We believe in genuine hospitality.

To truly serve people requires that we observe, listen and understand what our guests are looking for. What makes them comfortable anticipating and accommodating their needs, but also delivering beyond their expectations, to delight and sometimes surprise. When we put others ahead of us, we connect with people, listen more attentively and work to satisfy their needs, which in turn nurtures us by giving of ourselves.

The table is the place where hospitality and good food come together. Its where we direct our efforts with real human connection and food prepared with love and care. The table is where breaking bread satisfies the most basic of human needs, creates community and feeds us: body and soul.

People are the center of what we do. Because we believe in treating others as we want to be treated, were motivated to work not just for our own benefit, but in service to our guests, co-workers, colleagues, community and world.

Vivo 15435 Founders Lane Apple Valley, MN 55124 952-891-8808 fax 612-891-8809 www.vivomn.com

Vivo is a Equal Employment Opportunity employers and will not discriminate against any applicant or employee on any grounds protected under any federal, state or local law, including race, color, creed, religion, age, sex, sexual orientation, sexual harassment, national origin, ancestry, marital status, handicap, disability related to pregnancy or childbirth, membership or activity in any local commission, status regarding public assistance, membership or non-membership in any labor organization or any other protected characteristic. None of the questions in this application are intended to elicit information regarding any protected characteristics, nor imply any limitation, illegal preferences or discrimination based upon non-job related information or protected characteristics. If you are hired by Vivo you will be employed on an at-will basis. As an at-will employee, you may terminate your employment at any time for any reason, without notice. Similarly, if you are hired, Vivo will have the right to terminate your employment at any time, for any reason, without prior notice. No Vivo supervisor or manager has the authority to offer or promise anything other than at-will employment.

Please Answer ALL Questions Completely Please Print Be Sure to Complete All Pages! Name___________________________________________________________________________Todays Date_________________
First Middle Last

Have you ever been known by an alias or another name?__________If yes, what?____________________________________________ Present address_______________________________________________________________________________________________ Permanent address____________________________________________________________________________________________ _ Home phone ________________________Other phone at which you can be reached (present work) _____________________________ If hired, can you furnish proof that you are 16 years of age or older? If no, please explain: Yes _______________ No _________________ If hired, can you furnish proof that you are eligible to work in the United States? If no, please explain: Yes ___________ No _____________ Have you ever worked for Vivo before?__________When?_______________________________________________ Reason for leaving:_____________________________________________________________________________________________ Have you applied for work with Vivo previously?________ If yes, when? _____________________________________ Position applying for:__________________________________________________________________________________________ Full Time Part Time Nights What prompted you to apply with Vivo for employment?__________________________________ Have you ever been convicted of a crime? (Minor traffic violations need not be listed.) Yes No Days Evenings Date you can start:________________________________________________ Desired wage:____________________________________________________

If yes, list the date, location and explain the circumstances:______________________________________________________________ __________________________________________________________________________________________________________
Education Elementary High School Professional, Vocational or Correspondence Name and location of school No. of years Did you graduate? Major

Have you attended any other training courses/classes related to your desired position? Yes No If yes, describe:_______________________________________________________________________________________________ __________________________________________________________________________________________________________ Have you worked in a position similar to the one for which you are applying?_________________________________________________ Are you acquainted with anyone who is or was employed by Break Bread Hospitality? Yes No Name:_____________________________________________________________________________________________________ WORK HISTORY: List your previous employers, with present/most recent employer first. If more space is needed, please attach an additional page.
Previous employers name & full address

Phone

Position & starting pay

Circle one: Part time/full time Reason for leaving:

Supervisors name & title

Dates of employment
From: To: Final wage: $

Describe the work you did: May we contact this employer? If no, why not?

Previous employers name & full address

Phone

Position & starting pay

Circle one: Part time/full time

Supervisors name & title

Dates of employment
From: To: Final wage: $

Describe the work you did: May we contact this employer? If no, why not?

Reason for leaving:

Previous employers name & full address

Phone

Position & starting pay

Circle one: Part time/full time Reason for leaving:

Supervisors name & title

Dates of employment
From: To: Final wage: $

Describe the work you did: May we contact this employer? If no, why not?

Previous employers name & full address

Phone

Position & starting pay

Circle one: Part time/full time Reason for leaving:

Supervisors name & title

Dates of employment
From: To: Final wage: $

Describe the work you did: May we contact this employer? If no, why not?

List all periods of unemployment: (Use a separate page if necessary)

From:___________________________To:______________________________ From:___________________________To:______________________________

Have you ever been terminated by an employer? Yes No If yes, please explain:_______________________________________________ ___ ________________________________________________________________________ _____________________________________________ _

If hired, you may occasionally be assigned various duties. Is there any work you will not perform? Yes No If yes, please explain:_________________________________________________________________________________________ REFERENCES: Give the names of three persons not related to you, whom you have known for at least one year.
Name 1. 2. 3. Phone Complete address Type of business Years acquainted

If you are made an offer of employment it may be conditional upon you providing a medical history and passing a physical examination, including a drug and alcohol screening. Are you prepared to do so? Yes No If no, please explain:__________________________________________________________________________________________ Are you available to work evenings, holidays and on weekends as may be required? Yes No If no, please explain:__________________________________________________________________________________________ HOURS PREFERRED:
Monday Start End Tuesday Wednesday Thursday Friday Saturday Sunday

PLEASE READ AND SIGN By my signature below, I promise that the information provided in this employment application (and accompanying rsum or documentation, if any) is true and complete, and I understand that any false or misleading information or significant omissions may disqualify me from further consideration for employment, and may lead to my dismissal from employment, if discovered at a later date. I agree to immediately notify Vivo if I should be convicted of a felony, or any crime involving dishonesty, breach of trust, controlled substances, sexual misconduct, abuse or violence, while my job application is pending, or during my period of employment, if hired. I authorize any person, school, current employer, past employers and organizations named in this application (and accompanying rsum, if any) to provide Vivo with any information and opinion requested by Vivo in connection with any application, and I release such persons and organizations from any legal liability in making such statements. I UNDERSTAND THAT THIS APPLICATION DOES NOT CREATE A CONTRACT OF EMPLOYMENT. I UNDERSTAND THAT, IF HIRED, I AM OBLIGED TO COMPLY WITH ANY AND ALL CURRENT AND SUBSEQUENTLY ADOPTED VIVO. I UNDERSTAND AND AGREE THAT, IF HIRED, MY EMPLOYMENT IS FOR NO DEFINITE PERIOD OF TIME, AND MAY, REGARDLESS OF THE DATE OF PAYMENT OF MY WAGES OR SALARY, BE TERMINATED AT ANY TIME FOR ANY REASON, WITH OR WITHOUT NOTICE. I UNDERSTAND THAT NO PERSON IS AUTHORIZED TO CHANGE ANY OF THE TERMS MENTIONED IN THIS EMPLOYMENT APPLICATION. Applicants Signature__________________________________________________________________________Todays Date_______________________________