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ON-LINE APPLICATION FOR EMPLOYMENT

An Equal Opportunity Employer
We are an equal opportunity employer, and do not discriminate on the basis of race, religion, national origin, sex, age, handicap, martial status, or status as a disabled veteran. Information provided on this application is confidential and will not be used for any other means than employment consideration.

Please provide all information requested
Your complete application will be maintained in our active files for six (6) months from the date of application. You may submit a new application at any time

Independent Contractors
Once your application is reviewed and accepted, you will be sent a independent contractors agreement that must be signed, dated and returned to Carolinas.net

APPLICATION


POSITION APPLYING FOR:        

PERSONAL INFORMATION

  

Name:

Last

MI

First

D.O.B
Address:

Street

City

St

      Zip

Phone:

Home

Work

E-mail

EMPLOYMENT RECORD
  

Starting with present or most recent, list 3 previous employers. Include self-employment and contract work. If applying for web design or graphic design please include the location (URL's) of work done.

   

From / To

Employer

Description / Duties

SKILLS & CERTIFICATIONS

Computers & Software

Yrs. Experience

Clerical & Administrative

Other Skills

   

PROFESSIONAL / WORK REFERENCES

List three past persons who are not related to you who have knowledge of your qualifications.
     

Name

Relationship / Title

Address

Phone

  

  

  
  May we contact your present employer? YesNo  
  

OUTSIDE ACTIVITIES (OPTIONAL)

    
Professional memberships, certificates, or licenses held
   
Past or present civic or cultural activities - include offices held
   
Principle hobbies
   

ADDITIONAL INFORMATION / NOTES