ajlogonew3.gif - 3000 Bytes

Informing The Alleghany Highlands Region!
                               Alleghany Journal Contributor/Contractor/Stringer/Individual Sales Agent Form
Alleghany Journal Employee/Contractor/Stringer/Individual Sales Agent Form
Clifton Forge, VA 24450
You are invited to submit your name for any of the categories/relationships with the Alleghany Journal below. You do NOT have to have prior reporting experience, but you MUST HAVE A SMARTPHONE that has the SKYPE APP installed (this is available from the Play Store for Android devices and the App Store for Apple Iphones). If none of the categories below fits what YOU are interested in, then email us by clicking here. Thanks for your interest in our publication
Your Information
Your Name:
Your Address
City, State & Zip
Phone No. With Area Code
Cell Phone No. With Area Code
Your Email Address
Your Social Security No.
Other Important Information
Ever Been Convicted Of A Felony? YES -- NO
If you answered YES to the felony question above, please explain...
Do you wish to start working with us immediately? YES -- NO
What relationship with the AlleghanyJournal.com & JournalTV are you seeking? I'm Willing To Do It All...
Part Time News Stringer/videographer
Part Time Photographer
Full-Time Ad Salesperson
Part-Time Ad Salesperson
On-Camera Broadcaster/Interviewer
Part-time Interviewer/Videographer (all sorts of assignments, not limited to news)
Part Time Slideshow creator/video editor
If you indicated "News Stringer" above, which of the following would you be interested in covering on a regular basis? Check ALL that apply. News Stringer - miscellaneous story assignments
Iron Gate Town Council
Clifton Forge Town Council
Covington City Council
Covington School Board
Alleghany Planning Commission
Highlands Area Community Services Board
Alleghany Highlands School Board
Alleghany Board Of Supervisors
Clifton Forge Planning Commission
Education Level No High School Diploma -- High School Grad
Some College -- College Grad
Submit your comments or reasons why you believe you can contribute to our organization...

Warning: include(adrotatornew.php): failed to open stream: No such file or directory in /home/alleghanyjournal/public_html/icform.php on line 66 Warning: include(): Failed opening 'adrotatornew.php' for inclusion (include_path='.:/usr/share/pear:/usr/share/php') in /home/alleghanyjournal/public_html/icform.php on line 66 Send This Page To A Friend -- BACK TO THE JOURNAL'S HOMEPAGE!