Employment Application





Previous Employment 1

May we contact this previous employer?

Previous Employment 2

May we contact this previous employer?

Reference 1

Reference 2

Reference 3

Law Violations

Have 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)?


I 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.