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