Forms • Northern Virginia Regional Commission • CivicEngage

Interjurisdictional Job Exchange Application

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Name*
Email Address*
Phone Number:*
Current Role:*
Department:*
Length of Service in Current Role (Years and Month):*
How long have you worked in your current jurisdiction (Years and Months)?*
What position are you interested in?*
Supervisors Name:*
Supervisors' Email and Phone Number:*
Briefly described your current duties:*
Why are you interested in the Interjurisdictional Workforce Exchange Program?*

* indicates required fields.