State of North Carolina Application for Employment 1 - Free Download
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State of North Carolina Application for Employment 1
State of North Carolina Application for Employment 1
Revised 09/08/2011
APPLICATION FOR EMPLOYMENT
State of North Carolina
INSTRUCTIONS TO APPLICANTS
TO BE CONSIDERED FOR STATE EMPLOYMENT, YOU MUST ANSWER ALL QUESTIONS AND COMPLETE ALL
SECTIONS OF THIS APPLICATION FORM.
THE STATE EMPLOYS ONLY US CITIZENS OR ALIENS WHO CAN PROVIDE PROOF OF IDENTITY AND WORK
AUTHORIZATION WITHIN 3 WORKING DAYS OF EMPLOYMENT MALES SUBJECT TO MILITARY SELECTIVE
SERVICE REGISTRATION MUST CERTIFY COMPLIANCE TO BE ELIGIBLE FOR STATE EMPLOYMENT (G.S. 143B-
421.1). SEE AVAILABILITY BLOCK.
WHEN COMPLETING THIS APPLICATION, PLEASE MAKE SURE YOU
COMPLETE THE SECTION FOR EQUAL OPPORTUNITY INFORMATION.
APPLY FOR ONE VACANCY PER APPLICATION.
IF YOU ARE A RIF APPLICANT WITH PRIORITY- PLEASE CHECK THE APPROPRIATE BOX.
GIVE COMPLETE INFORMATION ON YOUR EDUCATION AND WORK HISTORY (“SEE RESUME” IS NOT
ACCEPTABLE).
LIST SEPARATELY EACH JOB HELD AND YOUR DUTIES FOR EACH POSITION WHEN YOU WORKED FOR
ONE EMPLOYER AND HELD MORE THAN ONE POSITION.
AS YOU DESCRIBE YOUR WORK HISTORY, MAKE SURE YOU HIGHLIGHT YOUR COMPETENCIES
(KNOWLEDGE, SKILLS, ABILITIES AND WORK BEHAVIORS) WHICH DEMONSTRATE YOUR
QUALIFICATIONS FOR THE POSITION FOR WHICH YOU ARE APPLYING.
PROVIDE ONLY THE LAST FOUR DIGITS OF YOUR SOCIAL SECURITY NUMBER.
CHECK FOR ACCURACY, SIGN AND DATE YOUR APPLICATION.
THANK YOU FOR YOUR INTEREST IN STATE GOVERNMENT. NORTH CAROLINA WANTS TO FIND THE BEST
QUALIFIED PEOPLE AVAILABLE TO SERVE ITS CITIZENS. ALTHOUGH EVERYONE WHO APPLIES CANNOT BE
HIRED, YOUR APPLICATION WILL BE GIVEN EVERY CONSIDERATION.
PD 107 (REV 09/08/2011)
Equal Opportunity Information
State Government policy prohibits discrimination based on race, sex, color, creed, national origin, age, genetic
information or disability. Sex, age or absence of disability is a bona fide occupational qualification in a small number of
State jobs. The information requested below will in no way affect you as an applicant. Its sole use will be to see how
well our recruitment efforts are reaching all segments of the population.
Date of Birth
                 
(Month) (Day) (Year)
Gender
Male Female
ETHNIC GROUP
1. White (non-Hispanic)
2. Black (non-Hispanic)
3. Hispanic (Mexican, Puerto Rican, Cuban, Central or South American, other Spanish
origin regardless of race)
4. Asian (including Pacific
Islander)
5. American Indian (including
Alaskan native)
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