Application for Dual Career Assistance

* Field names marked with an asterisk denote required fields

Primary Hire

(Person being recruited or currently employed by Virginia Tech)

Name*

First

Last

Job Title*

Hiring Department*

Dual Career Candidate

Contact Information:

Name*

First

Last

Gender*

Email Address*

Example: username@vt.edu

Phone Number

()

Address

Street address

Apartment, suite, unit, building, floor, etc.

City

State

ZIP

Education Information

Highest Degree Completed

Major

Employment Criteria

Type of Employment

Any available

Full-time

Part-time

Temporary

Geographical Preferences

Virginia Tech only

Other university/college

Local employer (0-20 miles)

Regional employer (20+ miles)

Date Available for Employement

Résumé/CV

Invalid file name

I hereby give my consent to Virginia Tech to share my résumé/CV with potential employers

Referral Information

Faculty Referral

First

Last

Department

Application for Dual Career Assistance

Primary Hire

Dual Career Candidate

Contact Information:

Education Information

Employment Criteria

Referral Information

Verification