Employment Application

Employment Application
Our policy is to provide equal employment opportunity to all qualified persons without regard to race, creed, color, religious belief, sex, age, national origin, ancestry, physical or mental disability, or veteran status.

While many employers are required by federal law to have an Affirmative Action Program, all employers are required to provide equal employment opportunity and may ask your national origin, race and sex for planning and reporting purposes only. This information is optional and failure to provide it will have no affect on your application for employment.
Position*
Select the position you are applying for. Weinstein Beverage Company (WBC), Eastern Cascade Distributing (ECD), Weinstein Wholesale Solutions (WWS)
Employee Information
Please fill out the following information:
Full Name*

First NameMiddle NameLast Name
Phone Number*
Email*

Confirmation EmailPlease enter your email address 2 times for confirmation.
Address*

Street Address

Street Address Line 2

CityState

Zip Code

Employment Eligibility
I am legally eligible for employment in the U.S. (Supporting documents may be required).*

YesNo
Drivers License Information
I have a valid U.S. Driver's License.*

YesNo
License Type
Issuing State

Street Address

Street Address Line 2

City

Zip Code

Employment History

List most recent employment first. Include summer or temporary jobs. Be sure all your experience or employers related to this job are listed here.

Please click the arrow to expand and fill out each prior employment section below.

Employer #1 (Current/Most Recent)
Employer Name:*
Start Date:*

MoDayYear
End Date:

MoDayYear
Employer Address:*

Street Address

Street Address Line 2

CityState

Zip Code
Phone Number*
Pay Rate:
List hourly or annual
My title, duties, and or skills:*
Supervisor's Name:*
Reason for leaving:
Put in "N/A" if you have not left.

Employer #2
Employer Name:
Start Date:

MoDayYear
End Date:

MoDayYear
Employer Address:

Street Address

Street Address Line 2

CityState

Zip Code
Phone Number
Pay Rate:
List hourly or annual
My title, duties, and or skills:
Supervisor's Name:
Reason for leaving:

Employer #3
Employer Name:
Start Date:

MoDayYear
End Date:

MoDayYear
Employer Address:

Street Address

Street Address Line 2

CityState

Zip Code
Phone Number
Pay Rate:
List hourly or annual
My title, duties, and or skills:
Supervisor's Name:
Reason for leaving:

Employer #4
Employer Name:
Start Date:

MoDayYear
End Date:

MoDayYear
Employer Address:

Street Address

Street Address Line 2

CityState

Zip Code
Phone Number
Pay Rate:
List hourly or annual
My title, duties, and or skills:
Supervisor's Name:
Reason for leaving:

EndEmploymentHistory
Summarize other relevant employment/experiences:

Education

List any/all education:

	Institution Name	Years Completed	Field of Study	Graduate or Degree
High School
College/University
Business/Technical
Additional

Military
I am a veteran:*

YesNo
Veteran Duties/Specialized Training:
Skills & Qualifications
Other qualifications such as special skills, abilities or honors to consider:
Types of computers/software/equipment I am qualified to operate or repair:
Professional licenses, certifications, or registrations:
Additional skills:
I speak the following languages:*

EnglishSpanishOther
Professional References
(please do not use relatives)

List 3 References

	Name	City/State	Telephone	Occupation	Years Known
1
2
3

Resumé

If you have a resumé, please attach it by clicking the button below. Only PDFs and Word documents will be accepted.
Attach Resumé

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Information to the Applicant

As part of our procedure for processing your employment application, your personal and employment references may be checked. If you have misrepresented or omitted any facts on this application, and are subsequently hired, you may be discharged from your job. You may make a written request for information derived from the checking of your references.

If necessary for employment, you may be required to:
- supply your birth certificate or other proof of authorization to work in the United States
- have a physical examination and/or a drug test
- sign a conflict of interest agreement and abide by its terms
By signing below you indicate your understanding and agreement to the information as stated in this form.
Signature*

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