Warren County Employment Application

Personal Information
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Education and Training
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(ex. Skyline High School)

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(ex. Front Royal, Virginia)

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Previous Employer(s)

List below your last three employers, starting with the most recent one first. 

Name and Address of Present or Last Employer:
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Job Title:
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Starting Date: (month/year)
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Leaving Date: (month/year)
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Starting Salary:
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Final Salary:
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Name of Supervisor:
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Title of Supervisor:
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Supervisor Phone #:
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Description of Work:
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Reason for Leaving:
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Name and Address of Previous Employer:
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Job Title:
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Starting Date: (month/year)
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Leaving Date: (month/year)
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Starting Salary:
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Final Salary:
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Name of Supervisor:
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Title of Supervisor:
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Supervisor Phone #:
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Description of Work:
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Reason for Leaving:
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Name and Address of Previous Employer:
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Job Title:
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Starting Date: (month/year)
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Leaving Date: (month/year)
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Starting Salary:
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Final Salary:
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Name of Supervisor:
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Title of Supervisor:
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Supervisor Phone #:
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Description of Work:
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Reason for Leaving:
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References

List the names of three persons NOT related to you who have knowledge of your qualifications for this job.

Name:
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Phone Number:
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Relationship:
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Years Acquainted:
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Name:
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Phone Number:
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Relationship:
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Years Acquainted:
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Name:
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Phone Number:
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Relationship:
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Years Acquainted:
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Have you ever been convicted of a FELONY or MISDEMEANOR?

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Note: You will not be denied employment solely because of a conviction record, unless the offense is related to the job for which you have applied. 

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If yes, please attach a full copy of your DD Form 214 with this application. 

Acknowledgments

I hereby certify that all entries on this application are true and complete to the best of my knowledge, and I agree and understand that any falsification of information herein, regardless of time of discovery, may cause forfeiture on my part to any employment in the service of Warren County. 

I hereby authorize any investigator or duly accredited representative of the County of Warren, Virginia, bearing this release, or a copy thereof, within one (1) year of its date, to obtain any information from schools, residential management and/or credit agents, employers, criminal justice agencies, or any individual or business that can attest to my personal or professional activities. This information may include, but is not limited to, academic achievement, performance, attendance, personal history, training, disciplinary actions, credit, driving, criminal, civil court records, and conviction and arrest records. 

I hereby authorize and request your release of such information upon request of the bearer. I understand that the information released is for official use only by authorized agents of the County of Warren, Virginia, as necessary in the fulfillment of official responsibilities. 

I hereby release any individual, including record custodians, from any and all liability for damages of whatever kind or nature which may at any time result to me on account of compliance, or any attempts to comply with this authorization. Should there be any question as to the validity of this release, you may contact me as indicated in this application. 

I hereby understand and acknowledge that unless otherwise defined by applicable law, any employment relationship with the County of Warren, Virginia, is of an "at will" nature, which means that employment is not for any specific time period or duration, and that the employee may resign at any time and the employee may discharge the employee at any time with or without cause. While the County's employment practices may change from time to time, the employee's "at will" status may only be changed by official approval of the Warren County Board of Supervisors, in accordance with the Code of Virginia. 

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Employees of the County of Warren, Virginia, and applicants for employment shall be afforded equal opportunity in all aspects of employment without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, marital status, or political affiliation. The County also complies with all applicable laws governing employment practices and does not discriminate on the basis of any unlawful criteria. 

Contact

  info (@) warrencountyva.net
  540.636.4600
  540.636.6066
  220 N. Commerce Avenue
     Front Royal, VA 22630

Keep in Touch

 

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Established in 1836