Land Tech Group, Inc. Employment Application

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Land Tech Group of Virginia, Inc. is an Equal Opportunity Employer and EEO/Affirmative Action Employer committed to excellence through diversity. Employment offers are made on the basis of qualifications, and without regard to race, sex, religion, national or ethnic origin, disability, age, veteran status, or sexual orientation.

PLEASE TYPE OR PRINT. Complete the entire application. You may attach a resume, but you must still complete all questions; or your application will be deemed incomplete and may not be considered. Please fill out each box (don't just indicate “See Resume.”)

Position Applying For: *

Name *

First

Last

Email *

Address *

Address Line 1

City

State

Zip Code

Social Security Number *

Home Phone *

Work Phone

Are you available for work? *

Have you ever been convicted of a felony?

Are you 18 years of age or older?

If no, what is your age?

Are you currently employed at Land Tech?

If yes, list dates of employment.

Have you ever been employed by Land Tech?

If YES, dates of employment and reason for leaving:

Are you related to any current company employee?

If YES, their name and their relationship to you?

If required for position, do you have a valid driver's license?

If YES, State of issuance, license #and expiration date:

How did you learn about the job?

Job Bulletin (Posting)/Walk-in
Website
Ad in newspaper
Dept. of Labor
Ad in magazine
Referral by employee
Other

PLEASE COMPLETE THE EDUCATION INFORMATION BELOW.

High School

Address

Address Line 1

City

State

Zip Code

Did you graduate?

If YES, list the date you graduated.

If No, list the years left until graduation.

Did you receive your GED:

Only answer this question if you did no graduate from High School.

Address

Address Line 1

City

State

Zip Code

Did you graduate?

Graduation Date

What College did you attend?

Complete only if it applies to you.

Did you graduate?

Degree Received

Upload any credentials / Licenses / Professional Affiliations, etc., which are relevant to the job(s) for which you are applying.

Click or drag a file to this area to upload.

Skills: Please list technical skills, clerical skills, trade skills, etc., relevant to this position. INclude relevant computer systems and software packages of which you have a working knowledge, and note your level of proficiency (basic, intermediate, expert)

Do you have a Valid US Driver's License? *

Do you have CDL and if so what class CDL? *

WORK EXPEIENCE: Please detail your entire work history. Begin with your current or most recent employer. If you held multiple positions with the same organization, detail each separately. Omissions of prior employment may be considered falsification of information. Please explain any gaps in employment. include full-time military or volunteer commitments. PLEASE DO NOT complete this information with the notation "See Resume." PLEASE NOTE: Land Tech Group of Virginia, Inc. reserves the right to contact all current and former employers for reference information.

From

Please check one box below. Were you full-time or part-time

Full-time
Part-time

How many hours worked per week:

Your Title:

Starting Salary:

Final Salary

Organization Name and Address:

Supervisor's Name, Title and Phone Number

Other Reference Name, Title and Phone Number

Contact my current references:

At any time
Only if I am a finalist candidate

Primary duties:

Reason for Leaving

Dates Employed

Please check one box below.

Full-time
Part-time

Your Title:

Starting Salary:

Final Salary

Organization Name and Address:

Supervisor's Name, Title and Phone Number

Other Reference Name, Title and Phone Number

Contact my current references:

At any time
Only if I am a finalist candidate

Primary duties:

PLEASE READ CAREFULLY YOUR SUBMISSION OF THIS FORM MEANS THAT YOU UNDERSTAND AND ACCEPT THIS INFORMATION.

I certify that the information on this application and its supporting documents is accurate and complete. I understand and agree that failure to fully complete the form, or misrepresentation or omission of facts, represents grounds for elimination from consideration for employment, or termination after employment if discovered at a later date. I authorize Land Tech Group of Virginia, Inc. to investigate, without liability, all statements contained in this application and supporting materials. I authorize references and former employers, without liability, to make full response to any inquiries in connection with this application for employment. If requested, I agree to submit to a physical exam, criminal and credit background investigation, and/or screening for illegal substances upon conditional offer of employment. I understand that this document is NOT an offer of employment, and that an offer of employment, if tendered, does NOT constitute a contract for continued guaranteed employment. I understand that staff employees of Land Tech Group of Virginia, Inc.serve at-will, and the employment relationship may be terminated at any time by either party, or any or no reason, other than a reason prohibited by law. If employed, I will be required to furnish proof of eligibility to work in the United States, to file a State security questionnaire and State loyalty oath, and to comply with company and departmental regulations. I understand that if employed on a temporary basis, I would be paid for hours worked only, and would be ineligible for benefits including paid time off. If employed on a regular, benefits-eligible basis, I understand that I would be required to make mandatory contributions to the Land Tech Group of Virginia, Inc. Retirement System or to an optional retirement program, if applicable. I understand that any benefits I receive may be subject to change or discontinuation at any time without prior notice. I understand that the first SIX MONTHS of regular employment represent a provisional period, during which I would not be eligible to apply for transfer or promotion and during which I may be terminated without right of appeal.