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HAVE YOU EVER BEEN EMPLOYED BY WARREN JAMES WINERY BEFORE?

YES NO

HAVE YOU EVER APPLIED TO WARREN JAMES WINERY BEFORE?

YES NO

ARE YOU AUTHORIZED TO WORK IN THE UNITED STATES ON AN UNRESTRICTED BASIS

YES

FULL TIME PART TIME SEASONAL

SOME OF OUR POSITIONS REQUIRE THAT YOU BE 18 OR OLDER. IF HIRED CAN YOU SHOW PROOF OF AGE?

YES NO

In compliance with the Job Opportunities for Qualified Applicants Act (JOQAA), this employer does not inquire about an applicant's criminal history until after the applicant has been determined to be qualified for the position and has been selected for an interview.

CAN YOU PLEASE SUMMARIZE YOUR EDUCATIONAL BACKGROUND (HIGHEST LEVEL COMPLETED, AREAS OF STUDY, YEARS ATTENDED, DID YOU GRADUATE)

ADDITIONAL INFORMATION (SKILLS, LICENSES, CERTIFICATES, ETC...)

EXPERIENCE (LIST BELOW YOUR LAST THREE EMPLOYERS, BEGINNING WITH MOST RECENT)

NAME OF EMPLOYER

STREET ADDRESS

CITY, STATE, ZIP CODE

TELEPHONE NUMBER

SUPERVISOR'S NAME

MAY WE CONTACT?

DATES EMPLOYED

POSITION/DUTIES

HRS/WEEK

REASONS FOR LEAVING?

NAME OF EMPLOYER

STREET ADDRESS

CITY, STATE, ZIP CODE

TELEPHONE NUMBER

SUPERVISOR'S NAME

MAY WE CONTACT?

DATES EMPLOYED

HRS/WEEK

POSITION/DUTIES

REASONS FOR LEAVING?

NAME OF EMPLOYER

STREET ADDRESS

CITY, STATE, ZIP CODE

SUPERVISOR'S NAME

TELEPHONE NUMBER

MAY WE CONTACT?

DATES EMPLOYED

HRS/WEEK

POSITION/DUTIES

REASONS FOR LEAVING?

REFERENCES (INCLUDE ONLY INDIVIDUALS FAMILIAR WITH YOUR WORK ABILITY, DO NOT INCLUDE RELATIVES)

I certify that the answers given herein are true and complete to my knowledge. I authorize the company and/or its agents, including consumer reporting bureaus, to investigate all statements contained in this application, as may be necessary in arriving at an employment decision (including, but not limited to, criminal history and motor vehicle driving records). I release the company and/or its agents from any liability which might arise from such an investigation. I understand that this application is not a contract of employment. In the event of employment, I understand that false or misleading information given in my application or interview(s) will result in termination. I also understand that the use of illegal drugs or alcohol on the job is prohibited during employment. In the event that I am employed, I agree to abide by all policies and procedures of this company

I AGREE

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