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Join Our Team
Personal Information
First Name
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Last Name
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Middle Initial
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Address 1
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Address 2
City
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State
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Zip Code
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Phone
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Email Address
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Positions Applying For:
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Laborer/Foreman
Helper
General Mechanic
Specialty Mechanic
Scanner
Sales Person
Project Manager
How did you learn about us?
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Advertisement
Friend
Walk-In
Employment Agency
Relative
Other
If friend or relative who?
Do you possess a valid Wisconsin driver's license or a valid driver's license from another state?
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Yes
No
Are you above the age of 18?
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Yes
No
What is the issued state of your drivers license?
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Social Security Number (xxx-xx-xxxx)
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Drivers License Number:
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Are you legally authorized to work in the United States?
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Yes
No
Do you currently have charges pending against you?
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Yes
No
Are you currently on probation?
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Yes
No
Have you ever been convicted of a felony?
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Yes
No
If yes, please explain.
Have you served in the United States Military?
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Yes
No
If yes, list which service Branch and any training you received:
Type of Discharge:
Date of Discharge:
Indicate any foreign languages you can speak, read, and/or write:
Indicate any special accommodations you may require:
Availability
Days Available
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Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Shift preference:
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Full-Time
Part-Time
Temporary
Are you currently in "lay off" status and subject to recall?
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Yes
No
Are you currently employed?
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Yes
No
If yes, may we contact your employer?
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Yes
No
Can you travel if a job required it?
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Yes
No
On what dates are you able to start working if you are hired?
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Education History
High School
Name
Address
Year Graduated
Degree and/or Credits Earned
College/University
Name
Address
Year Graduated
Degree and/or Credits Earned
Vocational School/Specialized Training
Name
Address
Year Graduated
Degree and/or Credits Earned
List any additional specialized training, apprenticeships, skills, and extra-curricular activities that you would like to mention.
Employment History
Employer 1
Company Name
Address
Phone
May we contact?
Yes
No
Supervisor/Manager
Start Date
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End Date
+
Position
Salary/Hourly Wage
Reason for Leaving
Work Preformed:
Employer 2
Company Name
Address
Phone
May we contact?
Yes
No
Supervisor/Manager
Start Date
+
End Date
+
Position
Salary/Hourly Wage
Reason for Leaving
Work Preformed:
Employer 3
Company Name
Address
Phone
May we contact?
Yes
No
Supervisor/Manager
Start Date
+
End Date
+
Position
Salary/Hourly Wage
Reason for Leaving
Work Preformed:
References
Reference 1
Name
Title
Relationship
Address
Email Address
Phone
Reference 2
Name
Title
Relationship
Address
Email Address
Phone
Reference 3
Name
Title
Relationship
Address
Email Address
Phone
Resume
Please submit a copy of your resume.
Applicant's Statement
I certify that the answers given herein this Application for Employment are true and complete to the best of my knowledge. I authorize the investigation of all statements contained in this application for employment as may be necessary for arriving at an employment decision via the Employer and release the Employer from any liability. The employer may contact any listed references on this application. This application for employment shall be considered active for a period of time not to exceed 45 days. Any applicant wishing to be considered for employment beyond this time period should inquire as to whether or not applications are being accepted at this time. I hereby understand and acknowledge that, unless otherwise defined by applicable law, any employment relationship with this organization of an “at will” nature, which means that Employee may resign at any time and the Employer may discharge Employee at anything with or without cause. It is further understood this “at will” employment relationship may not be changed by any written document or by conduct unless such change is specifically acknowledged in writing by an authorized executive of this organization. In the event of employment, I understand that false statements, omission, or misleading information given in my application or interview(s) may result in discharge. I understand, also, that I am required to abide by all rules and regulations of the employer. Lastly, I understand that this employment application is not valid without my signature.
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