Veterans2Work Application Form
* Required
Source
How did you hear about Veterans2Work?
Internet search
Publication
Personal referral
Other:
Referred by
Please name the person or agency referred you to Veterans2Work
Job Applied For
If you're interested in a specific job posting, please enter job order # or job title and location
Personal Information
First Name
*
Middle Name
Your middle name or initial
Last Name
*
Your Name (including middle name or initial) or Corporate Name should be EXACTLY the same as you would use on a W-9 Form for income tax reporting.
Veteran status
*
Please list your relationship to applicant. What is your relationship to the veteran?
Veteran
Spouse / caregiver
Other
Date of discharge
dd/mm/yyyy
Type of discharge
choose one
Honorable
General
Medical
Other
Street address 1
*
Street address 2
City
*
State / Province / Territory
*
AK
AL
ALB
AR
AF Americas
AF Europe
AF Pacific
BC
CA
CO
CN
DE
DC
FL
GA
Guam
HI
ID
IL
IN
IA
KS
KY
LA
ME
MAN
Marshall Is.
MD
MA
MI
MN
NE
NV
NBR
NH
NJ
NM
NY
NF
NC
ND
NWT
NSC
Option 44
Nunavut
OH
OK
ONT
OR
Palau
PA
PEI
PR
QUE
RI
SAS
SC
SD
TN
TX
UT
VT
WA
WV
WY
YUK
Other
Zip / Postal Code
*
Country of Residence
*
United States
Canada
Other:
Phone
*
Alternate Phone
Email address
*
Re-enter email address
*
Password
Enter a password if you want to update your record and access our services
Secret Question
For password recovery
Mother's maiden name
City you were born in
First pet's name
Secret Answer
For password recovery
Preferred mode of contact
Primary phone
Alternate phone
Email
Other:
Education & Certifications
Education Level
*
Some High School
High School / GED
Some College
Associate's Degree
Bachelor's Degree
Some Graduate
Graduate Degree
Field of Study
Fluent Languages
Please select only those in which you are completely fluent.
Arabic
Cantonese
Creole
English
French
French-Canadian
German
Italian
Japanese
Korean
Mandarin
Portuguese
Russian
Spanish
Vietnamese
Other:
Certifications
Please list any current professional designations, certifications or licenses that may apply.
Typing Speed
Approximately how many words per minute can you type accurately?
Demographic Information
The following optional questions are for statistical purposes only, and will not be considered as part of the hiring process.
Gender
Male
Female
Age
18-24
25-34
35-44
45-54
55+
Race / Ethnicity
Asian
Asian-American or Pacific Islander
Hispanic
Black (Not Hispanic)
American Indian or Alaskan Native
Caucasian (Not Hispanic)
Current Work Status and Availability
Current job status
*
Part-time
Full-time
Not at all
Current Employer
Please provide full company name. Your employer will not be contacted without your permission.
Preferred job status
*
Part-time
Full-time
Either
Work location preference
*
Client site
Home based
Either
Home based work
Why would working remotely be valuable to you?
Special accommodations
So that we can help you succeed on the job, please let us know of any special needs or necessary accommodations.
Shift preference
Morning
Afternoon
Evening
Graveyard
Weekend
Preferred # hours per week
Ideally, how many hours per week would you like to work?
Work Interests
Job Interests
What type of work most interests you?
Customer Service
Technical Support
Telesales
Sales
Data Entry
Market Research
Field Service
Administration
Management
Other:
Career preference
(Optional) Please describe your ideal job and /or the career path you want to pursue.
Work Experience
For each of the following that applies, please enter your years of experience in whole numbers
Administration
Transcription (multiple voice)
Customer Service (face to face)
Customer Service (telephone)
Telesales (B2B)
Telesales (B2C)
Sales -- Field
Marketing
Market Research (telephone)
Technical Sales Support
Technical Support
Help Desk
Consumer Product Support
Sofware Development
Web Design
Accounting / Finance
Human Resources
Legal
Project Management
Other
Specify industr(ies) you've worked in
Resume
Please paste your resume here. If you don't have a resume please use this space to share any additional information about your experience or skill base that was not mentioned above. *** NOTE: In order to considered for any position, a resume will be required. ***
Preferred Skills
(Optional) Please tell us 1) what you're best at and 2) what motivates you
Agreement
Some of our projects require background checks, which can include, but are not limited to: credit, criminal, employment history, education / licensing. By submitting this application, you agree to submit to such checks. More specific information will be provided before any background checks are completed. Please be sure you have entered your email address correctly in both fields, with no spaces, including the @ sign, and the .com, .net, or other appropriate extension. Also, be certain your ISP and email program do not have any restrictions which would reject mail from anyone with an @veterans2work.com email address, so you are sure to receive communication from us. Your SPAM blockers should also be set to allow group emails from veterans2work.com, as many project notifications are sent to groups of associates, and may look like SPAM to a blocking program. Initial emails will come from recruiter@veterans2work.com and hr@veterans2work.com if you would like to add those to your address book. Thank you!
Agreement
*
Do we have your permission to share your personal information(exclusive of age, sex and ethnicity) with potential employers or other recruiting agencies?
Yes
No
(Optional): How can we help you?
Our goal is to help veterans find and keep good jobs and to improve their overall employability and job effectiveness. Please tell us what programs would be valuable to you in this regard. (All services are free of charge to veterans.)
Resume Writing
1
2
3
4
5
Not important
Very valuable
Career Coaching
1
2
3
4
5
Not important
Very valuable
Job Search Tools & Skills
1
2
3
4
5
Not important
Very valuable
Job Networking
1
2
3
4
5
Not important
Very valuable
On-the-job Training
1
2
3
4
5
Not important
Very valuable
Additional Comments
Please tell us how we can improve our ability to help veterans land and keep good jobs.
Want to help?
Veterans2Work depends on its network of volunteers for its success. If you would like to help us help fellow veterans land and keep good jobs please indicate how. We'll contact you as appropriate.
Fundraising
Newlsetter
Systems Administration
Business Development
Volunteer Coordination
Veteran Outreach
Veteran Relations
Local Projects
Other: