System Administrator 0824

18 Government Center Lane, Verona, VA 24482
Customer Service/24 Hour Emergency: (540) 245-5681

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Regional Landfill

1 Start 2 Education 3 Work Experience 4 References 5 Add'l Info 6 App Statement 7 Resume 8 Preview 9 Complete

First Name *

Middle Name

Last Name *

Suffix

Address *

City *

State *

Zip Code *

Phone Number *

Email *

Check which shift(s) you will accept: *

Day

Evening

Night

Rotating

Weekends

Will you work overtime/weekends/on-call if required? *

Yes

Were you referred by one of our current employees? *

Yes

referred2 *

If yes, please list the person who referred you, one person only:

Do any friends or relatives work for Augusta Water? *

Yes

friends2 *

If yes, please list names and relationship:

Have you been employed by Augusta Water or ACSA before? *

Yes

prior2 *

If yes, please indicate when and position:

Are you legally eligible to work in the United States? *

Yes

Date Available for Work *

Month

Day

Year

Have you been involved in any accidents/incidents with any vehicle in the last 5 years (even if not at fault)? *

Answering “Yes” to the below question does not constitute an automatic bar to employment. Factors such as date of offense, seriousness, nature of violation, and position in which you are applying will be taken into consideration.

Yes

Have you had any moving violations or traffic convictions in the last 3 years? *

Yes

If you answered yes to any of the Motor Vehicle Record questions above, please explain in the space below. Add additional pages if necessary.

Offense *

Date of Charge *

Date of Conviction *

Location of Conviction *

About Us
Doing Business with Us
Education
Employment
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About Us
Contact Us
Customer Service
Doing Business With Us
Education
Employment
Engineering
Regional Landfill
Related Links
SVWWTPN