| Name of Applicant: |
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| Position(s) Applied For: |
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| Address: |
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| City: |
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| State: |
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| Zip: |
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| Telephone: |
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| Location you wish to work at: |
Mosinee
Wausau
Thorp
Waupaca
Antigo
Appleton
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| If you are under 18 years of age, can you provide required proof of your eligibility to work? |
Yes
No
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| Have you ever filed an application with us before? |
Yes
No
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| Have you ever been employed with us before? |
Yes
No
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Are you currently employed? |
Yes
No
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May we contact your employer? |
Yes
No
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| Are you prevented from lawfully becoming employed in this country because of Visa or Immigration Status? |
Yes
No
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| On what date would you be available for work? |
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| Are you available to work: |
Full Time
Part Time
Shift Work
Temporary
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| Are you currently on 'lay-off' status and subject to recall? |
Yes
No
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Can you travel if a job requires it? |
Yes
No
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| Have you been convicted of a felony within the last 7 years? |
Yes
No
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| If yes, please explain: |
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| Please list your education history: |
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Indicate any foreign languages you can speak, read and/or write: |
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| Describe any special training, apprenticeship, skills and extra-curricular activities: |
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| Describe any job-related training in the U.S. military. |
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Employment Experience: Please list previous jobs you held. Include any job-related
military service assignments and volunteer activities. You may
exclude organizations which indicate race, color, religion, gender,
national origin, disabilities or other protected status: |
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| List professional, trade, business or civic activities and offices held. |
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Other qualifications: Summarize special job-related skills and qualifications
acquired from employment or other experience. |
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Specialized Skills: Please indicate any skills/equipment experience - such
as calculator, fax, typewriter, software, etc.
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| References: |
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