Application for Employment

Federal and state laws prohibit discrimination in employment practices on account of race, color, religion, creed, national origin, ancestry, marital status, veteran status, non-job related disability or any other protected group status.

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Name*
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File uploads may not work on some mobile devices.
Do you have a legal right to be employed in the US?*
Are you over the age of 18?*
How did you hear about us?

Job Interest

Employment Desired*
General Availability*
Store hours: 9am - 10pm
Store hours: 9am - 10pm
Store hours: 9am - 10pm
Store hours: 9am - 10pm
Store hours: 9am - 10pm
Store hours: 9am - 10pm
Store hours: 10am - 6pm
Date available to begin working*
Gary's Location Preference*
Were you ever employed by this organization?*

Education

Fill in the information starting with the most recent school attended

School 1

Date Started
Date Ended

School 2

Date Started
Date Ended

School 3

Date Started
Date Ended

Employment History

Fill in the information starting with your most recent employer.

Previous Employment 1

Currently Employed

Previous Employment 2

Currently Employed

Previous Employment 3

Currently Employed

Previous Employment 4

Currently Employed

References

Please list three work references. If not applicable, please list three personal references other than a relative.

Reference 1 *

Reference 2

Reference 3

Skills

Please list any skills that may be related to the job for which you are applying.

Other Job Related Information

(Do not list any information that would reveal race, color, religion, creed, national origin, ancestry, age, marital status, veteran status, non-job related disability or any other protected group status.)

Applicant Must Read and Certify

I hereby affirm that the information provided on this application is true and complete. I also understand that any omission or misrepresentation of information provided may result in my rejection or termination from employment.

I authorize Gary’s Wine and Marketplace to contact and obtain information from all references listed and release any employers or persons listed from liability for any damages from furnishing such information.

In the event of my employment with Gary’s Wine and Marketplace, I will comply with all of the rules and policies of the employers. I understand that if I am employed, my employment will be at-will for no set period of time, and that my employment may be terminated for any reason at any time by either me or Gary’s Wine and Marketplace.



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