New Hanover County ABC Employment Application

Full Name:*

First NameLast Name
Phone Number:*
Please enter a valid phone number.Format: (000) 000-0000.
Email:*
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Position Applying for:*
Full TimePart TimeAny Available

Application | Professional Experience
Customer service experience:*
Experience selling or serving alcohol:*
Title of most recent position:*
Salary:
Hours per week:*
Date employed:*
Month and year you began with this employer.
Date separated:
Leave blank if still employed with this employer.
Reason for leaving:*
Please upload your resume below:*

Maximum file upload 5MB. Accepted file types: pdf, doc, docx, xls, xlsx, jpg, jpeg.
Cancelof

Application | References

Please list three references that are familiar with your qualifications for employment.
Name of Reference 1:*
Relationship to Reference 1:*
Occupation of Reference 1:*
Email Address of Reference 1:*
Name of Reference 2:*
Relationship to Reference 2:*
Occupation of Reference 2:*
Email Address of Reference 2:*
Name of Reference 3:*
Relationship to Reference 3:*
Occupation of Reference 3:*
Email Address of Reference 3:*

Application | Legal
YesNo
State name and relationship:
If hired, what is your preferred start date?*

MonthDayYear
Date
Name(s) under which you have worked or been educated, if different from present name:
YesNo
Have you ever been convicted, under any name, of an offense against the law, other than a minor traffic violation? Offenses include, but are not limited to, driving while impaired, simple worthless check, and/or ANY misdemeanor or felony, even if resolved outside of court. 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.*

YesNo
Please fully explain each conviction, giving dates and details.

Application | Signature

I certify this application truly represents my background and experience. I understand that failure to give complete information, falsification, or misrepresentation may prevent my being hired, and if discovered after hiring, may be grounds for immediate dismissal. I authorize investigation of all information given in this application.

This includes, but may not be limited to:
- Driver’s record check, if necessary for the job;
- Criminal background check;
- Reference checks from current and previous employers and/or supervisors;
- Educational institutions;
- Registration and licensing boards;
- Any other information submitted on or attached to this application.
I agree that if hired as a New Hanover County ABC Board employee, I must furnish my social security number for payroll purposes, and the necessary bank account information for mandatory direct deposit. I understand that if hired as a New Hanover County ABC Board employee, certain information from my personnel record may be disclosed to any person, as required by North Carolina General Statutes. I further understand that if hired as a New Hanover County ABC Board employee, I may be required to work during emergency situations in addition to the duties assigned to this position.
I agree
Electronic Signature:*
Today's date:*

MonthDayYear
Date
THE NEW HANOVER COUNTY ABC BOARD IS COMMITTED TO EQUALITY IN ADMISSION OR ACCESS TO, OR TREATMENT OR EMPLOYMENT IN, ITS PROGRAMS AND ACTIVITIES AND DOES NOT DISCRIMINATE AGAINST APPLICANTS OR EMPLOYEES BASED ON RACE, COLOR, NATIONAL ORIGIN, RELIGION, SEX, AGE OR DISABILITY.
Should be Empty:

Application | Employment Authorization

Application | Educational Experience

Application | Professional Experience

Application | References

Application | Legal