EMPLOYMENT  

Work Force & Benefits
Internship Opportunities
Positions Available
Online Application
Printable Application

ONLINE APPLICATION

Personal
SSN    Date 
First Name   Last Name   Middle Initial  
Street Address   City   State   Zip
Home Phone    Work Phone
Have you ever applied for employment with us?   Yes     No 
If yes, month & year    location
Position Desired        Pay Expected 
Are you available for full-time work? Yes No     If not, what hours can you work? 
Are you eligible for employment in the United States?   Yes   No
Some positions require that you have a valid driver's license.  Do you have a valid driver's license and record?   Yes No   If the answer is no, please explain. 
When will you be available to begin work? 


Educational
School Name & Location Course of Study # of years completed Did you graduate? Degree or diploma
High School
College
Graduate
Trade/Tech
Other special training or skills (languages, machine operation, etc): 


Emergency Contact
Point of contact in the event of an emergency               Relationship 
Name       Phone 
Address    City     State     Zip 


Military
Did you serve in the U.S. Armed Forces? Yes  No      If yes, in what branch?
Describe any training received relevant to the position for which you are applying:


Employment - start with your present or most recent employer
Company Name   Telephone   Employed From  To
Address    Supervisor     Weekly Pay: Start   Last
Job Title   Describe your work   Reason for Leaving

Company Name     Telephone     Employed From   To
Address     Supervisor     Weekly Pay: Start   Last
Job Title   Describe your work   Reason for Leaving

Company Name     Telephone     Employed From   To
Address     Supervisor     Weekly Pay: Start   Last
Job Title   Describe your work   Reason for Leaving


References - must be professional references (not personal)
Name    Address    Contact Phone #
Name    Address    Contact Phone #
Name    Address    Contact Phone #

We may contact the employers listed above unless you indicate those you do not want us to contact.
Do Not Contact
Employer     Reason


Voluntary Affirmative Action/EEO Information - completion of information is voluntary
Date
Position Applied For
Referral Source
First Name
Last Name
Middle Initial
Street Address
Address (cont.)
City
State
Zip Code
Home Phone

 

In an effort to comply with requirements regarding government record keeping, reporting and other legal obligations associated with Affirmative Action and Equal Employment Opportunity, we ask that you complete this data survey.  Your cooperation will be appreciated.

Please be advised that this survey is not a part of your application for employment.  It is considered confidential information that will not be used in any hiring decisions.
Are you:
Are you:

Equal Opportunity Employment and Affirmative Action Policy

VIRTEXCO is an equal opportunity employer and affirmatively seeks diversity in its workforce. All employees are afforded equal opportunity with respect to employment, compensation, benefits, training, transfer, and promotion without discrimination.

Please check if any of the following are applicable:
Vietnam Era Veteran
Disabled Veteran
Handicapped Individual

NOT FOR INTERVIEW PURPOSES
NOTICE

All applicants may be required to submit to pre-employment drug and/or alcohol screening. Failure to submit to and/or authorize such pre-employment testing may result in the applicant not being hired. Likewise, a positive test result on any drug or alcohol test administered may result in an applicant not being hired or, if the applicant already has been hired, may result in termination of the individual’s employment with VIRTEXCO.

I hereby certify that all information contained in this application is complete and accurate to the best of my knowledge. I understand that any misrepresentation or omission of any facts set forth in my application may result in me not being hired or may lead to my dismissal from employment, if hired, whenever any misrepresentation or omission is discovered by VIRTEXCO. I authorize an investigation of all information contained in this application for employment, and I specifically release from all liability all persons, companies, or other third parties who may be contacted to verify or supplement any information I have provided to VIRTEXCO in this employment application.

I understand that nothing in VIRTEXCO’s application process is intended to create an employment contract, and that no promises regarding employment have been made to me. I understand that if I am employed by VIRTEXCO, it will be for no specific period of time and that such employment may be terminated at any time without notice, for any reason or for no reason or cause. I understand that no VIRTEXCO supervisor or other management employee has the authority to alter this at-will relationship unless stated in a specific writing signed by me and an officer of VIRTEXCO.


By pressing the submit button, you certify that the entries provided in this application are true, correct and complete, to the best of your knowledge. If employed, any misstatement or omission of fact in this application may result in your dismissal. You understand that if employed by VIRTEXCO CORPORATION such employment is subject to the policies and procedures of the company. You understand that VIRTEXCO CORPORATION is an at-will employer and that acceptance of an offer of employment does not create a contractual obligation on the part of the employer, you agree that your employment is for no definite period and may, regardless of the date of payment of wages and salary, be terminated at any time without prior notice. You authorize investigation of any statements made in this application. Prospective employees will receive consideration without discrimination because of race, creed, color, sex, age, national origin, handicap, or veteran status.