Current Employer

Previous Employer

Previous Business Experience

Financial Position

Bank References

Character References

Please do not include relatives.

Release Authorization

I certify that the enclosed information as given is complete and correct. It is understood that the purpose of this questionnaire is to gather general information and is in no way binding upon either Oil & Vinegar or the applicant. I authorize release of any information deemed necessary by Oil & Vinegar to verify any and all of the above information. I hold Oil & Vinegar harmless for any damages arising from verification of the information contained herein.