APPLICATION FOR EMPLOYMENT

PERSONAL INFORMATION DATE OF APPLICATION: February 29, 2020

Name: Irwin Kristen Lynn

Last First Middle

Address: 29946 County Highway VV Sheldon, WI 54766

Street (Apt) City/State Zip

Alternate Address:
Street City/State Zip

Contact Information: ( 715 ) 452-5395 (715 ) 415-5405 irwinkr@my.witc.edu

Home Telephone Mobile Telephone Email

How did you learn about our company?

POSITION SOUGHT: Medical Administrative Available Start Date: ASAP

Professional

Desired Pay Range: $15.00 Are you currently employed? Yes

Hourly or Salary

EDUCATION
Name and Location Graduate? – Degree? Major / Subjects of Study
Ladysmith High School Yes N/A
High School 1700 Edgewood Ave
Ladysmith, WI 54848
Wisconsin Indianhead Technical College Associate - 2012 - Early Childhood Education
College or University 1900 College Drive Associate - 2020 - Medical Administrative
Rice Lake, WI 54868 Professional
Specialized Training,
Trade School, etc…

Other Education

Please list your areas of highest proficiency, special skills or other items that may contribute to your
abilities in performing the above mentioned position.
 PREVIOUS EXPERIENCE

Please list beginning from most recent

Dates Employed Company Name Location Role/Title

3/13/2019 - present Imperium Chiropractic Ladysmith, WI Chiropractic Assistant
Insurance Coordinator

Job notes, tasks performed and reason for leaving:

Process all insurance billings, coordinates and process payments from insurance carriers,
prepare/review/transmit claims using billing software including electronic and paper claim processing

Dates Employed Company Name Location Role/Title

9/2014 – 1/2019 Beechworth Windows Ladysmith, WI Assembly Operator

Job notes, tasks performed and reason for leaving:

Assembling and building windows on a production line, use of a wide variety of equipment including hand
tools, power tools, saws, and part specific equipment. The reason I left this job as due to a plant closure
resulting in being a dislocated worker.

Dates Employed Company Name Location Role/Title

9/2012 – 9/2014 Ladysmith Care Community Ladysmith, WI CNA

Job notes, tasks performed and reason for leaving:

Assist in the care of the residents with ADLs including feeding, bathing, dressing, and incontinence care. I
left this job to pursue something with more stability and higher pay.

Dates Employed Company Name Location Role/Title

10/2010 – 9/2012 Rice Lake Convalescent Center Rice Lake, WI CNA

Job notes, tasks performed and reason for leaving:

Assist in the care of the residents with ADLs including feeding, bathing, dressing, and incontinence care. I left this
job to move back to Ladysmith, WI.