ࡱ> } bjbj55 4 __3{bb8dUT8. ####|$+.v7x7x7x7x7x7x7$!:<z70|$|$007##84440p##v740v744:L57#pWx06 b78087 ==1==7==7P004000007784v00080000==000000000b k: NOTICE: TO BE CONSIDERED FOR 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. 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. CHECK FOR ACCURACY, SIGN AND DATE YOUR APPLICATION. THANK YOU FOR YOUR INTEREST IN JOINING NEIGHBORHOOD PARCEL. WE WANT TO FIND THE BEST QUALIFIED PEOPLE AVAILABLE TO SERVE ITS CUSTOMERS. ALTHOUGH EVERYONE WHO APPLIES CANNOT BE HIRED, YOUR APPLICATION WILL BE GIVEN EVERY CONSIDERATION. APPLICATION FOR EMPLOYMENT (SSN Voluntary, for Record Keeping and Data Processing Only) NEIGHBORHOOD PARCEL LLCDate of Application  FORMTEXT       Last 4 of SSN  FORMTEXT     Last Name  FORMTEXT      First Name  FORMTEXT      Middle Name  FORMTEXT      Address (Street number and name)  FORMTEXT      City  FORMTEXT      County  FORMTEXT      State  FORMTEXT      Zip Code  FORMTEXT      Phone (Home or where you can be reached)  FORMTEXT      Business Phone  FORMTEXT      Availability Are you currently working?  FORMCHECKBOX  YES  FORMCHECKBOX  NOAre you related by blood or marriage to any person now working for Neighborhood Parcel  FORMCHECKBOX  YES  FORMCHECKBOX  NO If yes, give name, relationship to you and the agency where employed.  FORMTEXT       If subject to Military Selective Service registration, certify compliance by initialing dotted line ..................................Military Service Have you served honorably in the Armed Forces of the United States on active duty for reasons other than training?  FORMCHECKBOX  YES  FORMCHECKBOX  NO Do you wish to declare a service-connected disability?  FORMCHECKBOX  YES  FORMCHECKBOX  NO At the time of this application, are you the surviving spouse or dependent of a deceased veteran who died from service-related reasons?  FORMCHECKBOX  YES  FORMCHECKBOX  NO Do you wish to declare eligibility for veterans preference as the spouse of a disabled veteran?  FORMCHECKBOX  YES  FORMCHECKBOX  NO Give dates of your (or spouse s) qualifying active military service: Entered:  FORMTEXT       Separated:  FORMTEXT       Branch:  FORMTEXT       Rank  FORMTEXT       Are you a member of the Military Reserves?  FORMCHECKBOX  YES  FORMCHECKBOX  NO Branch:  FORMTEXT       Rank: FORMTEXT       AGENCY USE ONLY: ELIGIBILITY FOR VETERAN S PREFERENCE:  FORMCHECKBOX  YES  FORMCHECKBOX  NO CHECK the types of work you will accept:  FORMCHECKBOX  1. Permanent full-time  FORMCHECKBOX  2. Permanent part-time  FORMCHECKBOX  3. Temporary full-time  FORMCHECKBOX  4. Temporary part-time  FORMCHECKBOX  5. Any of the preceding  FORMCHECKBOX  6. Work involving Travel  FORMCHECKBOX  7. Shift or Split Shift Work If you are not available for work now, enter the earliest date you could begin work (mo/day/yr.) FORMTEXT       Will you accept work anywhere in N.C.?  FORMCHECKBOX  YES  FORMCHECKBOX  NO (If no, list below the counties in which you would be willing to work.) 1.  FORMTEXT       2.  FORMTEXT       3.  FORMTEXT       4.  FORMTEXT      5.  FORMTEXT     Jobs Applied For Enter below the specific title(s) of the job(s) for which you are applying. Please list no more than three on this application. 1.  FORMTEXT       2.  FORMTEXT       3.  FORMTEXT      Referral Source Please indicate your referral source:  FORMTEXT       If you were referred by the Employment Security Commission (Job Service) please indicate which local office:  FORMTEXT       Education Circle highest grade completed: 1 2 3 4 5 6 7 8 9 10 11 12 GED College 1 2 3 4 Graduate School 1 2 3 4 Under S/Q Hrs., list the hours of credit received and if they were semester (S) or quarter (Q) hours. Schools Name and LocationDates Attended (mo/yr) From: To: Grad? S/Q Hrs. Major/Minor Course WorkType of Degree Received High School FORMTEXT        FORMTEXT       FORMTEXT        FORMTEXT      YES  FORMCHECKBOX  NO  FORMCHECKBOX College(s) University (s) FORMTEXT        FORMTEXT       FORMTEXT        FORMTEXT      YES  FORMCHECKBOX  NO  FORMCHECKBOX  FORMTEXT       FORMTEXT       FORMTEXT      Graduate or Professional FORMTEXT        FORMTEXT       FORMTEXT        FORMTEXT      YES  FORMCHECKBOX  NO  FORMCHECKBOX  FORMTEXT       FORMTEXT       FORMTEXT      Other educational, vocational school, internships, etc. FORMTEXT        FORMTEXT       FORMTEXT        FORMTEXT      YES  FORMCHECKBOX  NO  FORMCHECKBOX  FORMTEXT       FORMTEXT       FORMTEXT      Special training programs and seminars you have completed in the last five years (list):  FORMTEXT      If the job(s) applied for calls for specific courses, indicate those courses taken and credits received:  FORMTEXT      Current professional status: (List fields of work for which you have been registered) Registration:  FORMTEXT       State:  FORMTEXT       No. FORMTEXT       Registration:  FORMTEXT       State:  FORMTEXT       No. FORMTEXT       Membership in professional, honorary, or technical societies (list):  FORMTEXT      DO NOT COMPLETE THIS BLOCK DEGREES AND PROFESSIONAL CREDENTIALS  FORMCHECKBOX  Have been verified  FORMCHECKBOX  Will be verified within 90 days (G.S. 126-30) Person Responsible:PD 107 (REV. 3/95) Equal Opportunity Information State Government policy prohibits discrimination based on race, sex, color, creed, national origin, age 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  FORMTEXT        FORMTEXT        FORMTEXT       (mo.) (day) (year)Check One SEX  FORMCHECKBOX   FORMCHECKBOX  M F (male) (female)DISABILITY:  Disability means, with respect to an individual: (1) a physical or mental impairment that substantially limits one or more of the major life activities of such individual; (2) a record of such an impairment; or (3) being regarded as having such an impairment (Americans with Disabilities Act of 1990). Persons without a disability should check item A. The reporting of a disability is strictly VOLUNTARY. Persons with disabilities who DO NOT WISH to report their disabilities should check item A. Information reported on this form will be kept confidential as required by State law. Public disclosure of this information without your consent would be a violation of G.S. 126-27. ETHNIC GROUP 1.  FORMCHECKBOX  White (non-Hispanic) 2.  FORMCHECKBOX  Black (non-Hispanic) 3.  FORMCHECKBOX  Hispanic (Mexican, Puerto Rican, Cuban, Central or South American, other Spanish origin regardless of race) 4.  FORMCHECKBOX  Asian (including Pacific Islander) 5.  FORMCHECKBOX  American Indian (including Alaskan native)  A  FORMCHECKBOX  None/Prefer not to report B  FORMCHECKBOX  Blind or severely visually impaired C  FORMCHECKBOX  Deaf or severely hearing impaired D  FORMCHECKBOX  Loss of limited use of arms and/or hands E  FORMCHECKBOX  Non-ambulatory (must use wheelchair) F  FORMCHECKBOX  Other orthopedic impairment (including amputation, arthritis, back injury, cerebral palsy, spina bifida, etc.)  G  FORMCHECKBOX  Respiratory impairment H  FORMCHECKBOX  Nervous system/Neurological disorder I  FORMCHECKBOX  Mentally restored J  FORMCHECKBOX  Mental retardation K  FORMCHECKBOX  Learning disability L  FORMCHECKBOX  Others (heart disease, diabetes, speech impairment) M  FORMCHECKBOX  Other (please specify)  FORMTEXT        Licenses and certifications (List, giving dates and sources of issuance):  FORMTEXT TXy   = > K f i k l p 4 6 l     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$If $If]^` $If]^ <$IfTkd!;$$If|F x0*       a 77777777777 888888 8D8E8F8G8U8V8W8888888888888ʿʱʠʿʱʏʿʱ~ʿʱmʿʱ!jb?hUCJOJQJU!j?hUCJOJQJU!j>hUCJOJQJU!j?>hUCJOJQJUjhUCJOJQJUhU5CJOJQJhUCJOJQJjh~,9CJOJQJU'j=h~,9h~,9CJOJQJUh~,9CJOJQJ$ 8C888?9@9l9999<::R;  $If <$If 0$If^`0 $If 888A9B9C9D9R9S9T9m9n9o9p9~999999999999999999999:::>:@:B:D:`:ֺ֩֘ևv!jAhUCJOJQJU!jGAhUCJOJQJU!j@hUCJOJQJU!j@hUCJOJQJU!j$@hUCJOJQJUhU5CJOJQJhUCJOJQJjhUCJOJQJU!j?hUCJOJQJU*`:b:d::::::::(;*;>;@;N;P;R;V;;;;<"¨ֺ֪ւtjhWtLhU5CJOJQJ!jChUCJOJQJUUhUCJOJQJjhUCJOJQJUhUCJOJQJ$jBhU>*CJOJQJUhU>*CJOJQJjhU>*CJOJQJU!jjBhUCJOJQJUhU5CJOJQJhUCJOJQJjhUCJOJQJU!j BhUCJOJQJUR;T;V;;"A7 $If^Ukd9D$$If |1*0*0 a<$If]^dTkd+C$$If`Fx0*x\ \     a     SKILLS CHECK the following skills, experiences, etc., which you have:  FORMCHECKBOX  Driver s License  FORMTEXT        FORMTEXT       Number State  FORMCHECKBOX  Chauffeur s License  FORMTEXT        FORMTEXT       Number State  FORMCHECKBOX  Car for use at work  FORMCHECKBOX  Sign Language  FORMCHECKBOX  Foreign language (specify)  FORMTEXT        FORMCHECKBOX  Adding Machine/calculator  FORMCHECKBOX  Typing (specify WPM)  FORMTEXT      FORMCHECKBOX  Shorthand/speedwriting (specify WPM)  FORMTEXT       FORMCHECKBOX  Legal transcription  FORMCHECKBOX  Medical transcription  FORMCHECKBOX  Braille  FORMCHECKBOX  Word Processing  FORMCHECKBOX  Other  FORMTEXT       Have you ever been convicted of an offense against the law other than a minor traffic violation? (A conviction does not mean you cannot be hired. The offense and how recently you were convicted will be evaluated in relation to the job for which you are applying.)  FORMCHECKBOX  YES  FORMCHECKBOX  NO (If yes, explain fully on an additional sheet.)WORK HISTORY (include volunteer experience) Use Additional Sheets if NecessaryCurrent or Last Employer:  FORMTEXT      Address:  FORMTEXT      Job Title:  FORMTEXT      Supervisor s Name  FORMTEXT      Telephone Number  FORMTEXT      No. Supervised by you:  FORMTEXT      Date Employed (mo/yr)  FORMTEXT      Starting Salary $ FORMTEXT       per  FORMTEXT      Ending or Current Salary $ FORMTEXT       per  FORMTEXT      Reason for Leaving  FORMTEXT      May We Contact Employer YES  FORMCHECKBOX  NO  FORMCHECKBOX Date Separated (mo/yr)  FORMTEXT       Full Time Years Months  FORMTEXT        FORMTEXT       Part Time Years Months  FORMTEXT        FORMTEXT       If part time, number of hours worked per week:  FORMTEXT      List major duties in order of their importance in the job:  FORMTEXT      Employer:  FORMTEXT      Address:  FORMTEXT      Job Title:  FORMTEXT      Supervisor s Name  FORMTEXT      Telephone Number  FORMTEXT      No. Supervised by you:  FORMTEXT      Date Employed (mo/yr)  FORMTEXT      Starting Salary $ FORMTEXT       per  FORMTEXT      Ending or Current Salary $ FORMTEXT       per  FORMTEXT      Reason for Leaving  FORMTEXT      Date Separated (mo/yr)  FORMTEXT       Full Time Years Months  FORMTEXT       FORMTEXT       Part Time Years Months  FORMTEXT        FORMTEXT       If part time, number of hours worked per week:  FORMTEXT      List major duties in order of their importance in the job:  FORMTEXT      Employer:  FORMTEXT      Address:  FORMTEXT      Job Title:  FORMTEXT      Supervisor s Name  FORMTEXT      Telephone Number  FORMTEXT      No. Supervised by you:  FORMTEXT      Date Employed (mo/yr)  FORMTEXT      Starting Salary $ FORMTEXT       per  FORMTEXT      Ending or Current Salary $ FORMTEXT       per  FORMTEXT      Reason for Leaving  FORMTEXT      Date Separated (mo/yr)  FORMTEXT       Full Time Years Months  FORMTEXT        FORMTEXT       Part Time Years Months  FORMTEXT        FORMTEXT       If part time, number of hours worked per week:  FORMTEXT      List major duties in order of their importance in the job:  FORMTEXT      I certify that I have given true, accurate and complete information on this form to the best of my knowledge. In the event confirmation is needed in connection with my work, I authorize educational institutions, associations, registration and licensing boards, and others to furnish whatever detail is available concerning my qualifications. I authorize investigation of all statements made in this application and understand that false information or documentation, or a failure to disclose relevant information may be grounds for rejection of my application, disciplinary action or dismissal if I am employed, and (or) criminal action. I further understand that dismissal upon employment shall be mandatory if fraudulent disclosures are given to meet position qualifications (Authority: G.S. 126-30, G.S. 14-122.1.)  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