Job Application Questions? Call (707) 433-8400 Rack & Riddle Job Application Applicant InformationName * Required First Middle Last Address * Required Street Address Address Line 2 City State ZIP / Postal Code Phone * RequiredEmail * Required Date Available * Required MM slash DD slash YYYY Employment DesiredPosition Applied For * Required How Did You Hear About This Position? Salary Expectations * Required Are you legally eligible to work in the U.S.? * Required Yes No Driver's License? * Required Yes No License No. * Required State Issued * Required State Driver's License is IssuedExpiration * Required Expiration Date of LicenseFor Driving Purposes Only: * RequiredPlease Provide Details and Dates Of Any Accidents, Moving Violations or Tickets Received In The Past 7 YearsType of Employment Desired * Required Full Time Part Time Temporary or Contract Are You Currently Employed? * Required Yes No If No, Explain * RequiredIf you are not currently employed, please explain any lapse in employment.Do you have any other employment that would continue if you were employed by Rb Wine Associates, LLC dba Rack & Riddle? * Required Yes No If Yes, Explain * RequiredAre you related to anyone at Rb Wine Associates, LLC dba Rack & Riddle? Yes No If Yes, Who? * Required First Last EducationHigh School * Required Name of High School City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State Did You Graduate High School? * Required Yes No College Name Of University City State Did You Graduate College? Yes No Degree Example: Bachelors of ScienceOther School Name of School City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State Did You Graduate? Yes No Degree Example: Bachelors of SciencePlease list special training and skills (foreign languages, computer skills, certifications, word processing and other programs, business machines, etc.)References Reference #1 First/Last Name * Required Relationship * Required Phone * RequiredEmail Reference #2 First/Last Name * Required Relationship * Required Phone * RequiredEmail Reference #3 First/Last Name * Required Relationship * Required Phone * RequiredEmail Previous Employment Employer #1 (Start With Most Recent)Company * Required Company Address * Required Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Supervisor Name (First/Last) * Required Phone * RequiredJob Responsibilities * RequiredFrom (Month/Year) * Required To (Month/Year) * Required Reason for Leaving * RequiredMay We Contact Your Previous Employer for a Reference? * Required Yes No Employer #2Company * Required Company Address * Required Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Supervisor Name (First/Last) * Required Phone * RequiredJob Responsibilities * RequiredFrom (Month/Year) * Required To (Month/Year) * Required Reason for Leaving * RequiredMay We Contact Your Previous Employer for a Reference? * Required Yes No Employer #3Company * Required Company Address * Required Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Supervisor Name (First/Last) * Required Phone * RequiredJob Responsibilities * RequiredFrom (Month/Year) * Required To (Month/Year) * Required Reason for Leaving * RequiredMay We Contact Your Previous Employer for a Reference? * Required Yes No AcknowledgementsPlease read carefully. By checking the each box next to each paragraph, you acknowledge that you have read each item below: * Required I swear under penalty of perjury that all of the information provided by me for this job application is true. I further certify that I, the undersigned applicant, have personally completed this application. I hereby authorize investigation of all statements made by me in this application. I authorize the references listed above to provide the Employer any and all information concerning my employment and any other pertinent information that they may have. Further, I release all parties and persons from any and all liability for any damages that may result from furnishing such information to the Employer or its agents. I understand that any misrepresentation, falsification or material omission of information on this application, regardless of when it is discovered, may result in my failure to receive an offer or, if I am hired, termination of my employment. * Required I understand that the ability to work overtime is a condition of employment. If I require an accommodation related to a religious practice, I will discuss it with my interviewer. * Required I understand and agree that, if I am hired by Employer, our relationship will be for an unspecified term and it will be employment at-will. Consequently, the employment relationship can be terminated at will, by either the Employer or me, at any time either with or without cause or advance notice for any reason not prohibited by law. No one other than one of the Company's Managing Members/Owners has the right or the authority to enter into any agreement for any different terms of employment. Any such agreement must be in writing, signed by one of the Company's Managing Members/Owners. * Required I understand that I may receive a conditional offer of employment which requires me to submit to a physical examination. I agree to submit to a physical examination by a licensed medical doctor selected by Employer. I understand that I may be tested for the presence of drugs and/or alcohol via urinalysis, and agree to submit a urine sample as part of this physical examination. The cost of said physical examination shall be paid by Employer. I understand that Employer’s drug-free workplace policy also requires drug testing under certain limited circumstances as a condition of employment. * Required I understand and agree that, if I am hired by Employer, any controversy or claim arising out of my employment with Employer which is not resolved informally shall be settled by mandatory binding arbitration in accordance with the Employment Dispute Resolution Rules of the American Arbitration Association. If hired, I agree to sign a written arbitration agreement consistent with the above. * Required I understand that Employer does not discriminate against disabled applicants who are otherwise qualified to perform the essential functions of a particular position. If I am an individual with a disability and require a reasonable accommodation in order to perform the essential functions of a particular position, I will discuss it with my interviewer. In the event I request an accommodation, I may be asked to provide medical documentation of my disability that lists specific restrictions. We will then engage in an interactive process in which potential accommodations are proposed, discussed and evaluated. I understand that if the accommodation can be accomplished without creating an undue hardship, the Employer will be happy to cooperate in making this accommodation. Disclaimer and SignatureI 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 in my application or interview, regardless of when it is discovered, may result in termination of my employment. SignatureDate MM slash DD slash YYYY Attach a Copy of Your ResumeMax. file size: 256 MB.Please attach a copy of your resume, a cover letter, letters of reference, or portfolio work you would like to share with us. Δ
