International Employment Form

Paul Bunyan Restaurants
Application for Employment
International Questionnaire

Minocqua Location
8653 U.S. 51 North
Minocqua, WI 54548
(715) 356-6270

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

WP I-9 W4 R&R Date Hired: ______________

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)

Age: ________ Male ________ Female ______

Country of Origin ________________________ 		If Yes, Age Info During Interview
Date of Birth: ___________________________

Current Age: ___________________________


Home Address: ________________________________________________________________________

_____________________________________________________________________________________

We will contact you for an interview:

Phone ( ______) _________________ E-mail __________________________________________

Education

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

Past Work Experiences _____________________________________________________________________

________________________________________________________________________________________

________________________________________________________________________________________

Your Work Interests ________________________________________________________________________

_________________________________________________________________________________________

Personal Interests/Talents (Hobbies, etc.) _______________________________________________________

________________________________________________________________________________________

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. ____________________________________

______________________________________________________________________________________

______________________________________________________________________________________

Available for work – Starting _________________ Ending ______________________

Can you stay until the end of September or later? _____________________________

Answer by Paper Mail

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