Employment Application
Barron County Cheese
1623B US Highway 8
Barron, WI 54812
Phone: 715-637-0400
Applicant Information
Name *
First and last name
Your answer
Street Address
Your answer
City
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State
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ZIP
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Phone Number
Your answer
Email *
Your answer
Date Available
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Social Security Number
Your answer
Desired Salary
Your answer
Desired Shift
Your answer
Are you a citizen of the United States?
If no, are you authorized to work in the United States?
Have you ever worked for Barron County Cheese?
If yes, when?
Your answer
Have you ever been convicted of a felony?
If yes, please explain
Your answer
Education
What is the highest level of education you have achieved?
Name of School and Graduation Year
Your answer
References
Please list three references
Reference 1
Full Name
Your answer
Relationship
Your answer
Company
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Phone
Your answer
Reference 2
Full Name
Your answer
Relationship
Your answer
Company
Your answer
Phone
Your answer
Reference 3
Full Name
Your answer
Relationship
Your answer
Company
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Phone
Your answer
Previous Employment
Please list three most recent employers
Previous Job 1
Company
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Phone
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Address
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Supervisor
Your answer
Job Title
Your answer
Starting Salary
Your answer
Ending Salary
Your answer
Start Date
MM
/
DD
/
YYYY
End Date
MM
/
DD
/
YYYY
Reason for Leaving
Your answer
May we contact this employer?
Previous Job 2
Company
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Phone
Your answer
Address
Your answer
Supervisor
Your answer
Job Title
Your answer
Starting Salary
Your answer
Ending Salary
Your answer
Start Date
MM
/
DD
/
YYYY
End Date
MM
/
DD
/
YYYY
Reason for Leaving
Your answer
May we contact this employer?
Previous Job 3
Company
Your answer
Phone
Your answer
Address
Your answer
Supervisor
Your answer
Job Title
Your answer
Starting Salary
Your answer
Ending Salary
Your answer
Start Date
MM
/
DD
/
YYYY
End Date
MM
/
DD
/
YYYY
Reason for Leaving
Your answer
May we contact this employer?
Military Service
Branch
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Start Date
MM
/
DD
/
YYYY
End Date
MM
/
DD
/
YYYY
Rank at Discharge
Your answer
Type of Discharge
Your answer
If other than honorable, please explain
Your answer
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