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Employment Application

general instructions

All information you submit is subject to verification. Notify The Country Vintner advance if you require special disability accommodations to participate in the employment process.

1. general info

How do we contact you?
Fields with () are required

2. education

High School
College, University or Professional/trade School

3. previous employment

Please list most recent first:

Describe your work experience in detail, beginning with your current or most recent job. Include military service (indicate rank) and job-related volunteer work, if applicable. Indicate number of employees supervised. Use a separate block to describe each position or grap in employment. All information in this section must be completed.

Resumes may be attached to provide additional information, but can not be used as a substitute for completing this section.

4. knowledge / skills / abilities (ksa's)

List KSA'S you possess and believe relevant to the position you seek, such as operating heavy equipmet, computer skills, fluency in languages, etc.

5. licensure, registration, certification

Examples: Commercial Driver's Licence, CPA, etc.


* Have you ever been convicted of a felony?
* Have you ever been convicted of misdemeanor?
Note: A “yes” answer to these questions will not automatically ban you from employment. The nature, job-relatedness, severuty and date of the offense in relation to the position from which you are applying are considered.


The Country Vitner hires only U.S. citizens and lawfully authorized alien workers. If an offer of employment is made, you will be required to provide identification and proof of citizenship or authorization to work in the U.S.
* Are you a U.S. Citizen or are you legally authorized to work in the U.S.?

8. relatives

* To your knowledge, do you have any relatives working for The Country Vintner?

9. references

Please list two references other than relatives or previous employers

Additional Information

Use the space below to summarize any additional information necessary to describe your full qualifications for the specific position for which you are applying.


am aware that any omissions, falsifications, misstatements, or misrepresentations in this application may disqualify me for employment consideration and, if I am hired, may be grounds for termination at a later date. I understand that any information I give may be investigated as allowed by the law. I consent to the release of information about my ability, employment history, and fitness for employment by employers, schools, law enforcement agencies, and other individuals and organizations to investigators, personnel staff, and other authorized employees of The Vintner Group for employment purposes. This consent shall continue to be effective during my employment if I am hired. I certify that to the best of my knowledge and belief all of the statements contained herein and on any attachments are true, correct, complete, and made in good faith.