Employment Application

Applicant's Name*
Address*
         

Education

         
         

Additional Training

Please check if you have current, up to date training in any of the following areas. Documentation will be required.
         
Check all that apply:
         
         

Work Experience

Describe work experience, beginning with the most recent:

Job #1
Address*
Supervisor*
MM slash DD slash YYYY
MM slash DD slash YYYY
                   

Job #2
Address*
Supervisor*
MM slash DD slash YYYY
MM slash DD slash YYYY
         

Job #3
Address*
Supervisor*
MM slash DD slash YYYY
MM slash DD slash YYYY
         

Additional Information

         
         
         
         
         

Professional References

Please provide contact information for 3 professional or educational references. Family members cannot be used.

Reference #1
Name*
         

Reference #2
Name*
         

Reference #3
Name*
         

Please Upload Latest Resume and/or Additional Documents
Max. file size: 128 MB.
Max. file size: 128 MB.
Max. file size: 128 MB.
         

Applicant Consent

I understand that in the event I am offered employment, I will be required to submit to background checks conducted by the Virginia State Police as well Virginia Department of Education in conjunction with Child Protective Services. I will also be required to complete a Sworn Disclosure Statement regarding any charges pending against me, both in Virginia as well as out of state. I will also be required to provide proof that I am free from tuberculosis in a communicable form prior to beginning employment. I understand that I must provide appropriate documentation to proof my eligibly to work in the United States of America. I understand that this list is not inclusive and is subject to change at the discretion of the school.*
         
By submitting this form, I attest that all the aforementioned information is accurate and true as of the date that it is submitted.