Please list your work experience for the past five years beginning with your most recent job held. If you were self-employed, give firm name. Attach additional sheets if necessary.

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In exchange for the consideration of my job application by Table 65, LLC I agree that: Neither the acceptance of this application nor the subsequent entry into any type of employment relationship, either in the position applied for or any other position, and regardless of the contents of employee handbooks, personnel manuals, benefit plans, policy statements, and the like as they may exist from time to time, or other Table 65 practices, shall serve to create an actual or implied contract of employment, or to confer any right to remain an employee of Table 65, LLC, or otherwise to change in any respect the employment-at-will relationship between it and the undersigned, and that relationship cannot be altered except by a written instrument signed by Owners of Table 65, LLC Patrick and Ann Hall. Both the undersigned and Table 65, LLC may end the employment relationship at any time, without specified notice or reason. If employed, I understand that Table 65, LLC may unilaterally change or revise their benefits, policies and procedures and such changes may include reduction in benefits. I authorize investigation of all statements contained in this application. I understand that the misrepresentation or omission of facts called for is cause for dismissal at any time without any previous notice. I hereby give the Table 65, LLC permission to contact schools, previous employers (unless otherwise indicated), references, and others, and hereby release the Table 65, LLC from any liability as a result of such contact. I further understand that my employment with Table 65, LLC shall be probationary for a period of one hundred eighty (180) days, and further that at any time during the probationary period or thereafter, my employment relation with Table 65, LLC is terminable at will for any reason by either party.

Under the provision so of Section 19.36 Wisconsin State Statutes, I request that my identity as an applicant for employment not be revealed without my consent or until required by law.

Table 65, LLC is an equal employment opportunity employer. We adhere to a policy of making employment decisions without regard to race, color, national origin, religion, sex, sexual orientation, marital status, citizenship, military service membership, age or disability. We assure you that your opportunity for employment with Table 65, LLC depends solely on your qualifications. Thank you for completing this application form and for your interest in employment with Table 65, LLC.