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Kenosha Kingfish Employment Application 7817 Sheridan Rd. Kenosha WI 53143 Phone 262-653-0900 Last Name First M. I understand that if employed false statements on this application shall be considered cause for dismissal and I shall forfeit my position. Statement of Applicant I authorize my former employers to furnish their records of my service. This includes all information they have concerning me. Whether on record or not. I also release my former employers from any liability for any damage in providing this information. Signature of ApplicantDate The Kenosha Kingfish are an equal opportunity/affirmative action employer. I. Present Address Are you over 18 years old Apt. City State Position Applied For Salary Desired Have you ever applied with us before If yes when and for what position Zip Code Phone Number Have you ever been employed by this company If yes when and what position did you hold Email Address How did you hear about the position what and when Education High School Circle Highest Level Completed of High School Completed Address Are you a legal U. S citizen Completed Major Studies Degree Received College/University Vocational Business Other List any other special qualifications knowledge or skills Technical Skills Computer programs cash register tools/equipment Employment History Please list places of employment starting with the most recent. Sections must be filled out completely and accurately or applicant will not be considered for employment. Name of Employer Job Title Start Date End Date Starting Salary Ending Salary Address of Employer Name of Supervisor Company Reason for Leaving Telephone Description of Job References Please list three non-related references. Name Title Length of Relationship Certificate of Applicant The facts set forth above in my application are true and complete. I understand that if employed false statements on this application shall be considered cause for dismissal and I shall forfeit my position* Statement of Applicant I authorize my former employers to furnish their records of my service. This includes all information they have concerning me. Whether on record or not. I also release my former employers from any liability for any damage in providing this information* Signature of ApplicantDate The Kenosha Kingfish are an equal opportunity/affirmative action employer. All qualified applicants will be considered without regard to age race color sex religion national origin martial status ancestry citizenship veteran status sexual orientation or preference or physical or mental disability. I. Present Address Are you over 18 years old Apt. City State Position Applied For Salary Desired Have you ever applied with us before If yes when and for what position Zip Code Phone Number Have you ever been employed by this company If yes when and what position did you hold Email Address How did you hear about the position what and when Education High School Circle Highest Level Completed of High School Completed Address Are you a legal U. S citizen Completed Major Studies Degree Received College/University Vocational Business Other List any other special qualifications knowledge or skills Technical Skills Computer programs cash register tools/equipment Employment History Please list places of employment starting with the most recent.

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