For purposes of compliance with The Immigration Reform and Control Act, are you legally eligible for employment in the United States? List any certifications, experience, skills or qualifications you have which will be of benefit in the job for which you are applying.CERTIFICATION--Each Application Requires an Original Signature on the application and the criminal background check. We are committed to diversity in the workplace and promote a drug-free environment. CERTIFICATION--Each Application Requires Current Date and Original Signature. If needed, please contact the Human Resources office for reasonable accommodation in completing this application. Virginia Employment Application Form. Access a complimentary employment application template here, and gain insight into the essential questions to incorporate. Applications must be complete and signed. Draw your signature, type it, upload its image, or use your mobile device as a signature pad. 03.