skip navigation
Enter Search Terms
Senate
President
Members
Committees
District Maps
Audio
Senate Clerk
Senate Rules
House
Speaker
Members
Committees
District Maps
Audio
House Clerk
House Rules
Joint
Interim Committees
Budget & Fiscal Affairs
Court of Claims
Crime Victims
LASD
Legislative Services
PERD
Post Audit
Public Information
Rule-Making Review
Special Investigations
Joint Rules
Staff Only
Bill Status
Bill Status
Bill Tracking
WV Code
WV Code
WV Constitution
US Constitution
Audits/ Reports
State Agency Grant Awards
State Agency Reports
Performance Evaluations
Post Audit Reports
Educational
Citizen’s Guide
Internship Program
Page Program
Back to School Program
Publications
Capitol Photo Gallery
Capitol History
How a Bill Becomes Law
Contact
Senate Roster
House Roster
Public Information
Webmaster
Helpful Links
West Virginia Senate
APPLICATION FOR
TEMPORARY
(60-DAY) EMPLOYMENT
2017 Regular Session
February 8 - April 8, 2017
Office of the Senate Clerk
Room 211M, Bldg. 1
State Capitol Complex
(304) 357-7800
Fields in RED are required.
For security purposes, this form must be filled out within 45 minutes of arriving at this page. If more than 45 minutes is needed, please save your answers in another document, refresh this page and start again. For technical questions only, please contact
webmaster@wvlegislature.gov
First Name:
Middle Initial:
Last Name:
Street Address:
City:
Zip:
County:
Home Phone:
(eg. 555-5555)
Office Phone:
(eg. 555-5555)
Occupation:
Have you ever been convicted of a Felony
Yes
No
If Yes, explain:
Work most qualified to perform:
Education
Check highest education level attained:
Middle School
High School
College
Graduate
Specifics of advanced studies (if applicable)
Major:
Degree:
Other:
Computer Skills
Word processing (words per minute):
Program:
Other Programs:
Employment History
Last Employer
Address:
Supervisor:
Last position held
:
Employed from:
(eg. 06/12/98)
to:
(eg. 11/06/00)
Previous Employer
Address:
Supervisor:
Last position held
:
Employed from:
(eg. 06/12/98)
to:
(eg. 11/06/00)
Previous Employer 2
Address:
Supervisor:
Last position held
:
Employed from:
(eg. 06/12/98)
to:
(eg. 11/06/00)
Personal References
(Not former employers or relatives)
1.
Name:
Address:
Occupation:
Phone:
(eg. 304-555-5555)
2.
Name:
Address:
Occupation:
Phone:
(eg. 304-555-5555)
Enter the text of the image below:
This Web site is maintained by the
West Virginia Legislature's Office of Reference & Information.
|
Terms of Use
|
Web Administrator
| © 2016 West Virginia Legislature **