San Antonio Winery

Application For Employment

Equal Employment Opportunity Policy: We are committed to providing equal employment opportunities to all employees and applicants without regard to race, religion, color, sex, gender identity, sexual orientation, national origin, ancestry, citizenship status, uniform service member status, marital status, pregnancy, age, protected medical condition, genetic information, disability or any other protected status in accordance with all applicable federal, state and local laws.

Position Desired:
Part timeFull time
Date:
Last Name: *
First Name: *
Middle Name:
Present Address:
How long have you live there?:
Previous Address:
How long have you live there?:
Telephone Number: *
Social Security Number:
Have you ever worked for this Company before? YesNo
If yes, please give dates and position
Have you ever pled guilty or "no contest" to, or been convicted of, a misdemeanor or felony? YesNo
If yes, please give dates and details
Have you been arrested for any matters for which you are currently out on bail or on your own recognizance pending trial? YesNo
If yes, please give dates and details

NOTE: Answering "Yes" to these questions does not constitute an automatic bar to employment. Factors such as age and time of the offense, seriousness and nature of the violation, and rehabilitation will be taken into account. (Do not include minor traffic infractions, and convictions for which the record has been sealed or expunged, any conviction for which probation has been successfully completed or otherwise discharged and the case has been judicially dismissed, referrals to and participation in any pretrial or post trial diversion programs, and misdemeanor marijuana-related offenses that occurred over two years ago in answering these questions).



RECORD OF PREVIOUS EMPLOYMENT


Please list the names of your present or previous employers in chronological order with present or last employer listed first. Be sure to account for all periods of time including any period of unemployment. If self-employed, give firm name and supply business references. [Add additional page if necessary]

Present or Last Employer:
Address:
Telephone:
Employed:
From To
Pay:
Start End
Your Title or Position:
Name and Title of Last Supervisor:
Exact Reason for Leaving:



Present or Last Employer:
Address:
Telephone:
Employed:
From To
Pay:
Start End
Your Title or Position:
Name and Title of Last Supervisor:
Exact Reason for Leaving:



Present or Last Employer:
Address:
Telephone:
Employed:
From To End
Your Title or Position:
Name and Title of Last Supervisor:
Exact Reason for Leaving:



Have you ever been terminated or asked to resign from any job? YesNo

If yes, please explain circumstances:

Please explain fully any gaps in your employment history:

May we contact your current employer? YesNo

If No, please explain:

Please indicate any actual experience; special training and qualifications that you have which you feel are relevant to the position for which you are applying.

Have you ever used another name? YesNo

Is there any additional information relative to change of name, use of an assumed name, or nickname necessary to enable a check on your work and educational record? If yes, please explain:

If hired, can you furnish proof that you are over 18 years of age? YesNo

Do you have adequate transportation to and from work? YesNo


Are there any circumstances that will prevent you from performing the functions required for this position? YesNo

If yes, please explain:



EDUCATION

Elementary:

Years Completed:
Diploma/Degree:
Describe Course of Study or Major:
Describe Specialized Training, Experience, Skills and Extra-Curricular Activities

High School:

Years Completed:
Diploma/Degree:
Describe Course of Study or Major:
Describe Specialized Training, Experience, Skills and Extra-Curricular Activities

College/University:

Years Completed:
Diploma/Degree:
Describe Specialized Training, Experience, Skills and Extra-Curricular Activities

Graduate/Professional:

Years Completed:
Diploma/Degree:
Describe Course of Study or Major:
Describe Specialized Training, Experience, Skills and Extra-Curricular Activities

Trade or Correspondence:

Years Completed:
Diploma/Degree:
Describe Course of Study or Major:
Describe Specialized Training, Experience, Skills and Extra-Curricular Activities



PERSONAL REFERENCES


Please list persons who know you well - not previous employers or relatives

Name:
Occupation:
Address:
Telephone Number:
Number of Years:
Name:
Occupation:
Address:
Telephone Number:
Number of Years:
Name:
Occupation:
Address:
Telephone Number:
Number of Years:


Resume:

THIS APPLICATION WILL BE CONSIDERED ACTIVE FOR A MAXIMUM OF THIRTY (30) DAYS. IF YOU WISH TO BE CONSIDERED FOR EMPLOYMENT AFTER THAT TIME, YOU MUST REAPPLY.

I CERTIFY THAT ALL OF THE INFORMATION THAT I HAVE PROVIDED ON THIS APPLICATION IS TRUE AND ACCURATE.