Employment application Settlers Mill

1. SETTLERS MILL OF OSHKOSH, LLC
ADVENTURE GOLF & GAMES
3025 S Washburn Street, Oshkosh WI 54904
Mailing Address: P.O. Box 435 Slinger WI 53086
APPLICATION FOR EMPLOYMENT
To Applicant: We deeply appreciate your interest in our organization and assure you that we are sincerely interested
in your qualifications. A clear understanding of your background and work history will aid us in the possible
placement of you in a position that best meets your qualifications and may assist us in possible future employment .
NAME:________________________________________SOCIAL SECURITY#:________________________________
ADDRESS:__________________________________________TELEPHONE#:_________________________________
CITY/STATE/ZIP:____________________________________________________________________________________
WHAT METHOD OF TRANSPORTATION WILL YOU USE TO GET TO WORK? ____________________
POSITION DESIRED:________________________________WAGE DESIRED:$_____________________________
ARE YOU WILLING TO WORK FLEXIBLE HOURS?__________________ WEEKDAYS - WEEKENDS
(CIRCLE ONE OR BOTH)
LIST ANY FRIENDS OR RELATIVES WORKING FOR US___________________________________________
HOW DO YOU KNOW ABOUT US (JOB AD IN PAPER, FRIEND, ETC)______________________________
RECORD OF EDUCATION
SCHOOL NAME/ADDRESS OF SCHOOL COURSE OF LIST LAST GRADUATE/IF
STUDY YEAR SO, LIST
COMPLETED DEGREE
HIGH
SCHOOL
COLLEGE
OTHER
(PLEASE
SPECIFY)
PLEASE COMPLETE BACK SIDE OF THIS FORM

2. LIST BELOW ALL PRESENT AND PAST EMPLOYMENT, BEGINNING WITH YOUR MOST RECENT:
1)
NAME AND ADDRESS OF COMPANY AND TYPE OF BUSINESS
_____________________ ___________________ ___________________________________________________________
FROM (DATE) TO (DATE) TYPE OF WORK/POSITION
____________________________ __________________ ___________________________________________________
SUPERVISOR TELEPHONE# REASON FOR LEAVING
2)
NAME AND ADDRESS OF COMPANY AND TYPE OF BUSINESS
_____________________ ___________________ ___________________________________________________________
FROM (DATE) TO (DATE) TYPE OF WORK/POSITION
____________________________ __________________ ___________________________________________________
SUPERVISOR TELEPHONE# REASON FOR LEAVING
3)
NAME AND ADDRESS OF COMPANY AND TYPE OF BUSINESS
_____________________ ___________________ ___________________________________________________________
FROM (DATE) TO (DATE) TYPE OF WORK/POSITION
____________________________ __________________ ___________________________________________________
SUPERVISOR TELEPHONE# REASON FOR LEAVING
PERSONAL REFERENCES (NOT FORMER EMPLOYERS OR RELATIVES)
NAME:__________________________________________________ OCCUPATION:____________________________
ADDRESS:____________________________________ TELEPHONE:____________________________
CITY/STATE/ZIP:_______________________________________________________________________
NAME:__________________________________________________ OCCUPATION:____________________________
ADDRESS:____________________________________ TELEPHONE:____________________________
CITY/STATE/ZIP:_______________________________________________________________________
NAME:__________________________________________________ OCCUPATION:____________________________
ADDRESS:____________________________________ TELEPHONE:____________________________
CITY/STATE/ZIP:_______________________________________________________________________
I CERTIFY THAT THE ABOVE INFORMATION IS CORRECT TO THE BEST OF MY KNOWLEDGE AND THAT THIS
INFORMATION CAN/WILL BE USED FOR APPLICATION PURPOSES.
SIGNED:__________________________________________________DATED:_____________________
PLEASE RETURN TO: SETTLERS MILL OF OSHKOSH, LLC (at any of the following)
P.O. BOX 435, SLINGER WI 53086; Fax 262-224-1044; settlersmill@charter.net