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540 Water Street
Yorktown, VA 23690
757-886-9964

Online Employment Application

Download -> pdfEmployment Application

Applicant Information
Education
High School Education
College Education
Other Education

References
Please List Two Professional References

Reference One
Reference Two

Availability

Days Available
Availability Notes
Previous Employment
Company
Company
Company
Military Service
Disclaimer and Signature

I certify that my answers are true and complete to the best of my knowledge.

If this application leads to employment, I understand that false or misleading information in my appplication or interview may result in my release.


 
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