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1. Personal Information This section is complete This section is incomplete
2. Position Information This section is complete This section is incomplete
3. Education This section is complete This section is incomplete
4. Employment History This section is complete This section is incomplete
5. References This section is complete This section is incomplete
6. Explainations This section is complete This section is incomplete
7. Disclaimer & Signature This section is complete This section is incomplete
8. Supplement to Application This section is complete This section is incomplete

Personal Information

City of Kings Mountain - EMPLOYMENT APPLICATION
An Equal Opportunity/Affirmative Action Employer
Applications may be mailed to PO Box 429 or hand delivered to 103 W King Street, Kings Mountain, NC 28086-0429
Fill out all sections COMPLETELY and to the best of your ability. Your application will be used as part of the examination process and, therefore, should represent your best effort. Incomplete applications will not be considered. Once submitted, application materials become the property of the City. An application must be received in Human Resources by 5pm on the closing date posted to ensure consideration. Photocopied applications must have an original signature and current date. If a position is posted as "may close without notice," APPLY IMMEDIATELY.
First Name*
Middle Name
Middle Name or Initial
Last Name*
Address1*
Address2
City*
State*
Zip*
Phone Number*
Email Address*
Have you ever been convicted of a violation of the law other than a minor traffic violation?*
1. Yes
1. No
Are you eligible to work in the United States?*
1. Yes
2. No
Are you 18 or older?*
1. Yes
2. No
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Education

High School
Address
Did you graduate?
1. Yes
1. No
College
Address
Degree
Did you graduate?
1. Yes
1. No
Other
Address
Degree
Did you graduate?
1. Yes
1. No
Knowledge, Skills & Abilities
Please list any knowledge, skills, or abilities you have that you feel are applicable to the position for which you are applying. Incluce skills with equipment or machines you can operate. If you wish consideration for a secretarial/clerical position, indicate typing speed and word processing software packages known and/or used.
a)
b)
c)
d)
e)
f)
g)
h)
Registrations, Licenses, Certifications
List fields of work for which you have been registered, licensed or certified:
Registration
State
Number
Exp. Date
Registration
State
Number
Exp. Date
Other:
Do you have a valid Driver's License?
1. Yes
2. No
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References

Please list three professional references.
1) Full Name*
Relationship*
Company/Title*
Phone Number*
2) Full Name*
Relationship*
Company/Title*
Phone Number*
3) Full Name*
Relationship*
Company/Title*
Phone Number*
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Explainations

Explaination
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Disclaimer & Signature

• To the best of my knowledge and belief, the information given truly represents my background and experience. I understand that if I have knowingly or negligently misrepresented, falsified or omitted any information during the application process, or have made any changes to the format or wording of this application form, I may be disqualified for employment consideration or dismissed from employment with the City.
• I authorize my current and former employers to give any information regarding me or my employment, whether or not it is on their records. I hereby release them from any damage whatsoever for issuing same.
• I also authorize educational institutions which I attended to reveal my scholastic ratings, as well as degrees or certificates earned, to the City of Kings Mountain; and associations, registration and licensing boards and to others to furnish whatever detail is available concerning my qualifications. Notwithstanding any provision of State or Federal law, I expressly waive any right I have to review information the City receives from an employer or educational institution under a promise of confidentiality.
• I also permit the City of Kings Mountain to conduct a Police, Court, Credit and/or Motor Vehicle Records Investigation of my background where related to the job for which I am applying.
• I understand that if I apply or have applied for certain jobs, I may be tested for drug and alcohol use to determine if I am currently using or abusing these substances. I consent to the testing and understand that the results could preclude my appointment.
• I understand and acknowledge that should I be employed by the City of Kings Mountain, then I serve "at will". This means that I may be terminated at any time. I further understand that this "at will" employment relationship may not be changed by any written document unless such change is specifically approved by the City Manager
Applicant Signature*
Type your name above representing your signature.
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