Application

Name: Henke, Todd W.                         Social Sec.#: 502-96-4853
 

Address: 720 30th St. B

Phone: 303-449-0812

Are you employed?: No

Ever applied here before?: No

Referred by: Daily Camera ad. (internet)

Salary desired:  $10.00/hr.

Grammer School: Streeter Public School, Streeter ND

High School: Streeter Public High School, Streeter ND
                     Graduated 1986

Dickinson State University: Dickinson ND
1 year, Sociology, and Psycology.

Special Study / Training:   I have extensive computer skills, and have 5 years bartending experience.

Military/Naval Service: 3 yrs US Army   (E-3)

8-01-00 thru 6-01-03  Nederland International Hostel / Luciano Martell
     $10.00 / hr    Maintenance / Customer Service

06-15-02 thru 01-01-03    Private Construction        Alvin Schumacker
     $12.00 / hr    Building construction, and finish construction.

02-01-00 thru 07-15-00   Aspen Media
     $10.00 / hr.      Telemarketing.

References:
 
Luciano Martell       #8 Boulder rd. S., Nederland CO, 80466
Nederland International Hostel                        Known 3 years

John Lovelace  #2 Wagon Wheel Rd., Rollinsville CO
Black Forest Inn                                  Known 3 years

Charles Wright   214 1/2 Main St., Jamestown ND 48442
Eagles Club                                          Known 15 years

Date:_____________Signature_________________________________
 
Interviewed by:__________________________Date:_______________

EMPLOYER SECTION:

REMARKS:
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Neatness:__________________Character:__________________________
 
Personality:_________________Ability:____________________________
 
Hired:_____Dept:______Pos:______Will report______Wage______
 
Approved:1_________________2________________3______________
                         Manager                        Dept. Head            Gen Manager