Employment Application Form

1
Name:* This field is required.
First Name
Last Name
2
Phone Number:* This field is required.
Area Code
Phone Number
3
E-mail Address:* This field is required.
4
Address:* This field is required.
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
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Nigeria
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Other
Country
5
How were you referred to us?
Walk-In
Zip Recruiter
Indeed
Facebook
Twitter
Craigslist
Employee (please specify)
6
Job(s) applying for...
7
Can you communte on a daily basis to Wales, Wisconsin?
YESNO
8
Please share why you believe you are a good fit for the role you are applying for?* This field is required.
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Ok
Ok
9
Upload Your Resume Here (optional):Please include a resume & cover letter that will demonstrate your desire and abilities to be successful in the job role you are applying for...
Drag and drop files here
Select files to upload
Max. file size: 10.0MB
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10
Are you able to lift and/or carry 50#?* This field is required.Most likely a 50# bag of dog food
YESNO
11
Are you able to stand for extended periods of time?* This field is required.
YESNO
12
Are you authorized to work in the U.S.?* This field is required.
YESNO
13
Are you willing to undergo a background check, in accordance with local law and regulations?* This field is required.
YESNO
14
Do you have a valid drivers licenses in the State of Wisconsin?
YESNO
15
Desired Hourly Rate
16
Job Skills & Training
17
Levels of Education CompletedSelect All That Apply
Currently Attending High School
High School Diploma or Equivalent
Bachelor
Master
PHD
Other
18
Are you currently attending school? * This field is required.
YESNO
19
What school are you attending? What are your goals and what is your estimated completion date?For example, are you attending college? What is your major and when will you graduate? Or Type "N/A" if not applicable.
20
Describe your skills:
21
Training or Certifications:
22
References

Please list two (2) references (non-relatives) that are familiar with your work life.
23
Reference 1
24
Name:
First Name
Last Name
25
RelationshipHow do you know them?
26
May we contact?
YESNO
27
Email
example@example.com
28
Phone Number
Area Code
Phone Number
29
Years Known:
30
Reference 2
31
Name:
First Name
Last Name
32
RelationshipHow do you know them?
33
May we contact?
YESNO
34
Email
example@example.com
35
Phone Number
Area Code
Phone Number
36
Years Known:
37
Anything Else You Want Us To Know?
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Ok
Ok
Should be Empty: