(Please omit any organizations which reflect race, color, sex, national origin, age, ancestry, marital status, sexual orientation, medical condition, mental or physical handicap, or other protected status.)
(List past or present activities since leaving school)
If employed, Federal law requires that you present one or more original documents to your employer as proof of identity and employability.
Will you be able to furnish such documintation if hired?
Yes No
I hearby certify and declare that all statements given by me on this application form are truthful and complete statements to the best of my knowledge. I understand that any false or incomplete information contained on my application form will be cause for immediate discharge if I am subsquently employed.
If hired, in consideration of my employment, I agree to conform to Valley Yellow Pages work rules and policies, and I agree to sign an Employee Handbook acknowledgement form and other documents signed by new employees. In addition, I agree that either I or Valley Yellow Pages may terminate my employment with or without cause, and with or without prior notice at any time. Finally, I understand that no representative of Valley Yellow Pages, other than the President, has the authority to enter into any agreement (which agreement must be in writing) for employment for any specified period of time, or to otherwise alter the foregoing.
Valley Yellow Pages and I agree that any claim or dispute arising out of or relating to this application or Valley Yellow Pages' decision regarding my application for employment shall be determined by final and binding arbitration.
I hereby authorize all my former employers, educational instructions, and persons named herein as personal references to furnish any and all information they have concerning me, whether or not such information is on their records, and I release them from any and all liabilities or damage arising because of furnishing such information.