Career Application Form – Riboli Family Wines

Application For Employment

Riboli Family Wines provides equal opportunities for everyone that works for us and everyone that applies to join our team, without regard to sex or gender, gender identity, gender expression, age, race, religious creed, color, national origin, ancestry, pregnancy, physical or mental disability, medical condition, genetic information, marital status, sexual orientation, any service, past, present, or future, in the uniformed services of the United States (military or veteran status), or any other consideration protected by federal, state, or local law.

Identification

Name(Required)

First Last

Middle Name

Other Names (do not include nicknames)

Address(Required)

Street Address City State Zip Code

Email(Required)

Contact Phone Number(Required)

How did you hear about our company?(Required)

Salary Desired(Required)

Have you ever worked for San Antonio Winery? If YES, list the name of the facility(s) and the dates of prior employment.(Required)

Yes

Previous Work at San Antonio Winery

Do you have any relative working for San Antonio Winery?(Required)

Yes

Information about relatives

Name of relative, Location, Current Role

If hired, can you provide proof of eligibility to work in the United States?(Required)

Yes

Personal

Have you ever been Terminated or asked to resign from any job?(Required)

Yes

What position are you applying for?(Required)

Date available to start:(Required)

Full-Time(Required)

Yes

Part-Time(Required)

Yes

Weekends(Required)

Yes

Are you at least 18 years of age or older?(Required)

Yes

Foreign Language Skills:

Please specify language and level of proficiency for each (Basic, Moderate, Fluent)

Education

High School/General Education Development Institution

Major / Minor

Dates Attented

Degree

Professional Trade, Business, Technical, or Other

Major / Minor

Dates Attented

Degree

References

Please list persons familiar with your work or academic background, that we many contact as a reference

Name(Required)

Position and Company(Required)

Phone(Required)

Name(Required)

Position and Company(Required)

Phone(Required)

Employment Data

Last two employers beginning with present or most recent

Name And Address Of Current Or Last Employeer(Required)

(include street address, city & state, and zip code)

Supervisor Name And Title(Required)

Phone(Required)

Employed from Mo/Yr(Required)

Employed to Mo/Yr(Required)

Your Job Title(Required)

Work Performed(Required)

If still employeed, may we contact your current employer?(Required)

Yes

Name And Address Of Employeer(Required)

(include street address, city & state, and zip code)

Supervisor Name And Title(Required)

Phone(Required)

Employed from Mo/Yr(Required)

Employed to Mo/Yr(Required)

Your Job Title(Required)

Work Performed(Required)

Reason For Leaving(Required)

Race/Ethnic Group

Select only one

Background Check Consent

Are you willing to undergo a background check, in accordance with local law/regulations?

Name of Applicant(Required)

Date(Required)

Applicant's Certification and Agreement

I hereby certify that the facts set forth in the above employment application are true and complete to the best of my knowledge and authorize San Antonio Winery to verify their accuracy and to obtain reference information on my work performance. I hereby release San Antonio Winery from any/all liability of whatever kind and nature which, at any time, could result from obtaining and having an employment decision based on such information.

I understand that, if employed, falsified statements of any kind or omissions of facts called for on this application shall be considered sufficient basis for dismissal.

I understand that should an employment offer be extended to me and accepted that I will fully adhere to the policies, rules and regulations of employment of the Employer. However, I further understand that neither the policies, rules, regulations of employment or anything said during the interview process shall be deemed to constitute the terms of an implied employment contract. I understand that any employment offered is for an indefinite duration and at will and that either I or the Employer may terminate my employment at any time with or without notice or cause.

Name of Applicant(Required)

Date(Required)