EMPLOYMENT APPLICATION

Application for Employment

The Company is an equal opportunity employer. The Company guarantees every applicant for employment the right of equal treatment without regard to race, color, creed, gender (including gender identity and gender expression), religion, marital status, registered domestic partner status, age, national origin, ancestry, physical or mental disability, medical condition, sex (including pregnancy, childbirth, breastfeeding or related medical condition), genetic information, sexual orientation, military and veteran status or any other consideration made unlawful by federal, state, or local laws.

Position Applied For:

Date:

First Name:

Middle Name:

Last Name:

Address:

City:

State:

Zip/Postal:

Phone Number:

Email Address:

1. If under the age of 18, can you produce the necessary work certificate at the time of employment?

Yes

No

2. Type of employment desired?

FULL-TIME

PART-TIME (Specify Hours)PART-TIME (Specify Hours)

3. Desired salary:

4. When are you available for work?

5. Have you ever been employed by this Company?

Yes

No

If yes, what was the position and what were the dates?

6. List all special technical skills that you feel qualify you for the job for which you are applying (For example, computer programming/language, software, equipment operation, special tools or machines, etc.):

7. If applicable, list all certifications or degrees you have earned:

8. If applicable, list below any other names by which you have been known by. (For example, change of name, use of an assumed name, nickname, etc.):

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

Yes

No

10. Have you ever been given a choice to resign rather than be terminated?

Yes

No

11. If you answered YES to any of the above the questions, please explain the circumstances of each occasion.

12. Please explain fully all gaps in your employment history in excess of one month.

Work Experience
PROFESSIONAL EXPERIENCE (Please list your work experience for the past five years beginning with your most recent job held. Complete information, including contact numbers and rates of pay.)

Experience 1

Name of employer:

Address:

Phone number:

Your Last Job Title:

Employment dates (from-to):

Name of last supervisor:

List the jobs you held, duties performed, skills used or learned, advancements or promotions while you worked at this company.

Experience 2

Name of employer:

Address:

Phone number:

Your Last Job Title:

Employment dates (from-to):

Name of last supervisor:

List the jobs you held, duties performed, skills used or learned, advancements or promotions while you worked at this company.

Experience 3

Name of employer:

Address:

Phone number:

Your Last Job Title:

Employment dates (from-to):

Name of last supervisor:

List the jobs you held, duties performed, skills used or learned, advancements or promotions while you worked at this company.

References
Please list the names of additional work-related references we may contact. Individuals with no prior work experience may list school or volunteer related references.

Reference 1

Name:

Position:

Company:

Work Relationship:

Phone Number:

Reference 2

Name:

Position:

Company:

Work Relationship:

Phone Number:

Referral

How did you hear about this WhisperKOOL job opening?

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Applicant Certification

I understand that neither the completion of this application nor any other part of my consideration for employment establishes any obligation for Vinotheque Wine Cellars ~ WhisperKOOL Corporation (“the Company”) to hire me. If I am hired, I understand that either the Company or I can terminate my employment at any time and for any reason, with or without cause and without prior notice. I understand that no representative of the Company has the authority to make any assurance to the contrary.

I attest with my signature below that I have given to the Company true and complete information on this application. No requested information has been concealed. I authorize the Company to contact references provided for employment reference checks. If any information I have provided is untrue, or if I have concealed material information, I understand that this will constitute cause for the denial of employment or immediate dismissal.

If the applicant is a minor, the foregoing release and consent must be signed by the applicant’s parent or legal guardian. Signature by the applicant’s parent or legal guardian constitutes acknowledgement by the applicant and the parent or legal guardian that the Company, to the extent permitted by federal, state and local law can test the applicant for illegal or controlled substances, conduct inspection of property without notice and communicate test results to Company personnel who need to know, to the applicant and to the parent or legal guardian.

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