephone Number Current Address How long have you lived there Years Months Email Address Desired Salary/Hourly Rate If under the age of 18, can you produce the necessary work certificate at the time of employment? YesNo Type of employment desired? Full-timePart-time Are you willing to work overtime? YesNo Date on which you can start work if hired Have you previously applied for employment with The Cake Bake Shop? YesNo If Yes, when and where did you apply? Have you ever been employed by The Cake Bake Shop? YesNo If Yes, provide dates of employment, location, and reason for separation from employment. If applicable, below list any other names by which you have been known which may be necessary to allow us to confirm your work and educational record. For example, change of name, use of an assumed name, nickname, etc. Education High School Years Completed ---12345 or more Did you graduate?YesNo College Years Completed ---12345 or more Did you graduate?YesNo Graduate School Years Completed ---12345 or more Did you graduate?YesNo Trade, Business or Correspondence School Years Completed ---12345 or more Did you graduate?YesNo Please list any other qualifications / training you have for this position Availability Monday Tuesday Wednesday Thursday Friday Saturday Sunday Résumé (Must be attached for work experience) Application Certification I understand and agree that if driving is a requirement of the job for which I am applying, my employment and/or continued employment is contingent on possessing a valid drier's license for the state in which I reside and automobile liability insurance in an amount equal to the minimum required by the state where I reside. I understand that the Company may now have, or may establish, a drug-free workplace or drug and/or alcohol testing program consistent with applicable deferral, state, and local law. If the Company has such a program and I am offered a conditional offer of employment, I understand that if a pre-employment (post-offer_ drug and/or alcohol test is positive, the employment offer may be withdrawn. I agree to work under the conditions requiring a drug-free workplace, consisten tight applicable federal, state, and local law. I also understand that all employees of the location, pursuant the the Company's policy and federal, state, and local law, may be subject to urinalysis and/or blood screening or other medically recognized tests designed to detect the presence of alcohol or illegal or controlled drugs. If employed, I understand that the taking of alcohol and/or drug tests is a condition of continual employment and I agree to undergo alcohol and drug testing consistent with the Company's policies and applicable federal, state, and local law. If employed by the Company, I understand and agree that the Company, to the extent permitted by federal, state, and local law, may exercise its right, without prior warning or notice, to conduct investigations of property (including, but not limited to, files, lockers, desks, vehicles, and computers) and, in certain circumstances, my personal property. I understand and agree that as a condition of employment and to the extent permitted by federal, state, and local law, I may be required to sign a confidentiality, restrictive covenant, and/or conflict of interest statement. I certify that all the information on this application, my résumé, or any supporting documents I may present during any interview is and will be complete and accurate to the best of my knowledge. I understand that any falsification, misrepresentation, or omission of any information may result in disqualification from consideration for employment or, if employed, disciplinary action, up to and including immediate dismissal. THIS COMPANY IS AN AT-WILL EMPLOYER AS ALLOWED BY APPLICABLE STATE LAW. THIS MEANS THAT REGARDLESS OF ANY PROVISION IN THIS APPLICATION, IF HIRED, THE COMPANY OR I MAY TERMINATE THE EMPLOYMENT RELATIONSHIP AT ANYT TIME FOR ANY REASON WITH OR WITHOUT CUASE OR NOTICE. NOTHING IN THIS APPLICATION OR IN ANY DOCUMENT OR STATEMENT, WRITTEN OR ORAL, SHALL LIMIT THE RIGH TOT TERMINATE EMPLOYMENT AT-WILL. NO OFFICER, EMPLOYEE OR REPRESENTATIVE OF THE COMPANY IS AUTHORIZED TO ENTER INTO AN AGREEMENT—EXPRESS OR IMPLIED—WITH ME OR ANY APPLICANT FOR EMPLOYMENT FOR A SPECIFIED PERIOD OF TIME UNLESS SUCH AN AGREEMENT IS IN A WRITTEN CONTRACT SIGNED BY THE PRESIDENT OF THE COMPANY. I accept these terms.