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Kolbe & Kolbe Millwork Co., Inc.

1323 S. 11th Avenue   Wausau, WI 54401

APPLICATION FOR EMPLOYMENT

All candidates for employment will receive consideration without discrimination because of race,
creed, color, gender, age, national origin, disability, veteran status,
or any other status protected by local, state, or federal laws.

-- An Equal Opportunity Employer --


PERSONAL

Last Name:  First Name:  Middle Initial: 

Address:  City:  State:  Zip: 

Telephone Numbers:   Home: Cell: 

Email:     

Are you over the age of 18:   


Position Applied For:  Pay Expected $: 

How did you learn of this opening: 

Employment Desired (check all that apply):             

Shifts Willing to Work (check all that apply):               

Have you ever worked for us before?         If yes, give dates:    to   

If hired, what date will you be available?     Comments:

Will you work overtime if required?     


Are you legally eligible for employment in the U.S.?     
(Proof of citizenship or immigration status will be required upon employment.)

Have you ever been discharged or asked to resign?     

If yes, explain in full: 

Have you ever been convicted of a felony?     
(Such a conviction may be relevant, but does not necessarily bar you from employment.)

If yes, explain in full: 


PRIOR WORK HISTORY    (List in order, last or present employer first.
From Date To Date Employer Supervisor
Name:     Name: 
Address:  Title:   
Starting Pay Rate Ending Pay Rate City-State-Zip:
Phone:         
Reason for leaving:
Summarize your work & responsibilities:


From Date To Date Employer Supervisor
Name:     Name: 
Address:  Title:   
Starting Pay Rate Ending Pay Rate City-State-Zip:
Phone:         
Reason for leaving:
Summarize your work & responsibilities:


From Date To Date Employer Supervisor
Name:     Name: 
Address:  Title:   
Starting Pay Rate Ending Pay Rate City-State-Zip:
Phone:         
Reason for leaving:
Summarize your work & responsibilities:


From Date To Date Employer Supervisor
Name:     Name: 
Address:  Title:   
Starting Pay Rate Ending Pay Rate City-State-Zip:
Phone:         
Reason for leaving:
Summarize your work & responsibilities:

PERSONAL REFERENCES    (Excluding former employers or relatives.)
1. Name:               Occupation:    
Address:            Work Phone:   
City-State-Zip:  Cell Phone:     
Years Known:   E-mail:            


2. Name:               Occupation:    
Address:            Work Phone:   
City-State-Zip:  Cell Phone:     
Years Known:   E-mail:            


3. Name:               Occupation:    
Address:            Work Phone:   
City-State-Zip:  Cell Phone:     
Years Known:   E-mail:            

EDUCATION BACKGROUND
High School Name:               Years Attended: 
Address:            Graduated:   
City-State-Zip: 


College Name:               Years Attended: 
Address:            Graduated:   
City-State-Zip:  Major:     


Post Graduate Name:               Years Attended: 
Address:            Graduated:   
City-State-Zip:  Major:     


Business or Trade Name:               Years Attended: 
Address:            Graduated:   
City-State-Zip:  Major:     


Other:
Name:               Years Attended: 
Address:            Graduated:   
City-State-Zip:  Major:     


Other:
Name:               Years Attended: 
Address:            Graduated:   
City-State-Zip:  Major:     

MILITARY SERVICE RECORD

Have you ever served in the Armed Services?     
Dates of Duty:      to   


APPLICANT'S STATEMENT
I certify that answers given herein are true and complete to the best of my knowledge.

I agree and understand that this application for employment in no way obligates Kolbe & Kolbe to employ me.

I agree that my employment may be terminated by this company at any time without liability for wages or salary except such as may have been earned at the date of such termination. If requested by the management at any time, I agree to submit to search of my person or of any locker that may be assigned to me, and I hereby waive all claims for damage on account of such examination.

I hereby acknowledge that any employment relationship with Kolbe & Kolbe will be of an "at will" nature, which means that the employee may resign at any time and the employer may discharge the employee at any time with or without cause. It is further understood that this "at will" employment relationship may not be changed by any written document or by conduct unless such change is specifically acknowledged in writing by an authorized executive of the company.

I agree and understand that if I am hired I may be on a probationary period during which time I may be discharged without recourse.

Although management makes every effort to accommodate individual preferences, business needs may at times make the following conditions mandatory: overtime, shift work, a rotating work schedule, or a work schedule other than Monday through Friday. I understand and accept these as conditions of my continuing employment.

I agree to submit to any drug testing or drug screening that may be requested by Kolbe & Kolbe Millwork Co., Inc. as part of the employment process. I further agree that a positive result in the results of drug screening will result in my disqualification as a candidate for employment.

In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge. I understand, also, that I am required to abide by all rules and regulations of the employer.

I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision.

I authorize Kolbe & Kolbe and its representatives to contact any references they see fit and authorize those references to give any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise, and release all parties from all liability for any damage that may result from furnishing this information.

I agree with the above statement (required).  

Email me a copy of this application to the address I entered at top of form.  

Attach a resume, cover letter, or other documents to include with your application.
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