Outagamie County 4-H Dairy Bar Superintendent Application – 2017
Date completing Application: ______
Name ______Phone ______Cell ______
Address ______City ______Zip______
E-mail address ______
Dairy Bar hours Super I A.M. Super I P.M. Super II A.M. Super II P.M.
Monday 9 am – 4 pm
Tues. 4-9 Noon – 5 pm 4:30 pm – 9:30 pm 2 pm – 6 pm 6 pm – 10 pm
Wed. 10-10 8 am – 3:30pm 2:30 pm – 10:30 pm 9:30 am – 4:00 pm 4 pm – 10:30 pm
Thurs. 7-10 5:30 am – 2:30 pm 1:30 pm – 10:30 pm 7 am – 3 pm 3 pm – 10:30 pm
Fri. 7-10 5:30 am – 2:30 pm 1:30 pm – 10:30 pm 7 am – 3 pm 3 pm – 10:30 pm
Sat. 8-10 6:30 am – 3:30 pm 2:30 pm – 10:30 pm 8 am – 3 pm 3 pm – 10:30 pm
Sunday 8-6 6:30 am – 12:30 pm Noon – 7:30 pm 8 am – 1:30 pm 1:30 pm – 7:30 pm
Monday 7:30 am – 1:30 pm TOTAL 52 ½ hours 52 ½ hours 39 hours 39 hours HOURS Pay $600 $600 $300 $300
Circle position(s) applying for: Superintendent I-AM Superintendents I-PM
Superintendent II-AM Superintendent II-PM
**Please note: Both Superintendent 1 positions will be expected to work 10-12.5 hours prior to fair week. These additional hours are for the purchasing of items, ordering of food and preparing paperwork.
***Applicants must be 18 year of age or older.
Do you have any certification in the food industry and if so what?
D:\Docs\2018-04-14\084e5b06a5b0d6425eaee9a7b7221a38.docx Can you be on your feet working for at least 9 hours? (If no, explain)
Can you lift at least 40lbs?
Have you worked in the Outagamie 4-H Dairy Bar? What role(s)? How long? When?
What skills or experiences do you have working with kids and adults?
What qualifications or experience can you bring to the job of Dairy Bar Superintendent?
Have you gone through 4-H Volunteer Orientation? ______**If no – it is required!
**If yes—what club are you affiliated with? ______
Please give two references: (Not related to you)
Name ______Phone ______Relationship ______
Name ______Phone ______Relationship ______
Please return this form to the UW-Extension Office, Attn. Vicki, 3365 W. Brewster St., Appleton, WI 54914 by January 1, 2017.
D:\Docs\2018-04-14\084e5b06a5b0d6425eaee9a7b7221a38.docx