Kai-Simone Winery Employment Application Kai-Simone Winery Logo Full Name* Address* Zip Code* Phone*Email* Date of Birth Required at InterviewSocial Security # Required at interviewDriver License State & Number Required at interviewPosition Requested Wine Associate Server/Bar Cellar Asst. - Seasonal Vineyard Asst. - Seasonal Winemaker Winemaker Asst. Are you a US Citizen? Yes No If no, are you authorized to work in the US? State your status. Documenation is requiredHave you been convicted of a felony? Yes No If yes, explain High School Diploma/GED Name of School, Address & Date CompletedCollege Name of Colleges, addresses & dates attendedDegree(s) (check all that apply) Associates Bachelors Graduate or Professional Degree Other Military Service Yes No If yes, what branch of service (check all that apply) Army Navy Air Force Marines Coast Guard Type of Military Discharge? Honorable, Other Than Honorable, Dishonorable etc...Previous Employment #1 List business name, address, dates of employment & job dutiesPrevious Employment #2 List business name, address, dates of employment & job dutiesReferences List 2-3 references, your relationship to each, addresses, phone numbers & email addressesType your name here indicating that you understand the statement below I certify that my answers are true and complete to the best of my knowledge. If this application leads to employment, I understand that false or misleading information on my application or interview may result in my release. Kai-Simone Winery reserves the right to conduct routine background checks on all employees.Would you prefer that we call or email you? Call Email Call or email is fine Δ
