Application for Employment
Virginia Peninsulas Public Service Authority
475 McLaws Circle, Suite 3B, Williamsburg, VA 23185-5676
VPPSA is an 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, disablity or handicap, or veteran status.
Instructions: Please read before completing this form.
- Type or print clearly in dark ink and do not abbreviate if possible
- Each item on the form must be completed
- If an item does not apply, write “Not Applicable” or “N/A” in the space provided
- List the position for which you want to be considered in the appropriate box. You will only be considered for a position that is open at the time you apply
- Before signing this form, carefully read the Privacy Act Notice for Employment Forms below the form.
- Applications must be signed and dated by the applicant on the last page of the form