Virginia Job Application Form Access Document Now

Virginia Job Application Form

The Virginia Job Application Form, officially known as DHRM Form 10-012 (Rev. 9/03), serves as a comprehensive tool for candidates aiming to secure employment within various agencies of the Commonwealth of Virginia. Emphasizing inclusivity and equal opportunity, the form requires detailed information from applicants regarding their education, experience, and skills, catering to a broad spectrum of job positions. Its structure ensures that individuals are evaluated fairly, without regard to race, color, religion, political affiliation, national origin, disability, marital status, gender, or age. To better navigate your career aspirations in Virginia, familiarize yourself with this application and take the first step by clicking the button below.

Access Document Now
Content Overview

The Commonwealth of Virginia takes pride in ensuring equal employment opportunities through the DHRM Form 10-012, a comprehensive application designed for job seekers aiming to enter public service. This form not only facilitates the assessment of a candidate's eligibility and qualifications for a given position but also underscores the state's commitment to non-discrimination based on race, color, religion, and other protected classes. Applicants are encouraged to detail their educational background, work experience, and any licenses or certifications that qualify them for the position, providing a thorough overview of their capabilities. Notably, the form includes provisions for those with disabilities, offering assistance to ensure all candidates can apply with ease. Additionally, it addresses legal compliance issues such as eligibility to work in the United States, adherence to the Selective Service registration requirement, and veteran status, ensuring all necessary legal boxes are ticked off. With spaces for references and miscellaneous details like shift and job status preferences, the Virginia Job Application form is a key step in the Commonwealth's hiring process, reflecting efforts to maintain a diverse and inclusive workforce.

Preview - Virginia Job Application Form

DHRM Form 10-012 (Rev. 9/03)

Commonwealth of Virginia

 

Please print in ink (preferably black) or use typewriter

An Equal Opportunity Employer

Number of attachments

 

 

Application for Employment

Position number

 

 

Send this application directly to the agency announcing the vacancy.

Employees of the Commonwealth and applicants for employment shall be afforded equal opportunity in all aspects of employment without regard to race, color, religion, political affiliation, national origin, disability, marital status, gender or age.

As a means of accommodation to persons with specific disabilities that prevent them from completing this application, confidential assistance in filling out this application may be obtained by calling the agency to which you are applying.

1.

Position applied for

 

 

2. Agency

 

 

 

(one per application)

(Note: Completion of number three is optional. Failure to submit social

3.

Social Security No.

 

 

 

 

security number on this form will not prohibit employment consideration.

 

 

 

 

Social security number may be required on other forms prior to employment.)

4.

Full legal name

 

6.

Home Phone

(

 

)

 

 

Last

First

Middle

 

 

 

 

 

 

5.

Address

 

7.

Business Phone

 

 

( )

 

 

 

 

 

8. E-mail Address

 

 

 

 

 

 

City

State

Zip

 

 

 

 

 

 

9.EDUCATION

a.

Check highest grade completed

1

2 3

4 5

6

7

8 9

10

 

11

12

 

 

b.

If you did not complete high school, do you have a high school equivalency diploma?

 

 

 

Yes

No

 

 

c.

Check number of years of post high school education

1

2

3

4

5

 

6

7

 

 

 

Name and Location of Institution

 

 

Hrs

 

Degree

 

 

Major or Specialty

Minor

Dates Attended

 

 

 

 

 

 

Received

 

 

 

 

 

 

 

1.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

2.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

3.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

d. If you expect to complete an educational program in the near future, please indicate what type of degree or program and expected completion date:

10.EXPERIENCE Use Supplementary Experience Form(s) for additional space. Starting with the most recent, describe ALL paid, military and applicable voluntary experience. Highlight your knowledge, skills and abilities which best demonstrate your qualifications for this position.

 

You may list significantly different jobs within the same organization as separate items. May we contact your present supervisor?

Yes

No

a.

Job Title

 

 

 

 

 

 

 

 

 

 

Duties:

 

 

 

Employer

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Address

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Phone

 

 

 

 

 

 

 

 

Type of business

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Immediate supervisor

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Title

 

 

 

 

 

 

 

 

 

 

 

Number and titles of employees you supervised

 

 

 

 

Salary (start)

 

 

 

 

 

(finish)

 

 

Equipment used

 

 

 

 

Dates (mo/yr)

 

 

 

 

 

to (mo/yr)

 

Reason for leaving

 

 

 

 

 

Full-time

 

Part-time

 

 

Hours/week

 

 

Your name if different from present

 

 

b.

Job Title

 

 

 

 

 

 

 

 

 

 

Duties:

 

 

 

Employer

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Address

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Phone

Type of business

Immediate supervisor

Title

 

 

 

 

 

 

 

Salary (start)

 

 

(finish)

 

Dates (mo/yr)

 

 

to (mo/yr)

Full-time

 

Part-time

Hours/week

 

Number and titles of employees you supervised Equipment used

Reason for leaving

Your name if different from present

c. Job Title

 

 

 

 

 

 

 

 

 

 

 

 

 

Duties:

 

Employer

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Address

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Phone

 

 

 

 

 

 

 

Type of business

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Immediate supervisor

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Title

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Number and titles of employees you supervised

 

 

Salary (start)

 

 

 

 

 

 

(finish)

 

 

 

Equipment used

 

 

Dates (mo/yr)

 

 

 

 

 

 

to (mo/yr)

 

 

Reason for leaving

 

 

 

Full-time

 

 

Part-time

 

 

 

 

Hours/week

 

 

 

Your name if different from present

d.Use this space for any additional information you think would help us evaluate your application, including training, seminars, workshops, and special achievements or specialized skills:

e.Automated word processing (specify equipment)

 

Typing speed

 

words per minute.

 

Shorthand speed

 

words per minute

f. License (to include driver’s), certificate or other authorization to practice a trade or profession.

 

Type

 

 

 

License Number

 

Granted by (licensing board)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

11.REFERENCES

List names, addresses and relationships of three persons not related to you who know your qualifications:

Name

Address

Phone

Relationship

 

 

 

 

 

 

 

 

 

 

 

 

12.MISCELLANEOUS

a.

Check which shift you will accept:

Day

Evening

Night

Rotating

Weekends

Specify shift hours

b.

Check which job status you will accept:

Full-time

 

Part-time (specify)

 

 

 

 

c.

Check which employment status you will accept:

Salaried (benefits)

Hourly (No benefits)

Part-time salaried (leave benefits only)

d.

Are you willing to accept employment which requires you to travel? No

Yes. If yes,

During the day only,

 

Occasionally overnight,

Frequently overnight.

 

 

 

 

 

 

e.

List the geographic locations in which you are willing to work. If anywhere in Virginia, write “all”

 

 

f.

Are you willing to provide your own transportation if necessary for your employment?

Yes

No.

 

 

g.

For purposes of compliance with The Immigration Reform and Control Act, are you legally eligible for employment in the United States?

 

Yes

No. Under the Immigration Reform and Control Act of 1986, you will be required to fill out a certification verifying that you

 

are eligible to be employed and verifying your identity. Further, you will be required to provide documentation to that effect should you be

 

employed.

 

 

 

 

 

 

 

 

 

h.Section 2.2-2804 of the Code of Virginia prohibits any board, commission, department, agency, institution or instrumentality of the Commonwealth from employing a person who is required to present himself and submit to the federal Selective Service registration

requirement and failed to do so. If you are/were required to register for the Selective Service, have you done so? Yes No. If no, state reason:

i.For purposes of compliance with Section 2.2-2903 of the Code of Virginia, are you a veteran who received an honorable discharge and has (i) provided more than 180 consecutive days of full-time active- duty in the armed forces of the United States or reserve components thereof, including the National the National Guard, or (ii) has a service-connected disability rating fixed by the United States Veterans Affairs?

Yes No. If yes, did you serve during the Vietnam Conflict (2/28/61-3/7/75)? Yes No

j.Have you ever been convicted* for any violation(s) of law, including moving traffic violations. Yes No If YES, please provide the following:

Description of offense:

Statute or ordinance (if known ): Date of Charge: ; Date of Conviction

County, City, State of Conviction:

(For additional convictions use plain paper. Include all information listed above.)

*Convictions include Virginia juvenile adjudications for Capital Murder, First and Second Degree Murder, Lynching, or Aggravated Malicious Wounding, if you were age fourteen (14) to eighteen (18) when charged.

13.When will you be available to start work? (No date is necessary if you are available as soon as you give two (2) weeks notice.)

Month Day Year

14.CERTIFICATION--Each Application Requires Current Date and Original Signature

I hereby certify that all entries on both sides and attachments are true and complete, and I agree and understand that any falsification of information herein, regardless of time of discovery, may cause forfeiture on my part of any employment in the service of the Commonwealth of Virginia. I understand that all information on this application is subject to verification and I consent to criminal history background checks. I also consent that you may contact references, former employers and educational institutions listed regarding this application. I further authorize the Commonwealth to rely upon and use, as it sees fit, any information received from such contacts. Information contained on this application may be disseminated to other agencies, nongovernmental organizations or systems on a need-to-know basis for good cause shown as determined by the agency head or designee.

Date

 

Applicant Signature

Pursuant to federal regulations, we collect responses to the questions below for record keeping purposes. This information will NOT be kept with your application for employment. Federal law prohibits unlawful discrimination on the basis of race, color, sex, age, national origin, religion, or disability.

Check the block for the racial or ethnic group with

Check the block for the highest level of education

Check the appropriate block:

 

 

 

 

 

 

which you identify:

 

you have completed (check only one):

Female

 

 

 

 

 

 

White (includes Arabian)

 

Less than 8th grade

Male

 

 

 

 

 

 

Black (includes Jamaican, Bahamians and

Completed 8th grade

 

 

 

 

 

 

 

 

 

 

other Caribbeans of African but not Hispanic

Attended high school

 

 

 

 

 

 

 

 

 

 

or Arabian descent)

 

High school graduate or equivalent

Please indicate your date of birth:

/ /

 

Hispanic (includes persons of Mexican,

Attended college and/or associate degree

 

 

 

 

 

 

 

 

 

 

Puerto Rican, Central or South American or

College graduate

Position applied for:

 

 

 

 

 

 

other Spanish origin or culture)

Attended graduate school

Position number:

 

 

 

 

 

 

 

Asian & Asian American (includes Pakistanis,

Master’s degree

 

 

 

 

 

 

 

 

 

 

Indians & Pacific Islanders)

 

Graduate study beyond master’s

 

 

 

 

 

 

 

 

 

 

American Indians (includes Alaskans)

requirements

FOR OFFICE USE ONLY

 

 

 

 

 

 

 

 

Ph.D. or professional degree

EEO Category:

 

 

 

 

 

 

How did you find out about this employment opportunity?

 

 

 

 

 

 

 

 

 

 

Newspaper*

State RECRUIT system

 

 

 

 

 

 

 

 

 

 

Radio/TV*

Agency Bulletin Board

 

 

 

 

 

 

 

 

 

 

 

VEC

Other (please specify)

 

 

 

 

 

 

 

 

 

 

 

*specify name of newspaper or other media

DHRM Form 10-012A(Rev. 9/03)

 

Attachment Number

 

 

 

Supplementary Experience Form

Social Security Number

 

Position Applied For

Name

 

 

 

Announcement Number

 

 

 

Job Title

Duties:

Employer

Address

 

 

 

 

 

 

Phone

Type of business

 

 

 

 

 

 

 

 

 

Immediate supervisor

 

 

 

 

 

 

 

 

 

 

Title

 

 

 

 

 

 

 

 

 

 

 

 

 

Salary (start)

 

 

 

 

 

 

(finish)

 

Dates (mo/yr)

 

 

 

 

 

 

to (mo/yr)

Full-time

 

Part-time

 

 

 

 

Hours/week

 

Job Title

 

 

 

 

 

 

 

 

 

 

 

 

 

Employer

 

 

 

 

 

 

 

 

 

 

 

 

 

Address

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Phone

Number and titles of employees you supervised Equipment used

Reason for leaving

Your name if different from present

Duties:

Type of business

Immediate supervisor

Title

 

 

 

 

 

 

 

 

 

 

 

 

Salary (start)

 

 

 

 

(finish)

 

Dates (mo/yr)

 

 

 

 

to (mo/yr)

Full-time

 

Part-time

 

 

 

Hours/week

 

Job Title

 

 

 

 

 

 

 

 

 

 

Employer

 

 

 

 

 

 

 

 

 

 

Address

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Phone

Number and titles of employees you supervised Equipment used

Reason for leaving

Your name if different from present

Duties:

Type of business

Immediate supervisor

Title

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Salary (start)

 

 

 

 

 

 

(finish)

 

Dates (mo/yr)

 

 

 

 

 

 

to (mo/yr)

Full-time

 

Part-time

 

 

 

 

Hours/week

 

 

Job Title

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Employer

 

 

 

 

 

 

 

 

 

 

 

 

 

Address

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Phone

Type of business

 

 

 

 

 

 

 

 

 

Immediate supervisor

 

 

 

 

 

 

 

 

 

 

Title

 

 

 

 

 

 

 

 

 

 

 

 

 

Salary (start)

 

 

 

 

 

 

(finish)

 

Dates (mo/yr)

 

 

 

 

 

 

to (mo/yr)

Full-time

 

Part-time

 

 

 

 

Hours/week

 

 

Job Title

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Employer

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Address

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Phone

Type of business

 

 

 

 

 

 

 

 

 

Immediate supervisor

 

 

 

 

 

 

 

 

 

 

Title

 

 

 

 

 

 

 

 

 

 

 

 

 

Salary (start)

 

 

 

 

 

 

(finish)

 

Dates (mo/yr)

 

 

 

 

 

 

to (mo/yr)

Full-time

 

 

Part-time

 

 

 

 

Hours/week

 

 

Number and titles of employees you supervised Equipment used

Reason for leaving

Your name if different from present

Duties:

Number and titles of employees you supervised Equipment used

Reason for leaving

Your name if different from present

Duties:

Number and titles of employees you supervised Equipment used

Reason for leaving

Your name if different from present

DHRM Form 10-012A(Rev 9/03)

 

Attachment Number

 

 

 

Supplementary Experience Form

Social Security Number

 

Position Applied For

Name

 

 

 

Announcement Number

 

 

 

Job Title

Duties:

Employer

Address

 

 

 

 

 

 

Phone

Type of business

 

 

 

 

 

 

 

 

 

Immediate supervisor

 

 

 

 

 

 

 

 

 

 

Title

 

 

 

 

 

 

 

 

 

 

 

 

 

Salary (start)

 

 

 

 

 

 

(finish)

 

Dates (mo/yr)

 

 

 

 

 

 

to (mo/yr)

Full-time

 

Part-time

 

 

 

 

Hours/week

 

Job Title

 

 

 

 

 

 

 

 

 

 

 

 

 

Employer

 

 

 

 

 

 

 

 

 

 

 

 

 

Address

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Phone

Number and titles of employees you supervised Equipment used

Reason for leaving

Your name if different from present

Duties:

Type of business

Immediate supervisor

Title

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Salary (start)

 

 

 

 

 

 

(finish)

 

Dates (mo/yr)

 

 

 

 

 

 

to (mo/yr)

Full-time

 

Part-time

 

 

 

 

Hours/week

 

Job Title

 

 

 

 

 

 

 

 

 

 

 

 

 

Employer

 

 

 

 

 

 

 

 

 

 

 

 

 

Address

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Phone

Type of business

 

 

 

 

 

 

 

 

 

Immediate supervisor

 

 

 

 

 

 

 

 

 

 

Title

 

 

 

 

 

 

 

 

 

 

 

 

 

Salary (start)

 

 

 

 

 

 

(finish)

 

Dates (mo/yr)

 

 

 

 

 

 

to (mo/yr)

Full-time

 

Part-time

 

 

 

 

Hours/week

 

Job Title

 

 

 

 

 

 

 

 

 

 

 

 

 

Employer

 

 

 

 

 

 

 

 

 

 

 

 

 

Address

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Phone

Number and titles of employees you supervised Equipment used

Reason for leaving

Your name if different from present

Duties:

Number and titles of employees you supervised Equipment used

Reason for leaving

Your name if different from present

Duties:

Type of business

Immediate supervisor

Title

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Salary (start)

 

 

 

 

 

 

(finish)

 

Dates (mo/yr)

 

 

 

 

 

 

to (mo/yr)

Full-time

 

Part-time

 

 

 

 

Hours/week

 

 

Job Title

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Employer

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Address

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Phone

Type of business

 

 

 

 

 

 

 

 

 

Immediate supervisor

 

 

 

 

 

 

 

 

 

 

Title

 

 

 

 

 

 

 

 

 

 

 

 

 

Salary (start)

 

 

 

 

 

 

(finish)

 

Dates (mo/yr)

 

 

 

 

 

 

to (mo/yr)

Full-time

 

 

Part-time

 

 

 

 

Hours/week

 

 

Number and titles of employees you supervised Equipment used

Reason for leaving

Your name if different from present

Duties:

Number and titles of employees you supervised Equipment used

Reason for leaving

Your name if different from present

Job Title

Employer

Address

 

 

 

 

 

 

 

 

Phone

Type of business

 

 

 

 

 

 

 

 

 

Immediate supervisor

 

 

 

 

 

 

 

 

 

 

Title

 

 

 

 

 

 

 

 

 

 

 

 

 

Salary (start)

 

 

 

 

 

 

(finish)

 

Dates (mo/yr)

 

 

 

 

 

 

to (mo/yr)

Full-time

 

Part-time

 

 

 

 

Hours/week

 

 

Job Title

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Employer

 

 

 

 

 

 

 

 

 

 

 

 

 

Address

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Phone

Type of business

 

 

 

 

 

 

 

 

 

Immediate supervisor

 

 

 

 

 

 

 

 

 

 

Title

 

 

 

 

 

 

 

 

 

 

 

 

 

Salary (start)

 

 

 

 

 

 

(finish)

 

Dates (mo/yr)

 

 

 

 

 

 

to (mo/yr)

Full-time

 

Part-time

 

 

 

 

Hours/week

 

 

Job Title

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Employer

 

 

 

 

 

 

 

 

 

 

 

 

 

Address

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Phone

Type of business

 

 

 

 

 

 

 

 

 

Immediate supervisor

 

 

 

 

 

 

 

 

 

 

Title

 

 

 

 

 

 

 

 

 

 

 

 

 

Salary (start)

 

 

 

 

 

 

(finish)

 

Dates (mo/yr)

 

 

 

 

 

 

to (mo/yr)

Full-time

 

Part-time

 

 

 

 

Hours/week

 

 

Job Title

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Employer

 

 

 

 

 

 

 

 

 

 

 

 

 

Address

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Phone

Type of business

 

 

 

 

 

 

 

 

 

Immediate supervisor

 

 

 

 

 

 

 

 

 

 

Title

 

 

 

 

 

 

 

 

 

 

 

 

 

Salary (start)

 

 

 

 

 

 

(finish)

 

Dates (mo/yr)

 

 

 

 

 

 

to (mo/yr)

Full-time

 

Part-time

 

 

 

 

Hours/week

 

 

Job Title

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Employer

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Address

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Phone

Type of business

 

 

 

 

 

 

 

 

 

Immediate supervisor

 

 

 

 

 

 

 

 

 

 

Title

 

 

 

 

 

 

 

 

 

 

 

 

 

Salary (start)

 

 

 

 

 

 

(finish)

 

Dates (mo/yr)

 

 

 

 

 

 

to (mo/yr)

Full-time

 

 

Part-time

 

 

 

 

Hours/week

 

 

Duties:

Number and titles of employees you supervised Equipment used

Reason for leaving

Your name if different from present

Duties:

Number and titles of employees you supervised Equipment used

Reason for leaving

Your name if different from present

Duties:

Number and titles of employees you supervised Equipment used

Reason for leaving

Your name if different from present

Duties:

Number and titles of employees you supervised Equipment used

Reason for leaving

Your name if different from present

Duties:

Number and titles of employees you supervised Equipment used

Reason for leaving

Your name if different from present

File Specs

Fact Name Description
Form Identifier DHRM Form 10-012 (Rev. 9/03)
State Relevance Commonwealth of Virginia
Equal Opportunity Statement Declared as an Equal Opportunity Employer, emphasizing no discrimination based on race, color, religion, political affiliation, national origin, disability, marital status, gender, or age.
Disability Accommodation Offers confidential assistance for individuals with disabilities that prevent them from completing the application independently.
Legal Employment Compliance Inclusion of compliance statements with The Immigration Reform and Control Act of 1986 and Virginia Code Sections 2.2-2804 (Selective Service registration) and 2.2-2903 (veterans' honorable discharge and service).

Guide to Using Virginia Job Application

Filling out the Virginia Job Application form requires attention to detail and accuracy to ensure all relevant information is conveyed effectively. This guide outlines the steps to complete the form, ensuring candidates present their qualifications and experience comprehensively. Once submitted, the application will be reviewed for potential employment opportunities within the Commonwealth of Virginia, considering the applicant's skills, experience, and educational background against the requirements of the position applied for.

  1. Write down the position number and agency name of the job you are applying for in the designated fields.
  2. Enter your Social Security Number (SSN) if you choose; however, note that it is optional and omitting it will not affect your employment consideration.
  3. Provide your full legal name, including last, first, and middle names, in the respective fields.
  4. Fill in your complete address, including city, state, and zip code, along with your home and business phone numbers. Add your email address for electronic correspondence.
  5. Under the education section, indicate your highest grade completed, whether you have a high school equivalency diploma, and detail your post-high school education, including institutions attended, degrees received, majors, minors, and dates attended.
  6. For the experience section, starting with your most recent job, describe all paid, military, and applicable voluntary experiences. Highlight the knowledge, skills, and abilities relevant to the position you’re applying for. Use additional Supplementary Experience Forms if needed for space.
  7. Indicate whether your current supervisor can be contacted.
  8. In the provided space, add any additional information that might help evaluate your application, such as training, seminars, workshops, and achievements, along with your automated word processing, typing, and shorthand speeds.
  9. List all licenses, certificates or authorizations you have that are relevant to the job you’re applying for, including the type of license, license number, and the granting licensing board.
  10. Provide the names, addresses, and relationships of three references who are not related to you but are familiar with your qualifications.
  11. Indicate your shift and job status preferences, willingness to travel for the job, geographical areas you are willing to work in, and your transport arrangements.
  12. Confirm your eligibility for employment under the Immigration Reform and Control Act and Selective Service registration requirement, veteran status, and any criminal convictions as per the described terms.
  13. State your availability to start work.
  14. Sign and date the certification section to attest to the accuracy and completeness of the information provided.
  15. Finally, complete the demographic information section for record-keeping purposes, understanding that this part will be detached and will not influence the employment decision.

With the form duly filled, reviewing it for accuracy before submission is critical. The next step involves sending this application directly to the agency advertising the vacancy, as indicated on the job announcement. Careful adherence to the instructions ensures that your application will be successfully processed for consideration.

Key Facts about Virginia Job Application

What information is required when filling out the Virginia Job Application form?

When completing the Virginia Job Application form, applicants need to provide detailed information that helps the hiring agency assess their qualifications. Required information includes:

  1. Position applied for and the agency name
  2. Personal details including your full legal name, contact information, and social security number (though optional)
  3. Educational background, including the highest grade completed, degrees earned, and institutions attended
  4. Comprehensive work history detailing all paid, military, and applicable volunteer experience
  5. Skills and certifications, including licenses and the type of license, typing, and shorthand speeds if applicable
  6. References, including the names, addresses, phone numbers, and relationship of three non-related individuals
  7. Availability for shifts and employment status preferences
  8. Legal eligibility for employment in the United States and compliance with Selective Service registration if applicable
  9. Disclosure of any legal convictions
  10. Start date availability and certification of the truthfulness of the application information provided

Is providing my Social Security Number (SSN) mandatory on the Virginia Job Application form?

No, providing your Social Security Number (SSV) on the Virginia Job Application form is optional. Failure to include your SSN will not prohibit employment consideration. However, it's important to note that your SSN may be required on other documents as part of the employment process.

How can individuals with disabilities request assistance when filling out the Virginia Job Application form?

Individuals with disabilities that prevent them from completing the application can request confidential assistance. This support is available by calling the agency to which they are applying directly. The aim is to ensure that all applicants have an equal opportunity to apply for positions within the Commonwealth of Virginia.

Can I list volunteer experience on my application, and how should it be presented?

Yes, you can and should list volunteer experience on your application, especially if it is relevant to the position you are applying for. Volunteer experience should be detailed similarly to paid experience, highlighting the role, responsibilities, and skills developed during the volunteer positions. Be sure to include the organization's name, your title, dates of involvement, and any notable achievements or contributions.

What should I do if I have more experience than the space provided on the application allows?

If you have more experience than the space provided on the application allows, you should use Supplementary Experience Form(s) for additional space. This ensures you can provide comprehensive details about your professional background, skills, and qualifications relevant to the position you are applying for. Remember, the aim is to give the hiring agency a clear, complete picture of your suitability for the job.

Common mistakes

Filling out the Virginia Job Application form requires attention to detail. Many applicants, however, make common mistakes that may impact their chances of securing employment. Knowing what these errors are can significantly improve the quality of your application.

  1. Not using black ink or a typewriter: The instruction to use black ink or a typewriter is often overlooked. This requirement ensures readability and uniformity among applications.
  2. Leaving optional fields blank: Although the social security number is optional and not submitting it will not prohibit employment consideration, leaving too many optional fields blank, like the shift or job status you are willing to accept, might affect your application negatively.
  3. Incomplete education details: It's crucial to check the correct number of years of post-high school education and include all relevant details of the institutions attended, such as the name, location, degrees received, and majors or specialties.
  4. Omitting details in the experience section: Not fully detailing your previous job roles, including the duties and the skills you developed, can make it harder for employers to gauge your suitability for the job you're applying for.
  5. Failing to provide additional information: The space provided for any additional information, including training, seminars, workshops, and achievements, is often underused. This information can highlight your qualifications further.
  6. Incorrect contact information for references: Listing names without complete addresses and phone numbers for references, or including individuals who are not fully acquainted with your qualifications, can hinder the verification process.
  7. Neglecting to indicate the willingness to travel or relocate: If the position requires travel, failing to appropriately check your willingness to accept such conditions can make you seem less adaptable.

Avoiding these mistakes can enhance your application, making it stand out to potential employers in the Commonwealth of Virginia. Each detail you provide contributes to the overall impression you make, so it's important to review your application thoroughly before submission.

Documents used along the form

When applying for a job, especially within the state of Virginia, the application form is just the starting point. Various other forms and documents are often needed to fully complete the application process. These span from supplementary forms highlighting more specific experiences to various certificates and personal identification documents, all aimed at providing a comprehensive picture of the applicant’s qualifications, identity, and legal eligibility for employment.

  • Supplementary Experience Form (DHRM Form 10-012A): This document allows applicants to provide additional details about their previous work experience not fully covered in the main application form.
  • Resume: A detailed overview of the applicant's work history, education, skills, and accomplishments. It often supports the information provided in the job application.
  • Cover Letter: An introductory letter where applicants can explain their interest in the position and highlight their most relevant qualifications and experiences.
  • References Document: A list of professional references including contact information and the relationship to the applicant, enabling employers to verify work history and conduct background checks.
  • Proof of Eligibility to Work (I-9 Form): Required by federal law, this form verifies an employee's legal right to work in the United States.
  • Educational Certificates/Diplomas: Copies of degrees, diplomas, or certificates that verify educational achievements mentioned in the application.
  • Professional Licenses or Certifications: Documents that prove the applicant holds any required or relevant professional licenses or certifications for the job.
  • Voluntary Self-Identification Form: An optional form for applicants to identify their demographic background for employers aiming to ensure diversity and equal opportunity.
  • Background Check Authorization Form: A form granting the employer permission to conduct a background check on the applicant.
  • Driving Record (if applicable): For positions requiring vehicle operation, a copy of the applicant's driving record may be requested to ensure a good driving history.

In combination, these documents play a crucial role in the hiring process, allowing employers to gain a holistic understanding of each candidate. By providing a detailed personal and professional background, candidates can ensure they are accurately representing their qualifications and standing out to potential employers.

Similar forms

The Virginia Job Application form is similar to other standardized employment applications used across various state departments. Here's how:

  • Federal Employment Application: Just like the Virginia Job Application form, the Federal Employment Application seeks detailed information on an applicant's education and employment history. Both forms ask for positions applied for, full legal names, contact information, educational background, work experience, and references. However, the Federal form often requires more specific details on federal service and may include questions about military service, federal status, and security clearance, reflecting the distinct requirements of federal employment.

  • Generic Job Application Templates: These templates, found online or in print format, share similarities with the Virginia Job Application form in their structure and the type of information requested. Both include fields for personal information, educational background, specific job experience, and references. The primary difference lies in customization; while the Virginia form is tailored for state employment, including sections about eligibility for work under the laws of the Commonwealth of Virginia, generic templates are designed to be broadly applicable to a variety of jobs and employers.

  • Academic Institution Employment Applications: Applications for positions at colleges, universities, and other educational institutions often mirror the Virginia Job Application form in sections asking for academic history, including degrees earned, institutions attended, and fields of study. Both recognize the importance of educational background in evaluating candidates. However, academic applications may delve deeper into specific academic, research, and publication histories relevant to the educational sector, which is not as emphasized in the Virginia form.

  • Corporate Job Applications: Many corporate application forms share the Virginia Job Application form's focus on previous employment history and educational background. Both types of applications request detailed employment history, including job titles, duties, employment dates, and reasons for leaving previous positions. The major difference often lies in the corporate form's additional emphasis on specific skill sets, professional certifications, and sometimes a more detailed section on achievements and awards that are particularly relevant to the corporate sector.

Dos and Don'ts

When filling out the Virginia Job Application form, it's crucial to approach the process thoughtfully and methodically. To help, here are some dos and don'ts that will guide you through the process.

Dos:
  • Use black ink or a typewriter: To ensure your application is legible, fill it out in black ink or type the information. This makes it easier for employers to read your application.
  • Be accurate and complete: Double-check to ensure all your information is accurate and complete. Inaccuracies can lead to misunderstandings or could potentially disqualify you from consideration.
  • Highlight relevant experience: When detailing your experience, focus on positions and duties that best showcase your qualifications for the job you're applying for. Tailoring your experience can make a stronger case for your candidacy.
  • Include supplementary forms if needed: If you have more experience or qualifications than the space allows, don't hesitate to use additional forms or attach documents that provide a complete picture of your professional background.
  • Sign and date your application: Ensure that you sign and date your application. This not only certifies the information you've provided but also demonstrates your attention to detail.
Don'ts:
  • Omit your contact information: Always include current contact information, such as your home phone, business phone, and e-mail address. This ensures that employers can easily reach you.
  • Leave blank sections: Avoid leaving sections of the application blank if they're applicable to you. If a section does not apply, it's appropriate to write "N/A" to indicate this.
  • Forget to list references: References are vital for employers to verify your qualifications and work ethic. Choose three individuals not related to you who can speak to your skills and experiences.
  • Ignore instructions for specific disabilities: If you have a disability that prevents you from completing the application, remember the form mentions the provision of confidential assistance. Don't hesitate to call the agency for help.
  • Submit without reviewing: Always review your application in its entirety before submitting it. Look for any errors, incomplete sections, or missed opportunities to provide information that could support your application.

Misconceptions

When it comes to the Virginia Job Application form, there are several common misconceptions that applicants might have. Understanding these can help ensure your application is completed accurately and effectively. Here are four misconceptions and the truths behind them:

  • Misconception 1: Your Social Security Number is required to apply for a job.
  • While the application form asks for your Social Security Number (SSN), it is important to note that providing your SSN is optional at this stage. The form clearly states that failure to submit your SSN will not prohibit employment consideration. However, be aware that your SSN may be required on other forms prior to your employment.

  • Misconception 2: It's compulsory to complete every section of the form.
  • Although it's vital to provide comprehensive and accurate information, section 3 regarding your SSN is optional, and you can also request confidential assistance if you have specific disabilities that prevent you from completing the application. This shows that the Commonwealth of Virginia aims to be inclusive and accommodate all applicants.

  • Misconception 3: Only formal, paid work experience counts.
  • The Virginia Job Application form encourages applicants to describe all paid, military, and applicable voluntary experience. This broad definition allows you to highlight a range of experiences that demonstrate your qualifications for the position, not just traditional employment. Remember, different roles within the same organization should be listed as separate items to showcase your breadth of experience.

  • Misconception 4: Convictions will automatically disqualify you from employment.
  • While the form requires disclosure of any law violations, including convictions, this does not mean an automatic disqualification. The commonwealth is interested in understanding your qualifications and background comprehensively. It's crucial to be honest, as all information on the application is subject to verification. Each case is considered on its own merits, taking into account the nature of the conviction and its relevance to the job you're applying for.

Understanding these misconceptions can help applicants approach the Virginia Job Application form with clarity and confidence, ensuring that all information provided is accurate and effectively communicates their qualifications and suitability for the desired position.

Key takeaways

When applying for employment through the Virginia Job Application form, it is essential to understand and adhere to the instructions and requirements to ensure your application is considered properly. Here are key takeaways to assist applicants in navigating the form effectively:

  • Complete the application neatly and accurately: Print in ink (preferably black) or use a typewriter. This ensures that your application is legible and presents a professional appearance.
  • Provide equal opportunity information: The Commonwealth of Virginia is an Equal Opportunity Employer. Applicants are reminded that equal opportunity is afforded in all aspects of employment without regard to race, color, religion, political affiliation, national origin, disability, marital status, gender, or age.
  • Social Security Number is optional: Failure to submit your Social Security Number on this form will not prohibit employment consideration. However, it may be required on other forms prior to employment.
  • Detail your education and experience: Clearly detail your education background and all relevant employment experience, focusing on knowledge, skills, and abilities that demonstrate your qualifications for the position you are applying for. Use supplementary forms if necessary for additional space.
  • References are crucial: List names, addresses, and the relationship of three persons not related to you who can attest to your qualifications. This supports your credibility and qualifications for the job.
  • Complete all miscellaneous sections: Be sure to answer all parts of the miscellaneous section, including your willingness to accept various shifts, employment statuses, and travel requirements, your eligibility for work in the United States, and any military service or convictions. This comprehensive information helps employers evaluate your suitability and availability for the position.

Each section of the application is designed to collect information necessary for assessing your qualifications and fit for the job. Paying close attention to the details and providing complete and honest information will help ensure your application is processed smoothly and increases your chances of employment with the Commonwealth of Virginia.

Please rate Virginia Job Application Form Form
4.7
(Top-notch)
178 Votes

Common PDF Forms