Warren County Employment Application

Personal Information
Please enter your name.

Invalid Input

Please enter your address.

Invalid Input

Please enter your phone number.

Please enter your email address.

Please verify your age.


Please select your start date.

Education and Training
Please select your level of education.

Please enter the name of your school.

(ex. Skyline High School)

Please enter the location of your school.

(ex. Front Royal, Virginia)

Please enter your year of Graduation

Invalid Input

Invalid Input

Invalid Input

Previous Employer(s)

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

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

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

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

Please select an option.

Please select an option.

References

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

Name:
Invalid Input
Phone Number:
Invalid Input
Relationship:
Invalid Input
Years Acquainted:
Invalid Input

Name:
Invalid Input
Phone Number:
Invalid Input
Relationship:
Invalid Input
Years Acquainted:
Invalid Input

Name:
Invalid Input
Phone Number:
Invalid Input
Relationship:
Invalid Input
Years Acquainted:
Invalid Input

Have you ever been convicted of a FELONY or MISDEMEANOR?

Please select an option.

Please select an option.

Invalid Input

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. 

Please select your immigration status.

Please select an answer.

If yes, please attach a full copy of your DD Form 214 at the end of 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. 

Please enter your name as your electronic signature.


Please select today's date.

Please upload your resume.

Invalid Input

Invalid Input

Upon submission of you application your should receive an email receipt of your application. Please check your spam folder as well. If you did not receive the receipt, please resubmit your application or contact Human Resources at 540.636.4600. 

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

 

WC Seal braid trans

Established in 1836