Employment Application Employment Application Updates PositionPosition applied forNameFirst NameMiddle NameLast NameContactEmailHome Phone/MobileAddressAddressCityStateZip CodeEducationHighest Education Completed– Select –Some High SchoolHigh School/GEDAssociate’s DegreeBachelor’s DegreeMaster’s Degree High School Name of Institution Location Dates Attended Post-Secondary Education Name of Institution Location Dates Attended Major Post-Secondary Education Name of Institution Location Dates Attended Major Post-Secondary Education Name of Institution Location Dates Attended Major Previous Employment 1May we contact this previous employer? Yes NoPosition TitleEmployerAddressPhone/MobileImmediate SupervisorSupervisor’s TitleStarting SalaryEnding SalaryStart date (month/year):End date (month/year): Full-time Part-timeHours/weekDutiesEquipment UsedReason for LeavingYour name while employed, if different from nowPrevious Employment 2May we contact this previous employer? Yes NoPosition TitleEmployerAddressPhone/MobileImmediate SupervisorSupervisor’s TitleStarting SalaryEnding SalaryStart date (month/year):End date (month/year): Full-time Part-timeHours/weekDutiesEquipment UsedReason for LeavingYour name while employed, if different from nowReference 1NameAddressPhone/MobileRelationshipReference 2NameAddressPhone/MobileRelationshipReference 3NameAddressPhone/MobileRelationshipLaw ViolationsHave you ever been convicted of a law violation(s) (including moving traffic violations but excluding offenses committed before your eighteenth birthday which were finally adjudicated in a Juvenile Court or under youth offender law)? Yes (list all below) NoIf yes, list all and explain.CertificationI hereby certify that all entries on both sides and attachments (if any) are true and complete, and I agree and understand that any falsification of information herein, regardless of time of discovery, may cause forfeiture on my part to any employment in the service of Green Valley Book Fair, Inc. I understand that all information on this application is subject to verification and I consent to references and former employers and educational institutions listed being contacted regarding this application. I further authorize Green Valley Book Fair, Inc. to rely upon and use, as it sees fit, any information received from such contacts. Yes, I certify that all entries are true and complete. Have a resume and/or cover letter? You may upload it here.Choose File Submit