Paul Bunyan's Restaurant

8653 Hwy 51. N.
Minocqua, WI 54548

Hwy. 13 - I 90-94- Exit # 87
Wisconsin Dells, WI 53965

Paul Bunyan Employment Form

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Minocqua Location
8653 U.S. 51 North
Minocqua, WI (715) 356-6270

Dells Location
411 Hwy. 13
Wisconsin Dells, WI 53965
(608) 254-8717

WP I-9 W4 R&R

Applicants are considered for all positions without regard to race, color, religion, sex, national origin, age, marital or veteran status, or the presence of a non-job-related medical condition or handicap.

For Office Use Only
Date Started: ____________Date Ended: ______________Employee No. ______________

Name: ___________________________________________________________________________ (Last, First, Middle)

Social Security Number _________/________/__________

Are You Under 18 Years? ________________

Home Address: _________________________________________________________________

Email: ___________________________Home Phone ________)_________________________

Present or School Address ________________________________________________________

_________________________________________________ Phone (____)_________________

Summer Address _______________________________________________________________

Phone (_________)_________________ Referred by _________________________________

What Method of Transportation Will You Use To Get To Work?__________________________

Available To Work _________ Full-Time _________ Part-Time

Specify Days and Hours If Part-Time _______________________________________________

Present Military Status __________________________________________________________

Hobbies, Skills, Talents _________________________________________________________

Employment Information

Position Desired (1) ____________________________________ (2) ______________________

Salary Anticipated _____________________ When Can You Start? _______________________

Must Leave? ____________________________________________ School Starts? ___________

Employed Now? _____ Where? ___________________________ Type of Work? _____________

Have You Worked Here Before? ________ When and What Type of Work? __________________

Explain Any Scheduling Limitations ________________________________________________

______________________________________________________________________________

Have You Any Summer Commitments Requiring Your Time? Explain _____________________

______________________________________________________________________________

Location Desired Minocqua Wisconsin Dells

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Education

	Name and Location of School	Years	Date Graduated	Subjects Studied
High School
College
Trade, Bus., Or Other

What Foreign Language(s) Do You Speak? _________________________________________

Read? __________________________________ Write? _____________________________

Former Employees: List Your Last Two Employers, Starting With Last One First

	When Month/Year	Name and Address of Employer	Salary Position	Reason Left
1	From To
2	From To

References: Other Than Relatives or Employers

	Name	Address	Business	Years Acquainted
1
2
3

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Do you have any physical or medical impairment or disability that would limit your job performance in the position for which you are applying? Yes ______ No _______

If yes, this will be discussed in confidence during the interview. _________________

_____________________________________________________________________

In Case of Emergency - Notify (Name, Address and Phone Number _____________________

_____________________________________________________________________________

Signature of Parent or Guardian ___________________________________________________

The information given is accurate to the best of my knowledge and I authorize investigation
of all statements in this application. I also understand that there are operational, conduct
and personal appearance rules and regulations set out by the management of the Paul Bunyan,
and that they must be followed.

___________________________________________________________________________
Signature and Date of Applicant

We are interviewing ____________________________________________________at Minocqua.

for both locations on ___________________________________________________at Wisconsin Dells

Return this form by mail _______

Return this form with you ______

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