Employment Application - The Playing Field

Equal Employment Opportunity Statement:

The Playing Field, Inc. is an Equal Opportunity/Affirmative Action Plan employer. Employment decisions will be based on the principles of equal opportunity. All personnel actions (recruiting, hiring, training, promotion, compensation, etc.) are administered without regard to any characteristic protected by state, federal or local law, assuming said characteristic does not interfere with the performance of essential job functions. Reasonable accommodations will be made for disabilities and religious beliefs. Please inform us of any necessary accommodations to the application process.

Personal Information

Name *

First

Last

Date *

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Phone *

Email *

Position and Availability

Position Applying For *

Date Available *

Preference

Full Time
Part Time

Desired Salary

Have you ever applied for a position with us before? *

If Yes, please specify date and position:

Are you legally permitted to work in the United States? *

How did you find out about this position?

Current Employee
Social Media
Other

If other, please share:

Please answer the following with yes or no:

Have you ever been convicted of child abuse, sexual assault or crimes against children? *

Have you ever served in the U.S. Military? *

Do you have access to reliable transportation? *

Are you available Monday through Friday from 7:30 AM to 5:30 PM? *

Education

Name of School

Location

Dates Attended

Major

Degree or Diploma Received

Name of School

Location

Dates Attended

Major

Degree or Diploma Received

Name of School

Location

Dates Attended

Major

Degree or Diploma Received

Name of School

Location

Dates Attended

Major

Degree or Diploma Received

Do you have a valid Wisconsin Registry Certificate?

If so, please provide the Level awarded.

Do you have any other relevant certifications or credentials?

Employment

Employer Name

Address

Address Line 1

Address Line 2

City

State

Zip Code

Supervisor Name

First

Last

Supervisor Email

May we contact this person?

Position/Title

Dates of Employment

MM/DD/YYYY to MM/DD?/YYY

Rate of Pay (beginning)

Rate of Pay (ending)

Job Duties

Reason for Leaving

Employer Name

Address

Address Line 1

Address Line 2

City

State

Zip Code

Supervisor Name

First

Last

Supervisor Email

May we contact this person?

Position/Title

Dates of Employment

MM/DD/YYYY to MM/DD?/YYY

Rate of Pay (beginning)

Rate of Pay (ending)

Job Duties

Reason for Leaving

Employer Name

Address

Address Line 1

Address Line 2

City

State

Zip Code

Supervisor Name

First

Last

Supervisor Email

May we contact this person?

Position/Title

Dates of Employment

MM/DD/YYYY to MM/DD?/YYY

Rate of Pay (beginning)

Rate of Pay (ending)

Job Duties

Reason for Leaving

Employer Name

Address

Address Line 1

Address Line 2

City

State

Zip Code

Supervisor Name

First

Last

Supervisor Email

May we contact this person?

Position/Title

Dates of Employment

MM/DD/YYYY to MM/DD?/YYY

Rate of Pay (beginning)

Rate of Pay (ending)

Job Duties

Reason for Leaving

Employer Name

Address

Address Line 1

Address Line 2

City

State

Zip Code

Supervisor Name

First

Last

Supervisor Email

May we contact this person?

Position/Title

Dates of Employment

MM/DD/YYYY to MM/DD?/YYY

Rate of Pay

Job Duties

Reason for Leaving

References

Name

First

Last

Address

Address Line 1

Address Line 2

City

State

Zip Code

Phone

Relationship

Name

First

Last

Address

Address Line 1

Address Line 2

City

State

Zip Code

Phone

Relationship

Name

First

Last

Address

Address Line 1

Address Line 2

City

State

Zip Code

Phone

Relationship

Professional Profile

What are your main areas of professional interest?

Why do you want to work for The Playing Field?

What are your career goals and aspirations?

Resume and Cover Letter

Upload your resume *

Click or drag a file to this area to upload.

Upload your cover letter *

Click or drag a file to this area to upload.

Authorization, Release, and Certification

All qualified applicants will receive consideration for employment without regard to sex, race, color, national origin or ancestry, age, handicap, marital status, source of income, class, physical characteristics, sexual orientation, or political beliefs as required by federal, state or local laws. No information on this application will be used for the purpose of discrimination on the basis of any such protected category.

I understand that receipt of this application does not guarantee a job interview or offer of employment. I understand that misrepresentation or omission of facts shall be sufficient cause for removal from consideration for employment or for dismissal after employment. I authorize a representative of The Playing Field to investigate without liability for providing such information. I also authorize listed employers and references without liability to make full response to any inquiries by The Playing Field in connection with my application for employment.

I understand this application will be considered active for six months and that if I wish to be considered after that time, I must reapply for employment. I must contact The Playing Field if I wish to have my application considered for any specific opening that occurs within that six month period. I acknowledge that I have read (or have had read to me) and understand this authorization, release, and certification.

Signature

Personal Information

Name *

First

Last

Date *

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Phone *

Email *

Position and Availability

Position Applying For *

Date Available *

Preference

Full Time
Part Time

Desired Salary

How did you find out about this position?

Current Employee
Social Media
Other

If other

Please answer the following with yes or no:

Have you ever been convicted of child abuse, sexual assault or crimes against children?

Do you have access to reliable transportation?

Are you available Monday through Friday from 7:30 AM to 5:30 PM?

Education

Name of School

Location

Dates Attended

Major

Degree or Diploma Received

Name of School

Location

Dates Attended

Major

Degree or Diploma Received

Name of School

Location

Dates Attended

Major

Degree or Diploma Received

Name of School

Location

Dates Attended

Major

Degree or Diploma Received

Other Training or Coursework

Employment

Employer Name

Address

Address Line 1

Address Line 2

City

State

Zip Code

Supervisor Name

First

Last

Supervisor Email

May we contact this person?

Position/Title

Dates of Employment

MM/DD/YYYY to MM/DD?/YYY

Rate of Pay (beginning)

Rate of Pay (ending)

Job Duties

Reason for Leaving

Employer Name

Address

Address Line 1

Address Line 2

City

State

Zip Code

Supervisor Name

First

Last

Supervisor Email

May we contact this person?

Position/Title

Dates of Employment

MM/DD/YYYY to MM/DD?/YYY

Rate of Pay (beginning)

Rate of Pay (ending)

Job Duties

Reason for Leaving

Employer Name

Address

Address Line 1

Address Line 2

City

State

Zip Code

Supervisor Name

First

Last

Supervisor Email

May we contact this person?

Position/Title

Dates of Employment

MM/DD/YYYY to MM/DD?/YYY

Rate of Pay (beginning)

Rate of Pay (ending)

Job Duties

Reason for Leaving

Employer Name

Address

Address Line 1

Address Line 2

City

State

Zip Code

Supervisor Name

First

Last

Supervisor Email

May we contact this person?

Position/Title

Dates of Employment

MM/DD/YYYY to MM/DD?/YYY

Rate of Pay (beginning)

Rate of Pay (ending)

Job Duties

Reason for Leaving

Employer Name

Address

Address Line 1

Address Line 2

City

State

Zip Code

Supervisor Name

First

Last

Supervisor Email

May we contact this person?

Position/Title

Dates of Employment

MM/DD/YYYY to MM/DD?/YYY

Rate of Pay

Job Duties

Reason for Leaving

References

Name

First

Last

Address

Address Line 1

Address Line 2

City

State

Zip Code

Phone

Relationship

Name

First

Last

Address

Address Line 1

Address Line 2

City

State

Zip Code

Phone

Relationship

Name

First

Last

Address

Address Line 1

Address Line 2

City

State

Zip Code

Phone

Relationship

Resume and Cover Letter

Upload your resume *

Click or drag a file to this area to upload.

Upload your cover letter *

Click or drag a file to this area to upload.

Authorization, Release, and Certification

Signature

Equal Employment Opportunity Statement:

Personal Information

Position and Availability

Please answer the following with yes or no:

Education

Employment

References

Professional Profile

Resume and Cover Letter

Authorization, Release, and Certification

Quick Links

Personal Information

Position and Availability

Please answer the following with yes or no:

Education

Employment

References

Resume and Cover Letter

Authorization, Release, and Certification