VA Placement Candidate Intake Form

VA Placement Network

Candidate Intake Form

We work with U.S.-based businesses across multiple industries and are continuously sourcing qualified Virtual Assistants for current and future opportunities. Complete all sections to be considered.

Personal information

Full name*

Email address*

WhatsApp number*

Country of residence*

Time zone*

Willing to work U.S. business hours?*

Position applying for

Which position are you applying for?*

Professional experience

Years of relevant experience*

Summarize your relevant experience*

Employment status

Current employment status*

Full-time Part-time Freelance Unemployed

Availability

When can you start?*

Preferred work arrangement*

Video introduction (required — 3 to 7 minutes)

Your video should cover: brief intro, relevant work experience, industries you've worked in, software and tools you use, your biggest professional achievement, and why you're the right fit for the position you selected.

Video link — Loom, Google Drive, or YouTube*

Resume / CV

Upload your most recent resume*

Accepted formats: PDF, DOC, DOCX

Final questions

Why should we recommend you to our U.S. clients?*

Anything else you'd like us to know?

I certify that all information provided is true and accurate.

I understand that submitting this form does not guarantee employment or placement.

I authorize the company to present my resume, video introduction, and professional profile to prospective U.S. clients for evaluation.

Application Received