skip to main content skip to footer
Contact Information
Contact Address
Zip/Postal Code:

General Information
Alternative Phone Number
Are you legally eligible to work in the United States?
Are you at least 18 years Old? (If no, you may be required to provide authorization to work.)
How did you hear about Vinzo's
Do you have reliable transportation?
Do you have a valued driver's license?
How far are you willing to travel to work?
Please tell us more about yourself.

Position Information
Positions applying for:
What are your minimum expected earnings?
Would you prefer to work:
Would you prefer to work:
Select which days of the week you are available to work (Select all that apply).
Are you willing to work a changing schedule?
What is the earliest date you can start?

Did you graduate high school or have a GED equivalent?
Highest grade completed in high school:
High school name & location:
Did you graduate college or university?
Highest college/university level completed:
College/university name & location:
Course of study / major:
Have you graduated from a vocational or trade school?
Highest vocational/trade school level completed:
Vocational/trade school name and location:
Course of study / major:
Did you earn a degree from a graduate school?
Graduate school name & location:
Course of study / major:
List any other education you may have.
List any work-related certifications or licenses you currently possess.

Background Information
During the past seven years, have you ever been discharged, suspended, or asked to resign from any position?
If yes, please explain.
For the purpose of verifying information on this application, have you ever worked or attended school under a different name at any organization?
If yes, please specify.

Professional References (List 3 professional references, other than those listed as current/former supervisor, that we may contact)
Reference 1 Name
Reference 1 Email
Reference 1 Phone
Reference 1 Years Acquainted
Reference 1 Relationship
Reference 2 Name
Reference 2 Email
Reference 2 Phone
Reference 2 Years Acquainted
Reference 2 Relationship
Reference 3 Name
Reference 3 Email
Reference 3 Phone
Reference 3 Years Acquainted
Reference 3 Relationship

Employment Record - List all employment experience for the past seven years, starting with the most recent or present employer, including US Military Service. Using a separate section for each position, describe in detail all work experience including periods of unemployment. You may include as part of your employment history any verified work performed on a volunteer basis. Resumes may not be substituted in lieu of completing the following employment information.
Current employer:
Your Position
Supervisor's name & title:
May we contact?
If not, why?
Primary Responsibilities:
Starting Pay:
Ending Pay
From (Month, Year)
To (Month, Year):
Reason for leaving:

Previous Employment
Previous Employer:
Your Position
Supervisor's name & title:
May we contact?
If not, why?
Starting Pay:
Ending Pay:
From (Month, Year)
To (Month, Year):
Reason for leaving:
Primary Responsibilities: