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New Hire Form

  1. SSG196__VA_CareerWorks_Logo_Loudoun

  2. Congratulations on your new hire! Since we share all successful employment connections with the Workforce Development Board, we ask that you provide a few details regarding your new hire. This confidential information is only viewed by the Workforce Resource Center and the Workforce Development Board. Thank you for your cooperation.

  3. Congratulations On Your New Hire!

    Please click "Submit" at the bottom of the page when you are done

  4. Your New Employee Information

  5. mm/dd/yy

  6. Is this considered?*

  7. Benefits Eligible?*

  8. Your Company Information

  9. Thank You and Congratulations on your New Hire!

  10. Leave This Blank:

  11. This field is not part of the form submission.