Job Aplication Join Our Team Exciting opportunities in Shelby, NC! Employment / Job Application Personal Information Date Date of Birth First Name Middle Name Last Name Street Address Apt City State Zip Email Phone SSN Date Available Desired Pay ($) Pay Type HourSalary Position Applied For Employment Desired Full-TimePart-TimeSeasonal Employment Eligibility Are you legally eligible to work in the U.S.? YesNo Have you ever worked for this employer? YesNo If yes — Start and End Dates Have you ever been convicted of a felony? YesNo If yes — Please explain Education High School School Name City / State From To Graduate? YesNo Diploma College College Name City / State From To Graduate? YesNo Degree Other Education 1 Institution City / State From To Degree / Cert Other Education 2 Institution City / State From To Degree / Cert Previous Employment Employer 1 Company Email Phone Address City State Zip Starting Pay Type HourSalary Ending Pay Type HourSalary Job Title From To Responsibilities Reason for Leaving Employer 2 Company Email Phone Address City State Zip Starting Pay Type HourSalary Ending Pay Type HourSalary Job Title From To Responsibilities Reason for Leaving Employer 3 Company Email Phone Address City State Zip Starting Pay Type HourSalary Ending Pay Type HourSalary Job Title From To Responsibilities Reason for Leaving References (Professional Only) Reference 1 First Name Last Name Relationship Company Title Email Phone Reference 2 First Name Last Name Relationship Company Title Email Phone Reference 3 First Name Last Name Relationship Company Title Email Phone Military Service Veteran? YesNo Branch Rank at Discharge From To Type of Discharge If not honorable, explain Background Check Consent Willing to consent to a background check? YesNo Disclaimer & Signature Applicant understands that this is an Equal Opportunity Employer and committed to excellence through diversity. In order to ensure this application is acceptable, please print or type with the application being fully completed in order for it to be considered. Please complete each section EVEN IF you decide to attach a resume. I, the Applicant, certify that my answers are true and honest to the best of my knowledge. If this application leads to my eventual employment, I understand that any false or misleading information in my application or interview may result in my employment being terminated. Signature Print Name Date I certify that all information provided is true and accurate.
