Vinaccio Online Job Application
Your Name

First
Last
Current Address

Street Address

Address Line 2

City
State / Province / Region

Postal / Zip Code
Country
Day Phone

### 		-
### 		-
####
Evening Phone

### 		-
### 		-
####
Email
How did you hear
about us?
 Newspaper  
 School / College  
 Website  
 Friend / Relative  
 Other  
Compensation Requirements
Date Available

Have you ever worked for or known anyone that has worked for Vinaccio LLC?
 No 
 Yes 

If hired, can you provide proof that you are over the age of 18 and eligible to work in the United States??
 No 
 Yes 

Are you currently employed?
 No 
 Yes 

May we contact your present employer?
 No 
 Yes 

Have you been convicted of a felony within the past seven years?
 No 
 Yes 

Have you ever been convicted of, pled guilty or "no contest" to or had any unresolved charges related to a criminal offense involving dishonesty or a breach of trust such as fraud, theft, forgery or other similar crimes?
 No 
 Yes 

Do you have any commitments to another employer, such as a non-compete or non-disclosure agreement that may affect your employment with Vinaccio?
 No 
 Yes 

Education

High School / Location
Years Completed
 9 
 10 
 11 
 12 
Diploma

College or University
Area of Study
Years Completed
 1 
 2 
 3 
 4 
Degree

Graduate or Professional
Years Completed
 1 
 2 
 3 
 4 
Degree

Other: (self education, seminars, volunteerism, military training, special language abilities, memberships of professional organizations, etc.)

References

Provide name, address, and telephone number of three professional references (i.e. previous employers and/or supervisors).
Name

First
Last
Address
Phone Number

### 		-
### 		-
####

Name

First
Last
Address
Phone Number

### 		-
### 		-
####

Name

First
Last
Address
Phone Number

### 		-
### 		-
####

Employment Experience

Please fill out this section completely. Begin with your most recent employer.
Company Name
Company Address
Supervisor's Name

First
Last
Employed from:

MM 		/
DD 		/
YYYY
Employed to:

MM 		/
DD 		/
YYYY
Staring Position
Ending Position
Starting Salary
Ending Salary
Responsibilities

Company Name
Company Address
Supervisor's Name

First
Last
Employed from:

MM 		/
DD 		/
YYYY
Employed to:

MM 		/
DD 		/
YYYY
Staring Position
Ending Position
Starting Salary
Ending Salary
Responsibilities

Company Name
Company Address
Supervisor's Name

First
Last
Employed from:

MM 		/
DD 		/
YYYY
Employed to:

MM 		/
DD 		/
YYYY
Staring Position
Ending Position
Starting Salary
Ending Salary
Responsibilities

Attach Your Resume

If available, please attach your resume here:
Upload Your Resume
  • I certify that my statements on this application are true and complete to the best of my knowledge. I further understand and agree that any misrepresentation or omission by me on this form will result in the cancellation of further consideration or termination of my employment.
  • I authorize Vinaccio Coffee LLC to investigate information concerning my previous employment, education and training. I hereby hold harmless from liability all persons on account of such disclosure. I understand that the investigation may include verification of past employment, education, driving record, conviction criminal history, and review of personnel records maintained by any prior employer including opinions of reference.
  • I understand and agree that, if hired, my employment is at will, it is for no definite period of time, and may be terminated at any time.
  • I hereby acknowledge that I have read the above statements and understand and agree to what I have read.
I have read the information above and
 I agree 
 I disagree 
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