Employee Verification - Cabarrus Share Grant Program

Cabarrus Share Employee Verification
Please complete this form to verify your employment before moving forward with completing the Cabarrus Share Grant Application. Once your employment has been verified with your employer, you will be emailed a link to complete the full application.
Employee Name*
Last 4 digits of SSN (optional)
I give permission for the Cabarrus Share Grant Program to verify my employment (Initial)*

Clear
Email Address*
Best email address to send the Grant Application to for you to complete
Phone Number (Best # to reach you at)*
I am currently an employee of:*
Only employers listed in the above menu are currently participating in this program.
Beginning date of employment*

MonthDayYear
Date
My employment is categorized as Full-Time, working at least 30 hours a week*

YesNo
I certify that all the information stated above is true.
Employee Signature*

Clear
Date*

MonthDayYear
Please verify that you are human*
Should be Empty:

Cabarrus Share Employee Verification