Application

THE VINE EMPLOYMENT APPLICATION

ALL POTENTIAL EMPLOYEES ARE EVALUATED WITHOUT REGARD TO RACE, COLOR, RELIGION, GENDER, NATIONAL ORIGIN, AGE, MARITAL OR VETERAN STATUS, THE PRESENCE OF A NON-JOB RELATED HANDICAP OR ANY OTHER LEGALLY PROTECTED STATUS.

Position Sought: ______________________________________________________________________

How did you learn about the position? _____________________________________________________

Name___________________________________________________________ Date________________

Address__________________________________City___________________State________Zip______

Home Phone__________________ Office Phone_________________ Other Phone________________

Email Address: ______________________________ Social Security Number:_____________________

 

On what date would you be available for work? ________________ Desired Wage/Salary $__________

Are you a U.S. citizen, or Resident Alien?           [    ] Yes [    ] No

Have you ever been convicted of a felony?        [    ] Yes [    ] No

If yes, please describe circumstances:

____________________________________________________________________________________

Have you ever been involuntarily terminated or asked to resign from a previous job? [    ] Yes [    ] No
If yes, please describe circumstances: _____________________________________________________
____________________________________________________________________________________

EDUCATION

School Name

Location

Years Attended

Degree Received

Major

Other training, certifications, or licenses held:

____________________________________________________________________________________

List other information pertinent to the employment you are seeking:

____________________________________________________________________________________

 

EMPLOYMENT

(Most Recent First.)

1. Employer_________________________________________ Job Title_________________________

Dates Employed______________ Prior Position Held within Company (if any): _____________________

Address_________________________________ City________________ State________ Zip_________

Phone____________________   Supervisor____________________

Starting Salary_____________________________ Ending Salary_______________________________

Duties Performed _____________________________________________________________________

Reason for Leaving ____________________________________________________________________

 

2. Employer_________________________________________ Job Title_________________________

Dates Employed______________ Prior Position Held within Company (if any): _____________________

Address_________________________________ City________________ State________ Zip_________

Phone____________________   Supervisor____________________

Starting Salary_____________________________ Ending Salary_______________________________

Duties Performed _____________________________________________________________________

Reason for Leaving ____________________________________________________________________

 

3. Employer_________________________________________ Job Title_________________________

Dates Employed______________ Prior Position Held within Company (if any): _____________________

Address_________________________________ City________________ State________ Zip_________

Phone____________________   Supervisor____________________

Starting Salary_____________________________ Ending Salary_______________________________

Duties Performed _____________________________________________________________________

Reason for Leaving ____________________________________________________________________

 

 

ACKNOWLEDGMENT AND AUTHORIZATION

 

I certify that answers given herein are true and complete to the best of my knowledge.

 

I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision.

 

This application for employment shall be considered active for a period of time not to exceed 45 days.  Any applicant wishing to be considered for employment beyond this time period should inquire as to whether or not applications are being accepted at that time.

 

I hereby understand and acknowledge that, unless otherwise defined by applicable law, any employment relationship with this organization is of an “at will” nature, which means that the Employee may resign at any time and the Employer may discharge the Employee at any time with or without cause.  It is further understood that this “at will” employment relationship may not be changed by any written document or by conduct unless such change is specifically acknowledged in writing by an authorized executive of The Vine or Essanay Holdings LLC.

 

In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge.  I understand, also, that I am required to abide by all rules and regulations of the employer.

 

I hereby understand and acknowledge that, unless otherwise defined by applicable law, any employment relationship with The Vine or Essanay Holdings LLC will be subject to a probationary period of 90 days unless otherwise specified in a written Offer of Employment

______________________________________________________              ___________________

Signature of Applicant                                                                                                   Date