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Application for Employment
Schuette, Inc. is an equal employment opportunity employer dedicated to a policy
of non-discrimination in employment based upon an individual's race, color,
creed, religion, age, sex, national origin, ancestry, marital status, sexual
orientation or the presence of any non job related medical condition or
disability. In reading and answering the following questions, please keep in
mind that none of the questions are intended to imply any limitations, illegal
preferences or discrimination based upon any non job related information. This
application will be given consideration, but its receipt does not imply that the
applicant will be interviewed or employed. Please contact the Human Resource
Department if you need an accommodation to participate in the application
process at 715-355-4500 ext. 308.
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POSITION APPLYING FOR
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Date of Application:
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Position Applied For:
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Date available to start:
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PERSONAL DATA
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First Name:
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Middle Initial:
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Last Name:
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Address:
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City:
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State:
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Zipcode:
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Daytime Phone #:
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Evening Phone #:
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E-Mail:
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GENERAL INFORMATION
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Have you ever applied for a job with this company in the past? If yes, please
give the date of application, the position for which you applied and state your
name at that time, if different from present name.
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Have you ever been employed by this company in the past? If yes, please give
dates of employment, positions held and state your name while employed, if
different from present name.
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If hired, will you be able to work during the normal days and hours required for
the position(s) for which you are applying? If no, please explain.
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Do you have any commitments to another employer that might affect your
availability for employment with our company? If yes, please explain.
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If hired, can you furnish proof that you are 18 years of age, or if under 18, do
you have a permit to work? If no, please explain.
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If hired, can you furnish proof that you are eligible to work in the United
States? (If unsure of the documents needed to prove eligibility to work in the
U.S., we will be happy to explain the legal requirements.) If no, please
explain.
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Do you now, or will you in the future, require Schuette, Inc. to sponsor an
employment visa for your continued employment?
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Have you been convicted of a felony, or released from prison in the past 10
years? Note: A yes answer does not automatically disqualify you from employment
since the nature of the offense, date and type of job for which you are applying
will be considered. If yes, please explain.
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Are you charged with an unresolved criminal charge (have you been charged with a
crime that has not yet resulted in a plea of guilty, court trial or dropping of
the charge)? Note: A yes answer will not automatically disqualify you from
employment. If yes, please explain.
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DO NOT ANSWER THE FOLLOWING QUESTIONS IF A JOB DESCRIPTION IS NOT
ATTACHED!
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Are you able to perform the tasks listed on the attached job description with or
without an accommodation?
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If necessary, what accommodation could we make that would allow you to perform
the essential functions of the job?
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Education
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School #1
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Type of School:
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School Name:
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City Located In:
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Years Attended:
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Graduated:
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Course of Study:
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School #2
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Type of School:
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School Name:
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City Located In:
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Years Attended:
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Graduated:
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Course of Study:
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School #3
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Type of School:
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School Name:
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City Located In:
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Years Attended:
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Graduated:
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Course of Study:
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School #4
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Type of School:
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School Name:
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City Located In:
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Years Attended:
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Graduated:
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Course of Study:
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School #5
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Type of School:
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School Name:
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City Located In:
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Years Attended:
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Graduated:
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Course of Study:
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Additional JOB-RELATED seminars, short courses, workshops or other educational
experiences:
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JOB-RELATED certificates, licenses, equipment qualified to operate, computer
hardware and software operated and other JOB RELATED special skills and
abilities:
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Employment History
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Job #1
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Company Name:
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Address:
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City, State, Zipcode:
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Job Title & Duties:
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Dates of Employment (From, To):
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Final Salary:
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Supervisor (and phone # if known)
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Your name when employed, if different from present:
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Reason For Leaving:
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May we contact?
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Job #2
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Company Name:
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Address:
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City, State, Zipcode:
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Job Title & Duties:
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Dates of Employment (From, To):
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Final Salary:
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Supervisor (and phone # if known)
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Your name when employed, if different from present:
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Reason For Leaving:
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May we contact?
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Job #3
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Company Name:
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Address:
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City, State, Zipcode:
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Job Title & Duties:
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Dates of Employment (From, To):
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Final Salary:
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Supervisor (and phone # if known)
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Your name when employed, if different from present:
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Reason For Leaving:
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May we contact?
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Job #4
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Company Name:
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Address:
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City, State, Zipcode:
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Job Title & Duties:
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Dates of Employment (From, To):
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Final Salary:
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Supervisor (and phone # if known)
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Your name when employed, if different from present:
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Reason For Leaving:
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May we contact?
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Job #5
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Company Name:
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Address:
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City, State, Zipcode:
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Job Title & Duties:
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Dates of Employment (From, To):
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Final Salary:
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Supervisor (and phone # if known)
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Your name when employed, if different from present:
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Reason For Leaving:
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May we contact?
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References
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Reference #1
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Name:
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Address:
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Phone:
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Occupation:
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Reference #2
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Name:
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Address:
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Phone:
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Occupation:
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Reference #3
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Name:
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Address:
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Phone:
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Occupation:
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Reference #4
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Name:
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Address:
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Phone:
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Occupation:
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Reference #5
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Name:
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Address:
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Phone:
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Occupation:
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OTHER JOB-RELATED EXPERIENCE. Some people gain job-related experience in
positions other than as an employee. For instance, an accountant may gain
experience as a treasurer of a civic or school organization, or a manager may
gain experience while working on civic projects, in school organizations or in
PTA activities. Please list and describe any paid or unpaid activities, honors,
experience or training that might aid you in performing the job(s) for which you
have applied, and have not been listed previously in this application. (You may
omit any activities, honors, memberships or other items that tend to identify
your race, sex, national origin, age, disability or other personal traits that
you prefer not to disclose.)
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Please add any additional information (except that which identifies your race,
sex, age, religion, national origin, disability or other non-job-related
personal information) that you think may be relevant to a decision to hire you.
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Important Information
Release of Information
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