Employment Application Form

Employment Application

We are an equal opportunity employer. Applicants will be considered regardless of race, color, national origin, religion, gender, age, marital, or veteran status; medical condition, disability; or any other legally protected status. Equal access to the hiring process, services, and employment is available to all individuals. Applicants requiring accommodations to the application and/or interview process should contact a hiring representative.

Each question should be answered completely and accurately.

No action will be taken on this application until all questions have been answered and the application has been signed and dated. Verification of eligibility to work in the U.S. will be required if an employment offer is made.

Full Name*

First NameMiddle NameLast Name

E-mail*

Phone Number*

Area CodePhone Number

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Referral source

Position applying for*

Lane CoachShift SupervisorBuilding ManagerOther

Location applying at*

BarabooGreen BayOshkoshMobile Events

Position applying for*

*If applying for a position involving the sales of alcoholic beverages, applicants must be 18 or older to be able to legally bartend or obtain an operator's license in the state of Wisconsin*

Are you over the age of 18?*

YesNo

Are you eligible to work in the United States?*

YesNo

Are you currently employed?*

YesNo

Date available for work*

MonthDayYear

Are you available to work?*

Full timePart timeShift workTemporary

Have you applied here before?*

YesNo

If yes, give date:*

EDUCATION

Highest level of education completed:*

Please complete the appropriate sections

	Name & Location of School	Number of Years Attended	Did You Graduate?	Degree or Certification
GED / High School
Trade School
College
Graduate

Do you have a work history?*

YesNo

WORK HISTORY

Please list your two most recent employers, list the most recent first. You may list up to 4 of your past employers if relevant work history extends past the two most recent.

1. Employer

Employer's Name (Most current)*

Address & location of business*

Your title*

May we contact this employer?*

YESNO

Supervisor's name*

First and Last Name

Phone number*

Area CodePhone Number

Start date*

MonthDayYear

End date

MonthDayYear

Work performed:*

Reason for leaving*

2. Employer

Employer's Name (Second most recent)*

Address & location of business*

Your title*

May we contact this employer?*

YESNO

Supervisor's name*

First and Last Name

Phone number*

Area CodePhone Number

Start date*

MonthDayYear

End date

MonthDayYear

Work performed:*

Reason for leaving*

3. Employer

Employer's Name (Third most recent)

Address & location of business

Your title

May we contact this employer?

YESNO

Supervisor's name

First and Last Name

Phone number

Area CodePhone Number

Start date

MonthDayYear

End date

MonthDayYear

Work performed:

Reason for leaving

4. Employer

Employer's Name (Fourth most recent)

Address & location of business

Your title

May we contact this employer?

YESNO

Supervisor's name

First and Last Name

Phone number

Area CodePhone Number

Start date

MonthDayYear

End date

MonthDayYear

Work performed:

Reason for leaving

ADDITIONAL INFORMATION

Do you have a U.S. military service record?*

YesNo

Thank you for your service!

During your time in the military, list any job-related accomplishments, projects, and awards you feel are relevant to your application. (Exclude information that would reveal race, color, national origin, religion, gender, age, marital, or veteran status; medical condition, disability; or any other legally protected status.)

List any additional information you would like us to consider:

REFERENCES

List three professional references, (business or work, not relatives) that you have known for at least one year. List at least one previous supervisor.

1. Full Name*

First NameLast Name

Company*

Best phone number to reach them*

Area CodePhone Number

Years acquainted*

Relationship*

2. Full Name*

First NameLast Name

Company*

Best phone number to reach them*

Area CodePhone Number

Years acquainted*

Relationship*

3. Full Name*

First NameLast Name

Company*

Best phone number to reach them*

Area CodePhone Number

Years acquainted*

Relationship*

AUTHORIZATION

I understand that 608 Axe Throwing is making no employment offer at this time. I certify that the information in this application is correct to the best of my knowledge. I understand that any misrepresentation or omission of any fact in my application, resume, or any other materials, or during interviews is grounds for disqualification from further consideration for employment or for termination if employed.

I authorize 608 Axe Throwing to contact any company, institution, or individual it deems appropriate to investigate my employment history, character, qualifications, credit history, driving record, and other relevant information if job-related unless otherwise specified directly on this application. I give my full consent for all contacted individuals, including former employers, to provide information concerning this application, and I waive my right to bring any cause of action against these individuals for any liability for damages arising from furnishing the requested information to 608 Axe Throwing. I acknowledge that a facsimile and/or photocopy of this form is as valid as the original.

If deemed required by 608 Axe Throwing or certain job duties contain state or federal mandates, (motor vehicle, FMCSA, DOT) employment testing may be required (drug testing, background checks, physical examinations, motor vehicle checks). Testing will be employer-paid and only if necessary for employment. I understand that any offer of employment may be withdrawn if drug tests are positive and/or if a condition is discovered for which no reasonable accommodation can be made.

I understand that this application is current for 60 days. After this time, if I have not heard from 608 Axe Throwing and still wish to be considered for employment, it will be necessary to complete a new application.

I understand that if hired, 608 Axe Throwing is a Wisconsin based employer and employment is at-will. I may be terminated at any time, with or without cause or notice, for any reason or no reason.

You agree to accept the terms of the above document with an electronic signature.*

I agreeI do not agree

You must agree to accept the terms of the document in order to submit an application.

Signature

Date*

MonthDayYear

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