Chesapeake Manor Vineyard
Employment Application
Full Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
example@example.com
Date Available
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
First available start date
Position Applied For
*
Please Select
Tasting Room Staff
Groundskeeper
Are you a citizen of the US?
*
Please Select
Yes
No
If no, are you authorized to work in the US?
Please Select
Yes
No
Have you ever been convicted of a felony?
*
Please Select
Yes
No
If yes, please explain
How did you hear about Chesapeake Manor Vineyard?
*
List friends/family that are currently employed or previously employed by Chesapeake Manor Vineyard
Back
Next
Education
High School Education
*
Name of High School
City Located
Did you graduate High School?
*
Please Select
Yes
In Progress
No
Diploma
College Education
Name of College
City Located
Did you graduate College?
Please Select
Yes
In Progress
No
Degree
List of skills pertaining to prior work/volunteer (direct contact with customers, food handling, cash handling, grounds work, etc.)
*
List of equipment that you have had hands-on experience with (kegerator, register, fork lift, tractor, flat-top grill, etc.)
*
List certifications, courses, seminars, achievements (SERV Safe, TIPS, CPR, etc.)
*
Have you served in the US Military?
*
Please Select
Yes
No
Back
Next
Availability
Summer Availability - Please enter available start-end times
*
How many hours per week are you seeking?
*
Are you available to work weekends in April, May, June, July and August?
*
Please Select
Yes
No
Are you available to work evening or week nights in April, May, June, July and August?
*
Please Select
Yes
No
Are you interested in working only throughout the summer? (April-August)
*
Please Select
Yes
No
Are you attending college in the fall?
*
Please Select
Yes
No
If yes, what date are you available through?
Fall/Winter Availability - Please enter available start-end times
*
Are you available to work weekends throughout October-March?
*
Please Select
Yes
No
Are you available to work evenings or week nights throughout October-March?
*
Please Select
Yes
No
Are you interested in working only throughout the fall/winter? (October-March)
*
Please Select
Yes
No
If you're graduating High School this year, what are your fall plans?
Back
Next
References
Please list three professional references
Name
*
Relationship
*
Years Known
*
Phone
*
Name
*
Relationship
*
Years Known
*
Phone
*
Name
*
Relationship
*
Years Known
*
Phone
*
Employment History
Company/Employer Name
*
Position
*
Dates Employed
*
Phone
*
Company/Employer Name
Position
Dated Employed
Phone
Back
Next
Submit
General Questions
Are there any health limitations or restrictions that may prevent you from performing the position for which you're being considered?
*
Please Select
Yes
No
Are there any reasons you cannot lift up to 40 pounds, possibly repeatedly?
*
Please Select
Yes
No
Are there any reasons you cannot stand for long periods of time?
*
Please Select
Yes
No
Is there any reason you cannot work outside in hot or cold temperatures?
*
Please Select
Yes
No
If you answered yes to any of these questions, what can be done to accommodate your limitations?
*
Should be Empty: