Tim Metcalfe Kevin Metcalfe Wauwatosa, www.shopmetcalfes

1 Dear Applicant, Thank you for your interest in joining the Metcalfe 's family! Metcalfe 's strives to be a place where you can dream, you can achieve and you can have an opportunity to make both your professional and personal goals a reality; a place where you can be empowered to work hard, express your individuality, to achieve your objectives and to participate in an experience that is as unique as our employees. As an integral part of the Metcalfe 's family, you will enjoy the rewards brought on by experience, achievement, recognition and success. To best serve our customers, e ectively run our business, and maintain our unique culture, we select self-motivated individuals who promote teamwork by example and those who are enthusiastic about customer service! If you are honest, dependable, friendly, love food and have a willingness to learn ~ then we are interested in you!

2 Please take a moment to read and complete the attached employment application, it is important to make sure that the information on the application is complete and accurate prior to submitting it. Due to the high volume of applications we receive, unfortunately we will not be able to contact each applicant that expresses an interest in employment. Metcalfe 's Store Directors will contact those applicants that best match the quali cations and requirements of the position. Application forms will only be e ective for a period of 30 calendar days. Metcalfe 's recognizes that each individual has a choice in where they shop and where they work and we genuinely appreciate each individual that expresses an interest in becoming a part of the Metcalfe 's family. Metcalfe 's Market 726 N Midvale Blvd Madison, WI 53705. We look forward to receiving your application, Phone: Email: Hilldale Mall, Madison , WI.

3 Email: Phone: West, Madison, WI. Email: Phone: Tim Metcalfe Kevin Metcalfe Wauwatosa, WI. Email: President & Co-Owner Vice-President & Co-Owner Phone: Metcalfe 's Market is proud to be a drug free workplace.. Metcalfe 's Market Hilldale Mall, Madison, WI. West Towne, Madison, WI. 68th & State, Wauwatosa, WI. APPLICATION FOR FULL & PART-TIME EMPLOYMENT. Thank you for your interest in joining Metcalfe 's Market! Metcalfe 's seeks individuals who are enthusiastic about customer service and who would love to work in an exceptional culinary environment. Metcalfe 's policy is to hire, retain, compensate, promote and terminate on the basis of qualifications, merit and performance of duty only. Metcalfe 's will afford equal employment opportunity to all qualified individuals, regardless of race, creed, color, religion, national origin, ancestry, social origin, age, marital status, military service, veteran status, arrest/conviction record, disability, sex (including pregnancy & childbirth), sexual orientation, gender identity, use or nonuse of lawful products off premises during nonworking hours, physical appearance, genetic identity, political beliefs, familial status, source of income and any other basis protected by federal, state or local law.

4 Every new employee is required to show documentation verifying his or her employment eligibility. _____. NAME [please print clearly] First Middle Last _____. Home Phone Cell Phone Email _____. Address No. & Street City State Zip Are you over the age of 18? Yes No Do you have any immediate family members working for Metcalfe 's? Yes No PERSONAL. If yes, specify: Name of relative_____ Relationship_____. (This question is used to ensure that Metcalfe 's does not hire family members into direct reporting relationships of other family members). Have you ever worked for Metcalfe 's before? Yes No If yes, when? _____. Have you ever been fired or forced to resign from any employment? Yes No Are you subject to a pending criminal charge? Yes No Have you ever been convicted of a felony? Yes No Have you been within the past three (3) years placed on probation, paroled, released from incarceration, or paid a fine, for a felony, misdemeanor, or other offense?

5 Yes No If yes, explain: [a conviction record will not bar employment unless the offense is related to the job for which you applying]. _____. _____. EDUCATION [last grade completed] 8 9 10 11 12 Graduate? Yes No Name of High School: _____ City: _____. EDUCATION. 4 Year College Yrs. _____ Degree: _____ 2 Year College Yrs. _____ Degree: _____. Name of School: _____ City: _____. Major: _____ Coursework: _____. Additional Education/Specialized Courses: _____. _____. Are you interested Full Time (35-40 hrs. per week) Part Time (20-34 hrs. per week) Temporary (Holiday or Summer). PLACEMENT. Indicate the position for which you are applying: Artisan Cheese Bakery Cafe Cashier/Customer Service Catering/Kitchen Dairy Deli Grocery Floral Stocker Frozen Foods General Merchandise Meat Produce Seafood Special Events Demo Wine Utility Clerk Shift Preferred: 1st 2nd 3rd Any Shift [ Flexible Availability] Are you willing to work: Holidays?

6 Weekends? Date available for work: _____ PREFERRED SALARY: _____. Metcalfe 's Market is proud to be a drug free workplace.. Please indicate hours available for work. AVAILABILITY. SUNDAY MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY SATURDAY. From From From From From From From To To To To TTo To To NOTE: Metcalfe 's operates seven days a week. Reasonable accommodations may be made for religious observances and practices where required by law. Please provide the name of three individuals not related to you and/or not living in the same household. REFERENCES. Reference Name #1 Address Phone Occupation Yrs. Known Reference Name #1 Address Phone Occupation Yrs. Known Reference Name #1 Address Phone Occupation Yrs. Known May we contact your present employer? Yes No List your complete employment history (completely answering the information requested below) for the ten (10) years prior to the date of your application.

7 Do no skip any employment you have held within this timeframe. Attach a separate form if you need additional space. Company Name, Street, City, Phone # Date Started Date Ended Job Title & Supervisor Name Salary Reason for Leaving EMPLOYMENT HISTORY. Company Name, Street, City, Phone # Date Started Date Ended Job Title & Supervisor Name Salary Reason for Leaving Company Name, Street, City, Phone # Date Started Date Ended Job Title & Supervisor Name Salary Reason for Leaving Company Name, Street, City, Phone # Date Started Date Ended Job Title & Supervisor Name Salary Reason for Leaving Company Name, Street, City, Phone # Date Started Date Ended Job Title & Supervisor Name Salary Reason for Leaving Do you have any grocery or culinary arts experience? If yes, explain: _____. What equipment are you familiar using? _____. CONDITIONS: I certify that all information in this application and its voluntary supplement is true and complete to the best of my knowledge.

8 I authorize Metcalfe 's to investigate all statements concerning my character, reputation and work history. I authorize investigation of the statements I have made in this application. I authorize any party including companies, schools, agencies or persons to give any information requested by Metcalfe 's to evaluate my application, background, credentials and qualifications for employment. I release all companies, schools, agencies and persons from any liability that may result from providing, obtaining or acting upon such information. I understand that any offer of employment may be contingent on my passing a drug screen and/or a post-offer medical examination. It is understood that any misrepresentation (or omission) by me of facts required on this application will be sufficient cause for non-employment or immediate dismissal from Metcalfe 's should I have been employed.

9 I understand that any employment with Metcalfe 's is at-will. This means that either Metcalfe or I will be able to terminate the employment relationship at any time and for any reason permitted by law. All applicants will be required to furnish proof of identity and legal work authorization prior to hire. I understand Metcalfe 's will retain this application for 1 year from the date of application. _____ _____ _____. Applicant Name [printed clearly] Signature Date Metcalfe 's Market is proud to be a drug free workplace.