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WORK APPLICATIONDate: Street Address /26/2024Last NameNybergFirst NameHowardMiddle NameSPresent Address (number, street, city, state, zip code)1821 US Highway 12/18 Deerfield, Wisconsin 53531Home PhonePHONE NUMBER AVAILABLEE-Mail AddressEMAIL AVAILABLEAlternate PhoneWhat shift(s) are you available to work?FirstSecondThirdMorningsAfternoonsEveningsRotatingWeekendNon-StandardTypes of Employment Preferred (Check more than one box if desired)Permanent (Full Time)Permanent (Part Time)Temporary (Full Time)Temporary (Part Time)On CallProject / ContractOn Call TemporaryApprenticeInternshipWhat days are you available to work?Monday-FridayWeekends OnlyNon-StandardMondayTuesdayWednesdayThursdayFridaySaturdaySundayDo you have transportation available?YesNoDo you have a valid drivers license?YesNoAre you 18 or older?YesNoAre you a veteran?YesNoDesired SalaryEDUCATION AND TRAININGCheck the box next to the highest grade or year completed in school:123456789101112Do you have a High School Diploma, HSED, or GED?Yes NoHighest grade completed in collegeName of SchoolDates AttendedCourse(s) of StudyDegree / AwardsFromToSunnyside School7/20224/2023ServeSafeServeSafeSunnyside School7/20223/2023ServeSafeSunnyside School5/20222/2023ServeSafeServeSafeCERTIFICATIONS, LICENSES, AWARDSServeSafe Certified 2022 Through 2027jobcenterofwisconsin.comWORK EXPERIENCEEmployerSandridge Secure Treatment CenterFrom (Month/Year)1/2004To (Month/Year)2/2023City, StateMauston, WisconsinYour Title(s)Kitchen AssistantYour Duties Add cutlery, napkins, food, and other items to trays on assembly lines in hospitals, cafeterias, airline kitchens, and similar establishments. Assemble meal trays with foods in accordance with patients' diets. Assist cooks and kitchen staff with various tasks as needed, and provide cooks with needed items. Carry food supplies, equipment, and utensils to and from storage and work areas. Clean and sanitize work areas, equipment, utensils, dishes, or silverware. Distribute menus to hospital patients, collect diet sheets, and deliver food trays and snacks to nursing units or directly to patients. Inform supervisors when equipment is not working properly and when food and supplies are getting low, and order needed items. Load dishes, glasses, and tableware into dishwashing machines. Mix ingredients for green salads, molded fruit salads, vegetable salads, and pasta salads. Prepare a variety of foods, such as meats, vegetables, or desserts, according to customers' orders or supervisors' instructions, following approved procedures. Prepare and serve a variety of beverages such as coffee, tea, and soft drinks. Remove trash and clean kitchen garbage containers. Store food in designated containers and storage areas to prevent spoilage. Take and record temperature of food and food storage areas, such as refrigerators and freezers. Use manual or electric appliances to clean, peel, slice, and trim foods. Vacuum dining area and sweep and mop kitchen floor. Wash, peel, and cut various foods, such as fruits and vegetables, to prepare for cooking or serving. Weigh or measure ingredients.EmployerSandridge Secure Treatment CenterFrom (Month/Year)1/2004To (Month/Year)2/2023City, StateMauston, WisconsinYour Title(s)Kitchen AssistantYour Duties Add cutlery, napkins, food, and other items to trays on assembly lines in hospitals, cafeterias, airline kitchens, and similar establishments. Assemble meal trays with foods in accordance with patients' diets. Assist cooks and kitchen staff with various tasks as needed, and provide cooks with needed items. Butcher and clean fowl, fish, poultry, and shellfish to prepare for cooking or serving. Carry food supplies, equipment, and utensils to and from storage and work areas. Clean and sanitize work areas, equipment, utensils, dishes, or silverware. Cut, slice or grind meat, poultry, and seafood to prepare for cooking. Distribute food to waiters and waitresses to serve to customers. Distribute menus to hospital patients, collect diet sheets, and deliver food trays and snacks to nursing units or directly to patients. Inform supervisors when equipment is not working properly and when food and supplies are getting low, and order needed items. Keep records of the quantities of food used. Load dishes, glasses, and tableware into dishwashing machines. Mix ingredients for green salads, molded fruit salads, vegetable salads, and pasta salads. Package take-out foods or serve food to customers. Place food trays over food warmers for immediate service, or store them in refrigerated storage cabinets. Portion and wrap food, or place it directly on plates for service to patrons. Prepare a variety of foods, such as meats, vegetables, or desserts, according to customers' orders or supervisors' instructions, following approved procedures. Prepare and serve a variety of beverages such as coffee, tea, and soft drinks. Receive and store food supplies, equipment, and utensils in refrigerators, cupboards, and other storage areas. Remove trash and clean kitchen garbage containers. Scrape leftovers from dishes into garbage containers. Stir and strain soups and sauces. Stock cupboards and refrigerators, and tend salad bars and buffet meals. Store food in designated containers and storage areas to prevent spoilage. Take and record temperature of food and food storage areas, such as refrigerators and freezers. Use manual or electric appliances to clean, peel, slice, and trim foods. Vacuum dining area and sweep and mop kitchen floor. Wash, peel, and cut various foods, such as fruits and vegetables, to prepare for cooking or serving. Weigh or measure ingredients.EmployerSandridge Secure Treatment CenterFrom (Month/Year)1/2004To (Month/Year)2/2023City, StateMauston, WisconsinYour Title(s)Kitchen AssistantYour Duties Add cutlery, napkins, food, and other items to trays on assembly lines in hospitals, cafeterias, airline kitchens, and similar establishments. Assemble meal trays with foods in accordance with patients' diets. Assist cooks and kitchen staff with various tasks as needed, and provide cooks with needed items. Carry food supplies, equipment, and utensils to and from storage and work areas. Clean and sanitize work areas, equipment, utensils, dishes, or silverware. Cut, slice or grind meat, poultry, and seafood to prepare for cooking. Distribute food to waiters and waitresses to serve to customers. Distribute menus to hospital patients, collect diet sheets, and deliver food trays and snacks to nursing units or directly to patients. Distribute menus to hospital patients, collect diet sheets, and deliver food trays and snacks to nursing units or directly to patients. Inform supervisors when equipment is not working properly and when food and supplies are getting low, and order needed items. Keep records of the quantities of food used. Load dishes, glasses, and tableware into dishwashing machines. Mix ingredients for green salads, molded fruit salads, vegetable salads, and pasta salads. Portion and wrap food, or place it directly on plates for service to patrons. Prepare a variety of foods, such as meats, vegetables, or desserts, according to customers' orders or supervisors' instructions, following approved procedures. Prepare and serve a variety of beverages such as coffee, tea, and soft drinks. Receive and store food supplies, equipment, and utensils in refrigerators, cupboards, and other storage areas. Remove trash and clean kitchen garbage containers. Scrape leftovers from dishes into garbage containers. Stock cupboards and refrigerators, and tend salad bars and buffet meals. Store food in designated containers and storage areas to prevent spoilage. Take and record temperature of food and food storage areas, such as refrigerators and freezers. Use manual or electric appliances to clean, peel, slice, and trim foods. Vacuum dining area and sweep and mop kitchen floor. Wash, peel, and cut various foods, such as fruits and vegetables, to prepare for cooking or serving. Weigh or measure ingredients.EmployerFrom (Month/Year)To (Month/Year)City, StateYour Title(s)Your DutiesSPECIFIC SKILLSPreparing FoodServing FoodCleaning, Stripping & Waxing Floors, High Speed BufferReferences available upon Request