Employment Application

Employer:  Virginia Explosives & Drilling Company, Austin Sales, Virginia Drilling Company
 Address:   1793 Dry Fork Road, P.O. Box 1198
 City/State/ZIP:   Vansant, Virginia 24656
 Telephone:  (276) 597-4449

It  is  the  policy  of  VEDCO to  provide  equal  employment  opportunities  to  all  applicants  and  employees  without  regard  to  any  legally  protected  status  such  as  race,  color,  religion,  gender,  national  origin,  age,  disability  or  veteran  status.

Application Information

Applicant Name
Address
Address Line 2
City
State
Zip Code
Number of years at this address
Daytime phone
Evening Phone
Social Security Number
Driver's License (State/Number)
Driver?s License Endorsements
Job Position Applied For
Salary Desired
Per
Who referred you to our company?
Have you been previously employed by our company?
If yes, when?
Are you at least 18
Are you willing to work any shift, including nights and weekends?
If no, please state any limitations
If applicable, are you available to work overtime?
If you are offered employment, when would you be available to begin work?
Are you legally eligible for employment in the United States?
What reasonable accommodation, if any, would you require?
Have you ever been convicted of any crime, including traffic violations?
If yes, please describe

THE EXISTENCE OF A CRIMINAL RECORD DOES NOT CONSTITUTE AN AUTOMATIC BAR TO EMPLOYMENT UNLESS RELEVANT TO THE TYPE OF EMPLOYMENT.

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