<p>715-552-0564 1616 N. Clairemont Eau Claire, WI 54703 </p><p>______APPLICATION FOR EMPLOYMENT (PRE-EMPLOYMENT QUESTIONAIRE) (AN EQUAL OPPORTUNITY EMPLOYER) PERSONAL INFORMATION Date:______</p><p>NAME:______Last First Middle</p><p>PRESENT ADDRESS______Street City State Zip</p><p>PHONE NO.:(____) ______Are you 18 years or older? ______YES NO</p><p>EMPLOYMENT DESIRED</p><p>POSITION______DATE YOU CAN START ______SALARY DESIRED ______</p><p>ARE YOU EMPLOYED NOW? ______IF SO MAY WE INQUIRE OF YOUR PRESENT EMPLOYER? ______</p><p>REFERRED BY:______</p><p>NAME & *NO OF YEARS *DID YOU SUBJECTS EDUCATION LOCATION OF ATTEND GRADUATE STUDIED SCHOOL HIGH SCHOOL</p><p>COLLEGE</p><p>“I understand that all information submitted by me in this application is true and complete, and I understand that if any false information, omissions, or misrepresentation are discovered, my application may be rejected and, if I am employed, my employment may be terminated at any time. In consideration of my employment, I agree to conform to the company’s rules and regulations, and I agree that my employment and compensation can be terminated, with or without cause, and with or without notice, at any time, at either my or the company’s option. I also understand and agree that the terms and conditions of my employment may be changed, with or without cause, and with or without notice, at any time by the company.”</p><p>DATE ______SIGNATURE ______Please fill out the information on the back side also (OVER) SHORT ANSWER What makes you want to be a part of Bowl Winkle’s?</p><p>What skills, attributes, or ideas make you a great candidate for Bowl Winkle’s?</p><p>FORMER EMPLOYERS (List below last four employers, starting with most recent employer) NAME & PHONE DATE REASON FOR NUMBER OF SALARY POSITION MONTH & YEAR LEAVING EMPLOYER FROM TO FROM TO FROM TO FROM TO</p><p>Which of these jobs did you like best and why?______</p><p>REFERENCES: Give the names of two people not related to you, whom you have known at least one year.</p><p>NAME PHONE NUMBER BUSINESS YEARS ACQUAINTED</p><p>1.</p><p>2.</p><p>IN CASE OF EMERGENCY NOTIFY:</p><p>NAME ADDRESS PHONE NUMBER</p><p>Hours available to work:______</p>