USVI Legislature Job Application Form

  • Job Application

    Legislature of the US Virgin Islands
  • Today's Date*
     - -
  • Format: (000) 000-0000.
  • Are you currently residing in the US Virgin Islands?*
  • I am applying for:*
    • Questionnaire 
    • Can you read, write, speak and understand English fluently?*
    • Do you speak any other languages?*
    • Are you currently Legally Authorized to Work in the United States?*
    • Will you now or anytime in the future require sponsorship to remain employed?*
    • Are you willing to take a pre-employment Background Check, Physical Exam, Drug Test & Covid Test as needed/required?*
    • Were you ever discharged or rejected during probation, or have you resigned from a post after being notified of a recommendation to terminate your employment?
    • Are you open to being cross-trained in different departments?*
    • Are you currently over the age of 18?*
    • This position may or may not require driving machinery. Do you have a valid driver's license?*

    • Driver's License Number: Driver's License Type:

    • If No, Are you willing to get a valid driver's license if the position requires it?*
    • Have you been employed with the USVI Legislature before?*
    • Have you been employed with an USVI Governmental Agency before?*
    • Were you referred by a current Legislature employee?*
    • Do you know or are you related to anyone currently working for the Legislature of the USVI?*
    • Military Service  
    • Address Section 
    • My Physical and Mailing address are the same, ____.*
    • Availability 
    • If offered, please state the earliest date you are available to work*
       - -
    • If offered, how much notice would you need to provide your current employer*
    • Are you interested in working FT/PT/On-Call/Temporary/Any?*
    • What days of the week are you most interested in working?
    • What Times of Day Are You Most Interested In Working?
    • Positions may require working shifts outside of normal working hours & weekend shifts depending on the needs of the operation*
    • If required by the position, please describe your willingness to travel*
    • If required by the position, please describe your willingness to travel*
    • Rows
    • Reasonable Accommodations 
    • Are you able to complete the functions of the position with or without reasonable accommodation?*
    • This position may or may not require heavy lifting/pushing/pulling/twisting of up to 50lbs, sitting/standing for extended periods, the use of stairs etc. Are you able to complete the functions of the position if they require the aforementioned with or without reasonable accommodation?*
    • Are there any 'Reasonable Accommodations' that you require of the employer for the job in which you are applying?*
    • Background Questions 
    • Have you ever been convicted of any crime in the last 7 years?*
    • Date of Conviction*
       - -
    • Were you ever convicted of a sexually violent offense or sexually criminal offense against a minor?*
    • If Yes, in accordance with Act#6182, have you registered with the VI Department of Justice and can provide evidence of this registration?*
    • Date of Sex Crime Conviction*
       - -
    • Do you wish to disclose any allergies?*
    • Education Section 

    • EDUCATION/WORK HISTORY / EXPERIENCE

      Please list your 3 most current work history/experience
    • Date of Graduation
       - -
    • Work History/Experience Section 
    • Are you currently still employed with this company?*
    • Format: (000) 000-0000.
    • Start Date*
       - -
    • End Date
       - -
    • May we contact this employer? (please check one)*
    • Do you wish to add another employer?*
    • Format: (000) 000-0000.
    • Start Date
       - -
    • End Date
       - -
    • May we contact this employer? (please check one)
    • Format: (000) 000-0000.
    • Start Date
       - -
    • End Date
       - -
    • May we contact this employer? (please check one)
    • References 
    • Acknowledgments 

    • Policy Acknowledgments: False information, Omission, Misstatement, Misrepresentations will cause removal of your application from the consideration process or termination of employment if discrepancies are discovered at any time post-hire.

      I am aware that any omission, falsification, misstatement, or misrepresentations above may disqualify me for employment consideration and if I am hired, may be grounds for termination at a later date. I understand that any information I give may be investigated as allowed by law. I consent to the release of information about my ability, employment history, and fitness for employment by employers, school, law enforcement agencies, and other individuals and organizations to investigators, personnel staff, and other authorized employees of the Virgin Islands Government for employment purposes. I understand and accept the fact that my consent shall remain effective during the tenure of my employment should I be hired. I understand that applications submitted for Government employment are public records. I certify that to be the best of my knowledge and belief all of the statements contained herein and on any attachment are true, correct, complete, and made in good faith.
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