Virginia Peninsulas Public Service Authority

Application For Employment

Virginia Peninsulas Public Service Authority
475 McLaws Circle, Suite 3B, Williamsburg, VA 23185-5676
(757) 259-9850
VPPSA is an Equal Opportunity Employer and does not discriminate against otherwise qualified applicants on the basis of race, color, religion, sex, age, gender, gender identity/expression, sexual orientation, national origin, political affiliation, pregnancy, childbirth or related medical conditions, marital status, disability or status as a veteran.

Instructions: Please read before completing this form.
  • Do not abbreviate if possible
  • At a minimum, items with an asterisk must be completed
  • If an item does not apply, write “Not Applicable” or “N/A” in the space provided
  • List the position for which you want to be considered in the appropriate box; You will only be considered for a position that is open at the time you apply
  • Carefully read the Privacy Notice at the bottom of the form
  • Applications must be signed and dated by the applicant

General Information

If you currently work for VPPSA, or have in the past, complete the box below

If any members of your family presently work for VPPSA, complete the box below:

All new employees will be required to complete a Form I-9 and provide documents establishing their identity and eligibility to work in the Unites States

Education, Certificates, and Special Training

Please list the Colleges and/or Universities you have attended, including the City, State, Zip Code if known, and other information requested.

(If you expect to graduate within 9 months, give month and year you expect to receive your degree.)

Other schools or training (for example, trade, vocational, armed forces, or business. For each course named, please provide the date and training organization.

List special qualifications and skills (licenses, patents, inventions, publications, etc.)

Experience

Start with your present position and work back, including U.S. Military Service. You may include unpaid experience or volunteer work if you feel that it represents qualifying experience for the position for which you are applying. If any employment was under a different name, please indicate below.

Position 1

(Manufacturing, Account, Insurance, Etc.)

Position 2

(Manufacturing, Account, Insurance, Etc.)

Position 3

(Manufacturing, Account, Insurance, Etc.)

Position 4

(Manufacturing, Account, Insurance, Etc.)

 

Have you ever been discharged or asked to resign from a job?
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Applicant's Certification And Agreement

I hereby certify that the facts set forth in the above employment application are true and complete to the best of my knowledge and authorize Virginia Peninsulas Public Service Authority to verify their accuracy and to obtain reference information on my work performance. I hereby release Virginia Peninsulas Public Service Authority from any/all liability of whatever kind and nature which, at any time, could result from obtaining and basing an employment decision on such information.

I understand that falsified statements of any kind or omissions of facts called for on this application may result in disqualification for consideration for employment or, if already employed, grounds for immediate dismissal.

I understand that should an employment offer be extended to me and accepted, I will fully adhere to the policies, rules and regulations of employment of the Virginia Peninsulas Public Service Authority. However, I further understand that neither the policies, rules, regulations of employment or anything said during the interview process shall be deemed to constitute the terms of an implied employment contract. I understand that any employment offered is for an indefinite duration and at will and that either I or the Virginia Peninsulas Public Service Authority may terminate my employment at any time with or without notice or cause.

Administrative Office
475 McLaws Circle, Suite 3B
Williamsburg, Virginia 23185
757-259-9850
Fax 757-259-9855

Field Office and Maintenance Facility
480 Clancie Road
Shacklefords, Virginia 23156
804-758-1900
Fax 804-758-4263

Compost Facility
145 Goodwin Neck Road
Yorktown, Virginia 23692
757-898-5012
Fax 757-898-0641