Wine To Water Full Time Application

Wine To Water Employment Application
Name*

First NameLast Name
Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
E-mail Address:*
example@example.com
Phone Number:*
Position Applying For*
How did you hear about this position?

FriendsSocial MediaWine To Water WebsiteLinked InWine To Water EmployeeWine To Water DonorChapter/ClubChurchHandshakeIndeedOther
How did you hear about this position?*

FriendsChapter/ClubSocial MediaChurchLinkedinHandshakeOur WebsiteOther
Let's Get to Know You
In 5 sentences or fewer, what made you want to apply for this position with Wine To Water?*
Tell us about some of your previous experiences that will benefit your role with Wine To Water.*
Tell me about the most important accomplishments in your career?*
Please share your salary expectations.*
Do you speak any additional languages? If yes, please list and explain level of proficiency. *
List three areas in which you need to grow professionally and three of your greatest strengths in a work setting.*
Background Information
Highest Level of Education completed*

High SchoolAssociates DegreeBachelors DegreeGraduate SchoolOther
Have you ever been convicted or pled guilty or no contest to a charge involving any sexual offense?*

YesNo
If yes, please explain
Have you ever been convicted or pled guilty or no contest to a charge involving any offense against a minor?*

YesNo
If yes, please explain
In the past five (5) years, have you been convicted of a felony or released from prison for a felony conviction?*

YesNo
If yes, please explain
Are you at least 18 years of age?*

YesNo
Are you able to provide proof of your eligibility to work in this country?*

YesNo
Optional Equal Employment Opportunity Survey
Gender
Race or Ethnicity (Select one)
References

Please list two (2) references that we may contact.
Professional Reference

This can be an employer, supervisor, etc.
Professional Reference Name:*

First NameLast Name
Relationship to Reference*
E-mail of Professional Reference*
example@example.com
Phone Number*
Years Known:*
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Personal Reference

Please choose someone that knows you well, but is NOT related to you. This can be a mentor, friend, co-worker, pastor, etc.
Personal Reference Name:*

First NameLast Name
Relationship to Reference*
E-mail of Personal Reference*
example@example.com
Phone Number*
Years Known:*
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Resume Upload
Upload Resume and Cover Letter:

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Wine To Water Employment Application

Let's Get to Know You

Background Information

Optional Equal Employment Opportunity Survey

References

Professional Reference

Personal Reference

Resume Upload