Affirmative Action Voluntary Self-Identification

To continue the application process, please fill out the following form.

Upon scheduling of an interview, please bring the following documents (Documents must be legible):

Driver's License / State ID's
Social Security ID
Birth Certificate

Please note: there are 5 pages that MUST be filled out to be considered for employment with Network Industries. Please make sure you fill out all forms to the best of your ability. If you have to come back to a particular page, here they are:

  1. Employment Application
  2. Affirmative Action Voluntary Self-Identification
  3. Employee package
  4. Federal Employee’s Withholding Certificate - W4
  5. Employee’s Virginia Income Tax Withholding Exemption Certificate - VA-4
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