Position:
Minimum Salary:
Employment desired:
Full-time
Part-time
Have you ever filed an application with
Valley International Airport?
Yes
No
If yes, when?
Have you ever been interviewed by
Valley International Airport?
Yes
No
If yes, when?
PERSONAL INFORMATION
Last Name:
First Name:
Middle Name:
Present Address - No. and Street:
City:
State:
Zipc Code:
Email Address:
(E-mail)
Telephone with Area Code:
Are you willing to work rotating shifts
including nights, weekends, and holidays?
Yes
No
Do you possess the legal right to work in the U.S.A.?
Yes
No
Social Security #:
Do you have a valid drivers license?
Yes
No
D.L. Number:
Expires:
State:
Please answer each of the following questions. You will not be considered for employment if this application is
incomplete. Furthermore, Federal Aviation Administration (FAA) regulations require us to inform you that you
will be subject to an employment history verification, included but not limited to a criminal background check,
should you seek employment with Valley International Airport.
What nicknames or aliases are you known
by or use? If none, write "NONE"
Have you ever been convicted, or declared not guilty by reason of insanity, of any
of the following crimes within the past ten years?
01. Forgery of certificates, false marking of
aircraft and othe aircraft registration violations
Yes
No
02. Improper transportation of a hazardous material
Yes
No
03. Aircraft Piracy
Yes
No
04. Interference with flight crew members
Yes
No
05. Commission of certain crimes aboard
aircraft in flight
Yes
No
06. Carrying a weapon or explosive aboard an aircraft
Yes
No
07. Conveying false information and threats
Yes
No
08. Aircraft piracy outside the special aircraft
jurisdiction of the U.S.
Yes
No
09. Lighting violations involving transporting
controlled substances
Yes
No
10. Unlawful entry into an aircraft or airport area
that serves air carriers or foreign air carriers
contrary to established security regulations
Yes
No
11. Destruction of an aircraft or aircraft facility
Yes
No
12. Murder
Yes
No
13. Assault with intent to murder
Yes
No
14. Espionage
Yes
No
15. Sedition
Yes
No
16. Kidnapping or hostage taking
Yes
No
17. Treason
Yes
No
18. Rape or aggravated sexual abuse
Yes
No
19. Unlawful possession, use, sale, distribution, or
manufacture of an explosive or weapon
Yes
No
20. Extorsion
Yes
No
21. Armed robbery
Yes
No
22. Distribution of, or intent to distribute,
a controlled substance
Yes
No
23. Felony arson
Yes
No
24. Conspiracy to commit any of the
aforementioned criminal acts
Yes
No
EDUCATION
High School NAME & ADDRESS
High School COURSE OF STUDY
High School DATES ATTENDED
High School DID YOU GRADUATE ?
Yes
No
GED
High School DEGREE/DIPLOMA
College NAME & ADDRESS
College COURSE OF STUDY
College DATES ATTENDED
College DID YOU GRADUATE ?
College DEGREE/DIPLOMA
Business Technical NAME & ADDRESS
Business Technical COURSE OF STUDY
Business Technical DATES ATTENDED
Business Technical DID YOU GRADUATE ?
Business Technical DEGREE/DIPLOMA
Other NAME & ADDRESS
Other COURSE OF STUDY
Other DATES ATTENDED
Other DID YOU GRADUATE ?
Other DEGREE/DIPLOMA
EMPLOYMENT HISTORY (PRESENT 2013 - 2003)
List all previous work experience including military service record and period of employment during the past ten
years. Begin with present position and work back to your first position. If there were periods of more than one
month where you were self-employed or unemployed, list name and address of person(s) not related to the applicant
who can verify your activities during this period(s).
EMPLOYER 1
From Mo/Yr
To Mo/Yr
Employerinfo1:
Name
Address
Phone
Contact Person
Employerstartsalarystart1:
Employerstartsalaryend1:
Employerjobtitle1:
reasonforleaving1:
EMPLOYER 2
Employerfrom2:
Employerto2:
Employerinfo2:
Name
Address
Phone
Contact Person
Employerstartsalarystart2:
Employerstartsalaryend2:
Employerjobtitle2:
reasonforleaving2:
EMPLOYER 3
Employerfrom3:
Employerto3:
Employerinfo3:
Name
Address
Phone
Contact Person
Employerstartsalarystart3:
Employerstartsalaryend3:
Employerjobtitle3:
reasonforleaving3:
EMPLOYER 4
Employerfrom4:
Employerto4:
Employerinfo4:
Name
Address
Phone
Contact Person
Employerstartsalarystart4:
Employerstartsalaryend4:
Employerjobtitle4:
reasonforleaving4:
EMPLOYER 5
Employerfrom5:
Employerto5:
Employerinfo5:
Name
Address
Phone
Contact Person
Employerstartsalarystart5:
Employerstartsalaryend5:
Employerjobtitle5:
reasonforleaving5:
EMPLOYER 6
Employerfrom6:
Employerto6:
Employerinfo6:
Name
Address
Phone
Contact Person
Employerstartsalarystart6:
Employerstartsalaryend6:
Employerjobtitle6:
reasonforleaving6:
EMPLOYER 7
Employerfrom7:
Employerto7:
Employerinfo7:
Name
Address
Phone
Contact Person
Employerstartsalarystart7:
Employerstartsalaryend7:
Employerjobtitle7:
reasonforleaving7:
EMPLOYER 8
Employerfrom8:
Employerto8:
Employerinfo8:
Name
Address
Phone
Contact Person
Employerstartsalarystart8:
Employerstartsalaryend8:
Employerjobtitle8:
reasonforleaving8:
SPECIAL SKILLS
Typing (WPM)
Shorthand (WPM)
Calculator:
Word Processing (type of Software)
IBM Compatible PC
Do you speak/write any languages other than English?
Other Skills:
Describe any job related training received in
the United States military.
State any additional information you feel may be
helpful in considering your application.
What date would you be available to begin working?
REFERENCES (No relatives or previous employers)
Name:
Telephone Number with Area Code:
Address:
Name:
Telephone Number with Area Code:
Address:
Name:
Telephone Number with Area Code:
Address:
APPLICANT'S STATEMENT
I certify that answers given herein are true and complete to the best of my knowledge.
I authorize the investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision.
This application for employment shall be considered active for a period of time not to exceed 45 days. Any applicant wishing to be
considered for employment beyond this time period should inquire as to whether or not applications are being accepted at that time.
I hereby understand and acknowledge that, unless defined by applicable law, any employment relationship with this organization is of an
"at will" nature, which means that the Employee may resign at any time and the Employer may discharge Employee at any time with or
without cause. It is further understood that this "at will" employment relationship may not be changed by any written document or by
conduct unless such change is specifically acknowledged in writing by an authorized executive of this organization.
In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in
discharge. I understand, also, that I am required to abide by all rules and regulations of the airport.
Name of Applicant:
Date: