Lucas Vineyards

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Lucas Vineyards =

Application for Employment

We seek energetic and personable individuals to join our winery in our 41st successful year. Lucas Vineyards is the oldest winery on Cayuga Lake. We are looking for people who are committed to working in an environment that emphasizes exceptional customer service. Please fully complete the application form in order to be considered for an open position.

Personal Information

Applicant Name

Phone

Local Address

Alternative Phone

Permanent Address

Email

Are you at least 21 years of age?

Yes

No

If hired, can you demonstrate that you are authorized to work in the United States?

Yes

No

Position you are interested in?

How did you hear about Lucas and this position?

Are there any restrictions on the hours you can work?

Yes

No

If yes, please give details

How long do you plan to remain with Lucas?

If offered a position, when are you available to begin working?

Do you have reliable transportation?

Yes

No

Please describe an experience in which you have given or received excellent customer service.

Have you ever worked for Lucas Vineyards?

Yes

No

If yes, please provide the dates and position you held.

Have you previously applied for a position at Lucas Vineyards?

Yes

No

If yes, were you interviewed?

Yes

No

Do you have any physical condition that might impede your ability to lift or carry 35 lb boxes or stand on your feet for long periods of time?

Yes

No

Have you ever been convicted of a crime other than a minor traffic offense?
*Note: A conviction does not automatically disqualify you from consideration. The nature of offense, date of conviction, work history and references will be considered.

Yes

No

If yes, please provide the type of offense, date of Conviction, and the name and location of Court.

Employment Record

Employer One

Dates - Month & Year

Employer Name

Employer Address

Position

Salary

Reason for Leaving

Employer Two

Dates - Month & Year

Employer Name

Employer Address

Position

Salary

Reason for Leaving

Employer Three

Dates - Month & Year

Employer Name

Employer Address

Position

Salary

Reason for Leaving

May we contact your current employer?

Yes

No

If no, why not?

May we contact your previous employers?

Yes

No

If no, why not?

Education & Training

High School or GED

College or University

Trade/Vocational School

Military/Other

References

Reference One

Reference Two

Reference Three

Emergency Contact

Emergency Contact Name

Emergency Contact Phone

Emergency Contact Address

Relationship to Applicant

I hereby authorize investigation of all statements contained in this application and on my resume, if provided. I certify that such statements are true, and understand that misrepresentation or omission of facts called for in this form, or on any resume provided by me is cause for termination of employment without notice.

Signature

Enter the number in the photo

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