VALLEY INTERNATIONAL AIRPORT
Application for Employment
General Instructions: Print or type answers that apply. Continued employment with the airport is dependent upon the
truthfulness and completeness of the information provided by you in this application. Valley International Airport does
not discriminate because of race, color, religion, national origin, age, sex, disability or veteran status.
BECAUSE OF THE LARGE VOLUME OF APPLICATIONS RECEIVED
NO ACKNOWLEDGEMENT IS MADE
Position applied for :
 Minimum salary:
Employment desired
Have you ever filed an application with Valley International Airport?
When?
Have you ever been interviewed by Valley International Airport?
When?
PERSONAL INFORMATION
Last Name
 First Name
 Middle Name
Present Address - No. and Street
 City
 State
Zip Code
 Telephone with Area Code
Email Address
Are you willing to work rotating shifts including nights, weekends, and holidays?
Do you possess the legal right to work in the U.S.A.?
Social Security #
Do you have a valid drivers license?
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 other
aircraft registration violations
02. Improper transportation of a hazardous material
03. Aircraft Piracy
04. Interference with flight crew members
05. Commission of certain crimes aboard aircraft in flight
06. Carrying a weapon or explosive aboard an aircraft
07. Conveying false information and threats
08. Aircraft piracy outside the special aircraft jurisdiction of the U.S.
09. Lighting violations involving transporting controlled substances
10. Unlawful entry into an aircraft or airport area that serves air carriers or
foreign air carriers contrary to established security regulations
11. Destruction of an aircraft or aircraft facility
12. Murder
13. Assault with intent to murder
14. Espionage
15. Sedition
16. Kidnapping or hostage taking
17. Treason
18. Rape or aggravated sexual abuse
19. Unlawful possession, use, sale, distribution, or manufacture
of an explosive or weapon
20. Extorsion
21. Armed robbery
22. Distribution of, or intent to distribute, a controlled substance
23. Felony arson
24. Conspiracy to commit any of the aforementioned criminal acts
EDUCATION
High School
NAME & ADDRESS 		High School
COURSE OF STUDY 		High School
DATES ATTENDED
High School
DID YOU GRADUATE ? 		High School
DEGREE/DIPLOMA		  
 
College
NAME & ADDRESS 		College
COURSE OF STUDY 		College
DATES ATTENDED
College
DID YOU GRADUATE ? 		College
DEGREE/DIPLOMA		  
 
Buisness Technical
NAME & ADDRESS		 Buisness Technical
COURSE OF STUDY 		Buisness Technical
DATES ATTENDED
Buisness Technical
DID YOU GRADUATE ? 		Buisness Technical
DEGREE/DIPLOMA		  
 
Other
NAME & ADDRESS		 Other
COURSE OF STUDY 		Other
DATES ATTENDED
Other
DID YOU GRADUATE ? 		Other
DEGREE/DIPLOMA		  
 
EMPLOYMENT HISTORY (PRESENT 2008-1998)

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).
From Mo/Yr
To Mo/Yr 		Employer
Complete Address & Telephone
Number Including Area Code		 Salary Start
Salary/ End		 Job Title and Description of Work Specific Reason for Leaving
From Mo/Yr

To Mo/Yr

Start:
End:

From Mo/Yr

To Mo/Yr

Start:
End:

From Mo/Yr

To Mo/Yr

Start:
End:

From Mo/Yr

To Mo/Yr

Start:
End:

From Mo/Yr

To Mo/Yr

Start:
End:

From Mo/Yr

To Mo/Yr

Start:
End:

From Mo/Yr

To Mo/Yr

Start:
End:

From Mo/Yr

To Mo/Yr

Start:
End:

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 - NO 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