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SCVA Job Application

  1. Scott County Logo
  2. Scott County, VA - Application for Employment

    • Follow instructions carefully
    • Provide detail – do not use “see resume”
    • If accommodation or assistance is needed in completing this application, contact the county offices.
  3. Have you ever been employed in any agency, department, board or commission of Scott County?*
  4. Are eligible to work in the United States?*
  5. VA Code Section 2.2-2804 prohibits employment by any political subdivision of the Commonwealth of Virginia of a person who was required to present himself and submit to federal Selective Service registration requirement and failed to do so. If you were required to register for Selective Service, have you done so?*
  6. Did you graduate high school or earn a GED?*
  7. Higher / advanced learning or training 1
  8. Did you Graduate?
  9. Higher / advanced learning or training 2
  10. Did you Graduate?
  11. Higher / advanced learning or training 3
  12. Did you graduate?
  13. License or Certification 1

    List all current and expired certifications which would pertain to the position you are applying for.

  14. License or Certification 2
  15. License/Certification 3
  16. License/Certification 4
  17. Employment History:
    • Start with your current or last job – include armed forces service andself-employment.
    • Any change of job title under the same employer should be considered a separate position.
    • Provide detail; do not use “see resume” or leave out information. Write NA in blocks that are not applicable.
  18. Employer 1
  19. Employer 2
  20. Employer 3
  21. List any special skills or talents which you could utilize in the position for which you are applying:

  22. References

    Identify three individuals who know you well enough to validate your personal attributes such as integrity and passion and to attest to your academic or professional strengths.

  23. Reference 1
  24. (coworker, friend, pastor, etc.)

  25. Reference 2
  26. (coworker, friend, pastor, etc.)

  27. Reference 3
  28. (coworker, friend, pastor, etc.)

  29. Resume
  30. Please enter any additional Employment History, Education, Training, License or Certifications you may have

  31. I hereby certify that the facts set forth in the above employment application are true and complete to the best of my knowledge and authorize Scott County to verify their accuracy and to obtain reference information on my work performance. I consent to a criminal history background check. I hereby release Scott County from any/all liability of whatever kind and nature which, at any time, could result from obtaining and basing an employment decision on such information.

    I understand that falsified statements of any kind or omissions of facts called for on this application may result in disqualification for consideration for employment or, if already employed, grounds for immediate dismissal.

    I understand that should an employment offer be extended to me and accepted, I will fully adhere to the policies, rules and regulations of employment of Scott County. However, I further understand that neither the policies, rules, regulations of employment or anything said during the interview process shall be deemed to constitute the terms of an implied employment contract. I understand that any employment offered is for an indefinite duration and at will and that either I or Scott County may terminate my employment at any time with or without notice or cause.

    • All information provided is subject to the Virginia Freedom of Information Act (FOIA), located at § 2.2-3700 et seq. of the Code of Virginia.
    • Scott County is an EOE (equal opportunity employer) and does not discriminate against otherwise qualified applicants on the basis of race, color, creed, religion, ancestry, age, sex, marital status, national origin, disability or handicap, or veteran status.
    • Applications submitted in response to an advertised position vacancy will be retained three (3) years.
    • Applications which are submitted when no position has been announced will be retained for six (6) months.
    • Fill in all requested information. If an application is submitted with a line or section with incomplete information or filled out incorrectly may be discarded. In all sections that do not apply to you write NA (Not applicable).
  32. Leave This Blank:

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