Application

Personal Information


Current Address

Note: If no, your employment may be subject to verification that you meet state/federal minimum age requirements for the type of work you are applying for and have obtained a valid work permit.


Employment Preference


Education


High School
Name of School
Year(s) Completed
Diploma Received

Vocational Training
Name of School
Year(s) Completed
Diploma Received
Emphasis of Study and Degree Received

College or University
Nameof School
Year(s) Completed
Diploma Received
Emphasis of Study and Degree Received

Other
Name of School
Diploma Received
Emphasis of Study and Degree Received

Work Experience

This section must be fully completed before you can be considered for employment.

Begin with your present work experience or most recent position and work backward in order. Please complete all fields for each work experience section. Describe duties in detail as to type of work and responsibilities.

Note: Writing "See Resume" does not constitute a completed application form.
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How did you hear about VPS and this employment opportunity?


Attach Resume


Agreement

Please read each statement before signing

An application for employment at Valley Packaging Supply is kept on file for one year. Thereafter, it will be necessary to reapply.

It is understood and agreed that any misrepresentations, including false and/or misleading statements, or omissions made by me in the application, will be sufficient cause for disqualification from further employment consideration and/or dismissal from employment at Valley Packaging Supply.

I authorize Valley Packaging Supply to investigate all statements made on this application. I also authorize the references and past employers listed within the release any and all information concerning my previous employment to Valley Packaging Supply and I release the references, past employers, and Valley Packaging Supply from all liability or loss that may result from the disclosure or use of such information.

I agree that, if employed, I will conform to the rules and regulations of the company and that my employment is "at will" meaning my employment can be terminated with or without cause and with or without notice at any time at the option of either Valley Packaging Supply or myself. I understand that no person, other than the President of the Company or designated individual, has any authority to enter into an agreement or contract of employment for any specified period of time. It is further understood that if an employment offer is extended, it may be contingent upon passing a post offer functional assessment (PFA), a pre-employment drug screen, a background check or other final review steps. I further understand that if I do not successfully complete the PFA, drug screen test or other final review steps, Valley Packaging Supply may refuse to hire me, and I agree to hold Valley Packaging Supply harmless for such refusal. I also understand that employment is conditional on my ability to verify my identity and eligibility for employment as required by the Immigration Reform and Control Act of 1986. I also agree that, as a condition of employment, I may be asked to sign documents that protect the intellectual property or other confidential information of Valley Packaging Supply.

I have read, understand, and accept Valley Packaging Supply’s disclaimer statements as acknowledged by my electronic signature.

Applicant's Signature