Lumberyard Bar & Grill Employment Application

Lumberyard
Bar & Grill Employment Application

Applicant Information

Last Name
First Name
M.I.
Date
Street Address
Apartment/Unit #
City
State
Zip
Phone
Email Address
Date Available To Start
Desired Salary
Position Applied for
Are you a citizen of the United States?
If no, are you authorized to work in the U.S.?
Have you ever worked for this company?
If so, when?
Have you ever been convicted of a felony?
If yes, explain

Education

High School
Address
From
To
Did you graduate?
Degree
College
Address
From
To
Did you graduate?
Degree
Other
Address
From
To
Did you graduate?
Degree

References

Please list three professional references.
Full Name
Relationship
Company
Phone
Address
Full Name
Relationship
Company
Phone
Address
Full Name
Relationship
Company
Phone
Address

Previous Employment

Company
Phone
Address
Supervisor
Job Title
Starting Salary $
Ending Salary $
Responsibilities
From
To
Reason for Leaving?
May we contact your previous supervisor for a reference?
May we contact your previous supervisor for a reference?
 
Company
Phone
Address
Supervisor
Job Title
Starting Salary $
Ending Salary $
Responsibilities
From
To
Reason for Leaving?
May we contact your previous supervisor for a reference?
May we contact your previous supervisor for a reference?
 
Company
Phone
Address
Supervisor
Job Title
Starting Salary $
Ending Salary $
Responsibilities
From
To
Reason for Leaving?
May we contact your previous supervisor for a reference?
May we contact your previous supervisor for a reference?

Military Service

Branch
From
To
Rank of Discharge
Type of Discharge
If other than honorable, explain
Do you have reliable transportation to and from work?
What shifts or days of the week (if any) are you unable to work?
Are you generally available on short notice in the event that someone is unable to work their shift?
Do you have preferred shift? (Check all that apply)
What do you like about the position you are applying for?
Why should Lumberyard Bar & Grill hire you?

Disclaimer and Signature

I certify that my answers are true and complete to the best of my knowledge.
If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.
Signature
Date

715-387-1920 or 715-305-8130

1651 N Central Ave
Marshfield, WI 54449

Restaurant Hours

Mon-Fri: 10:30am-10pm

Sat: 11am-10pm

Sun: 6:30am-8pm

Bar Hours

Nightly: Open Late

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Designed and hosted by Mueller Local.

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