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Swain County Employment Application

PERSONAL INFORMATION

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Name:(Required)
Present Address:(Required)
Permanent Address:
Referred By:

EMPLOYMENT DESIRED

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Are You Employed?(Required)
Ever Applied Here Before?(Required)

EDUCATION

NAME AND LOCATION OF SCHOOL, YEARS ATTENDED, DATE GRADUATED, SUBJECTS STUDIED
NAME AND LOCATION OF SCHOOL, YEARS ATTENDED, DATE GRADUATED, SUBJECTS STUDIED
NAME AND LOCATION OF SCHOOL, YEARS ATTENDED, DATE GRADUATED, SUBJECTS STUDIED
NAME AND LOCATION OF SCHOOL, YEARS ATTENDED, DATE GRADUATED, SUBJECTS STUDIED

THE AGE DISCRIMINATION IN EMPLOYMENT ACT OF 1967 PROHIBITS DISCRIMINATION ON THE BASIS OF AGE WITH RESPECT TO INDIVIDUALS WHO ARE AT LEAST 40 BUT LESS THAN 70 YEARS OF AGE

SUBJECTS OF SPECIAL STUDY OR RESEARCH WORK
YES OR NO (IF YES, PLEASE DESCRIBE)

FORMER EMPLOYERS

LIST BELOW YOUR LAST FOUR EMPLOYERS, STARTING WITH THE LAST ONE FIRST

REFERENCES

GIVE BELOW THE NAMES OF THREE PERSONS NOT RELATED TO YOU, WHOM YOU HAVE KNOWN AT LEAST ONE YEAR

PLEASE SIGN BELOW

I AUTHORIZE INVESTIGATION OF ALL STATEMENTS CONTAINED IN THIS APPLICATION AND A CRIMINAL BACKGROUND CHECK. I UNDERSTAND THAT MISREPRESENTATION OR OMISSION OF FACTS IS CAUSE FOR DISMISSAL. FURTHER, I UNDERSTAND AND AGREE THAT MY EMPLOYMENT IS FOR NO DEFINITE PERIOD AND MAY, REGARDLESS OF THE DATE OF PAYMENT OF MY WAGES AND SALARY, BE TERMINATED AT ANY TIME WITHOUT PREVIOUS NOTICE.
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