Are you a U.S. Citizen?: * Yes No
If not a citizen, do you have proof of right to work or for permanent residence in the U.S.?: Yes No
Are you at least 18 years old?: * Yes No
Do you have a valid Driver's License?: * Yes No
Education: Level of Education Achieved:: * Please select an option. --------------------- Still in School High School Trade / Vocational School GED College
Name of High School (or GED): *
Trade/Vocational School Name:
Degree/Certificate Title:
College Name:
Degree(s) Acquired:
Additional Training, Skills, Licenses and/or Certificates (If Applicable):
Explain why you are applying for this position with the West Virginia Laborers' Training Center and why you feel you would be an asset:
How did you hear about us?: * Workforce WV Friends and Family Job Fair/Career Day Internet/Social Media Ad Flyer
Other:
References (3):
Work History: Note: Begin with most recent employer.
1): Name of Employer:
Job Title/Responsibilities:
List All Tasks Performed, Machines Operated, Tools Used:
Type of Business (ex: Construction, Food Service, Retail, etc.):
Reason for Leaving:
2): Name of Employer:
Job Title/Responsibilities:
List All Tasks Performed, Machines Operated, Tools Used:
Type of Business (ex: Construction, Food Service, Retail, etc.):
Reason for Leaving:
3): Name of Employer:
Job Title/Responsibilities:
List All Tasks Performed, Machines Operated, Tools Used:
Type of Business (ex: Construction, Food Service, Retail, etc.):
Reason for Leaving: