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Employment Application

"*" indicates required fields

Applicant Information

Name*

First Last

Email*

Phone*

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Date Available

Month

Day

Year

Desired Salary

Position applied for:

Are you over the age of 18?*

Yes

No

Are you a U.S. citizen?*

Yes

No

Are you authorized to work in the U.S.?*

Yes

No

Have you ever worked for this company?*

Yes

No

Have you ever been convicted of a felony?*

Yes

No

Why were you convicted of a felony?*

Why would you be a valuable asset to our company?

Do you have experience in the food industry and/or with food safety?

Education

High School

Address

Street Address City State / Province / Region ZIP / Postal Code

From:

MM slash DD slash YYYY

To:

MM slash DD slash YYYY

Did you graduate?

Yes

No

Diploma

College

Address

Street Address City State / Province / Region ZIP / Postal Code

From:

MM slash DD slash YYYY

To:

MM slash DD slash YYYY

Did you graduate?

Yes

No

Diploma

Add other education?

Yes

Other education

Address

Street Address City State / Province / Region ZIP / Postal Code

From:

MM slash DD slash YYYY

To:

MM slash DD slash YYYY

Degree / credentials

References

Please list three personal references:

Reference #1

Full Name

Relationship

Company

Phone

Address

Street Address City State / Province / Region ZIP / Postal Code

Reference #2

Full Name

Relationship

Company

Phone

Address

Street Address City State / Province / Region ZIP / Postal Code

Reference #3

Full Name

Relationship

Company

Phone

Address

Street Address City State / Province / Region ZIP / Postal Code

Previous Employment

Employer #1

Company

Phone

Address

Street Address City State / Province / Region ZIP / Postal Code

Supervisor

Job Title

Starting Salary

Ending Salary

Responsibilities

From:

Month

Day

Year

To:

Month

Day

Year

Reason for leaving:

May we contact your previous supervisor for a reference?

Yes

No

Employer #2

Company

Phone

Address

Street Address City State / Province / Region ZIP / Postal Code

Supervisor

Job Title

Starting Salary

Ending Salary

Responsibilities

From:

MM slash DD slash YYYY

To:

MM slash DD slash YYYY

Reason for leaving:

May we contact your previous supervisor for a reference?

Yes

No

Employer #3

Company

Phone

Address

Street Address City State / Province / Region ZIP / Postal Code

Supervisor

Job Title

Starting Salary

Ending Salary

Responsibilities

From:

MM slash DD slash YYYY

To:

MM slash DD slash YYYY

Reason for leaving:

May we contact your previous supervisor for a reference?

Yes

No

Disclaimer and E-Signature*

I certify that my answers are true and complete to the best of my knowledge. I authorize The Meat Block to investigate any statement contained in this application.

If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.

I agree

Today's date*

MM slash DD slash YYYY

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Contact

Greenville
N1739 Lily of the Valley Dr
Greenville, WI 54942

(920) 757-6622
Monday - Friday: 9:00 a.m. to 6:00 p.m.
Saturdays: 9:00 a.m. to 4:00 p.m.

Kaukauna
600 County Rd KK
Kaukauna, WI 54130

(920) 766-3239
Monday - Friday: 8:00 a.m. to 6:00 p.m.
Saturdays: 8:00 a.m. to 3:00 p.m.

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The Meat Block Brands

The Meat Block family of business is comprised of three distinctive brands. The Meat Block, a full-service meat market. BBQ Pits n’ Spits, a retail grill and grilling accessories store and CHEF, our on-site chef, providing busy families with delicious meals that can be brought home and enjoyed together at the family dinner table.

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