Skip to Main Content
Loading
Loading
Government
Services
Residents
Departments & Offices
Business
Home
Form Center
Search Forms:
Search Forms
Select a Category
All Categories
Animal Services
Board of Supervisors
Building & Development
Career Support Services
Commonwealth's Attorney
County Surveys
COVID-19 Food Assistance Funding
Elections & Voter Registration
Electoral Board Forms
Emergency Management
Equity and Inclusion
Family Services
Finance & Budget
Fire and Rescue
General Services
Health Department
Human Resources
Information Technology
Juvenile Court Service Unit
Mapping & Geographic Information
Mental Health, Substance Abuse and Developmental Services
Planning and Zoning
PRCS
Procurement
Public Affairs
Security Screening - Employee
Sheriff's Office
Transit
Transportation
VA Cooperative Extension
Workforce Resource Center
By
signing in or creating an account
, some fields will auto-populate with your information and your submitted forms will be saved and accessible to you.
New Job Form
Sign in to Save Progress
This form has been modified since it was saved. Please review all fields before submitting.
Congratulations on your new job! This confidential information is only viewed by Workforce Resource Center staff. Thank you for sharing.
Congratulations On Your New Job!
Please click "Submit" at the bottom of the page when you are done
* indicates a required field
About you:
First Name
*
Last Name
*
Telephone Number
*
E-mail Address
*
About your new job:
Name of the Company
*
Job Title
*
What type of industry is this position?
*
-- Select One --
Administrative/Customer Service
Agriculture/Tourism
Construction/Trades/Manufacturing
Education
Entertainment/Media/Recreation
Finance/Insurance
Government/Federal
Health Care/Social Assistance
Hospitality/Food Services
Information Technology
Other Services
Professional Services
Real Estate/Property Management
Retail/Sales
Scientific/Engineering
Security/Public Safety
Transportation/Warehousing
Start Date
*
Start Date
Hourly Wage ($)
*
Is this considered (Select One)
*
Full-Time
Part-Time
Benefits (Select One)
*
Yes
No
Did you find this job through
*
Meet the Employer/Job Fair Event
Job Posts in the Workforce Center
Resume Critique
Resource Navigation/Referrals
Employment Coaching
WIOA Program
Mock Interview
Workshops
Other/Staff - please list below
If Other, please list
Thank you and Congratulations on your New Job!
Leave This Blank:
Receive an email copy of this form.
Email address
This field is not part of the form submission.
Submit
* indicates a required field
Arrow Left
Arrow Right
[]
Slideshow Left Arrow
Slideshow Right Arrow