JOB APPLICATION SECTIONS PERSONAL INFORMATION Name: Madison C. Pribyl Address: N28W22113 Indianwood Ct.

, Waukesha 53186 Social Security #: 396.17.7729 Phone #: Home: 262-513-9030 Personal: 262-313-8495 Parents: Dad: 1-414-550-8682 Mom: 1-414-550-2159 Yes, I am a minor EDUCATION High School: Pewaukee High School Address: 510 Lake St, Pewaukee, WI GPA: 3.5-4.0 JOB HISTORY Harley Davidson o Address: 139 North Main Street, Thiensville, WI 53092 o Duties: Cashier, Stocker, Salesgirl o Dates: 8/13-9/13 o Phone #: (800) 241-1340 o Website: suburbanharley.com Cleaning Houses o Address: 1966 Rambling Rose Road o Duties: Vacuuming, Washing Dishes, Dusting, Organizing o Dates: 2011-Present Day Babysitter o Address: 701 Alex Court, Pewaukee WI o Duties: Diaper changes, watching over kids (ages range from 2-10), vacuuming, organizing o Dates: 2009-2011 REFERENCES Stephanie Dillemuth (Friends Mother/Girl Scout Leader) o Phone: 262-366-7754 o N27W26457 B Christian Court W, Pewaukee, WI John Kashian (teacher) o Phone: 262-701-5656