Job Application Form
Positions Applied For Engineering Tech (20102JW)
Application Date 9/5/2010
Your Name
First Name
 Middle
 Last Name
Address
City, State, ZIP
Telephone / Cell Phone
E-mail / Confirm
How Did You Hear About Us?
Background
Yes No Are you legally eligible to work in the United States?
Yes No Are you currently 18 years of age or older?
Yes No Can you with or without reasonable accommodation perform the essential functions of this job?
Yes No Have you ever applied to Valkyrie Enterprises, LLC before?
Yes No Have you ever worked for Valkyrie Enterprises, LLC before?
If yes, give date:
Yes No Have you ever been convicted of a felony?
If yes, please explain:
Yes No Do you have a valid driver's license?
Yes No Have you been convicted of any moving violations in the past five years?
If yes, please explain:
Yes No Is anyone related to you employed by Valkyrie Enterprises, LLC?
If yes, please give their name and relationship to you:
Yes No Have you ever been fired or asked to resign from a job?
If yes, please explain:
On what date would you be available to begin work?
What level of U.S. DoD Security Clearance do you currently have?
Date granted:
$ What salary or rate of pay do you expect to receive if employed?
Education
  Name and Location Course of Study or Major Years
Comp		 Diploma /
Degree
High School
College (Undergraduate)
College (Graduate)
Vocational
Please list any academic honors, scholarships, offices held, etc. (Do not list any which reflect your race, color, religion, gender, national origin, age, disabilities or veteran status.)
Describe any specialized training, apprenticeships, licenses or skills:
Have you received any job-related training in the United States Military?   
Please give dates and explanation:
Employment History
Most Recent Employer
Company Name
Company Address
Company Phone
Supervisor's Name / Title
Supervisor's Phone / E-mail
Current Job Title
Date Start / Date End
Salary Starting: $ Ending: $
Employment Status
Other Compensation
Describe Your Duties
Reason for Leaving
Past Employer 2
Company Name
Company Address
Company Phone
Supervisor's Name / Title
Supervisor's Phone / E-mail
Current Job Title
Date Start / Date End
Salary Starting: $ Ending: $
Employment Status
Other Compensation
Describe Your Duties
Reason for Leaving
Past Employer 3
Company Name
Company Address
Company Phone
Supervisor's Name / Title
Supervisor's Phone / E-mail
Current Job Title
Date Start / Date End
Salary Starting: $ Ending: $
Employment Status
Other Compensation
Describe Your Duties
Reason for Leaving
Consent for Use of Information
*PLEASE READ CAREFULLY BEFORE SIGNING*

I hereby certify that all of the information provided by me in this application (or any other accompanying or required documents) is correct, accurate and complete to the best of my knowledge. I understand that the falsification, misrepresentation or omission of any facts in said documents will be cause for denial of employment or immediate termination of employment regardless of the timing or circumstances of discovery.

I understand that submission of an application does not guarantee employment. I further understand that, should an offer of employment be extended by Valkyrie Enterprises, LLC that such employment with Valkyrie Enterprises, LLC is at will, for no specified duration and may be terminated by either Valkyrie Enterprises, LLC or myself at any time, with or without cause or notice. I understand that none of the documents, policies, procedures, actions, statements of Valkyrie Enterprises, LLC or its representatives used during the employment process is deemed a contract of employment real or implied. I understand that no representative of Valkyrie Enterprises, LLC except the President has the authority to enter into any agreement guaranteeing any conditions of employment or any agreement contrary to the foregoing statements and that any such agreements must be made in writing and signed by the President of Valkyrie Enterprises, LLC.

In consideration for employment with Valkyrie Enterprises, LLC, if employed, I agree to conform to the rules, regulations, policies and procedures of Valkyrie Enterprises, LLC at all times and understand that such obedience is a condition of employment. I understand that due to the nature of Valkyrie Enterprises, LLC business, attendance and punctuality are considered essential requirements of every job at Valkyrie Enterprises, LLC and that poor attendance or tardiness will result in disciplinary action.

I understand that if offered a position with Valkyrie Enterprises, LLC, I may be required to submit to a pre-employment medical examination, drug screening and background check as a condition of employment. I understand that unsatisfactory results from, refusal to cooperate with, or any attempt to affect the results of these pre-employments tests and checks will result in withdrawal of any employment offer or termination of employment if already employed.

I herby authorize any and all schools, former employers, references, courts and any others who have information about me to provide such information to Valkyrie Enterprises, LLC and/or any of its representatives, agents or vendors and I release all parties involved from any and all liability for any and all damage that may result from providing such information.

I understand that this application is considered current for three months. If I wish to be considered for employment after this period I must fill out and submit a new application.

I ACKNOWLEDGE THAT I HAVE READ, UNDERSTOOD AND AGREE TO THE ABOVE STATEMENTS.

(type "I AGREE" in the box above)
VALKYRIE ENTERPRISES, LLC IS PROUD TO BE AN EQUAL OPPORTUNITY EMPLOYER. ALL QUALIFIED APPLICANTS WILL RECEIVE CONSIDERATION WITHOUT REGARD TO RACE, COLOR, RELIGION, GENDER, NATIONAL ORIGIN, AGE, DISABILITY, VETERAN STATUS OR ANY OTHER STATUS PROTECTED BY LAW.

Valkyrie Enterprises, LLC is an equal opportunity employer and affords equal opportunity to all applicants for all positions without regard to race, color, religion, gender, national origin, age, disability, veteran status or any other status protected under local, state or federal laws. Government agencies require reports on status of applicants. This data is for analysis and affirmative action only. Submission is voluntary. Failure to supply this information will not jeopardize or adversely affect any consideration you may receive for employment or later advancement in employment.

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IMPORTANT: Please review your entries above carefully before submitting your application!
4460 Corporation Lane, Suite 130 • Virginia Beach, VA 23462 • 757/962-2545 • fax: 757/961-1412