For questions, contact: Human Resources
(304) 333-6826
hr@wvhtf.org

Applicant Information
* = required
The West Virginia High Technology Consortium (WVHTC) Foundation is an equal opportunity employer and does not discriminate against applicants or employees because of race, color, religion, national origin, sex, agemarital status, or disability status of otherwise qualified individuals.
Last Name*
First Name*
Middle Name
Address*
Line 2
City*
State*
Zip*
Social Security Number*
Phone Number*
Secondary Phone Number
Email:*
Position Desired:*
Desired Salary:*
Date Available for Employment:*
Referred By: (Please check all that apply)*


Other:
Have you ever been employed at the WVHTC Foundation?*
Have you ever interviewed with the WVHTC Foundation?*
If yes, for what position? Date:
Are you legally entitled to work in the United States?*
Have you served in the U.S. Armed Forces?*
If yes, what were your dates of service?
Rank at discharge:
Type of discharge:
Have you ever been convicted of a crime? (exclude minor traffic violations)*
If yes, what was the offense?
Disposition:
(Please include any suspended sentences, fines, probation, deferred adjunction, or similar disposition)
Conviction of a crime is not an automatic bar to employment. All relevant circumstances surrounding a conviction will be considered in specific job requirements, including how long ago the conviction occurred and the crime involved.


For questions or comments, please contact Human Resources at (304) 333-6826 or hr@wvhtf.org

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