Employment Application

Please look at our Job Opportunities to specify the position you want to apply for.

Location:
Please choose location you are applying for:
- 918 Cedar Creek Rd. Fayetteville NC
- 3190 W. 5th St. Lumberton, NC
Personal Information:
Full Name (First + Middle + Last)*
Phone Number*
Permanent Address*
Street Address Address Line 2 City State ZIP Code
Email*
Social Security #*
Are you a citizen of the U.S. or authorized to work in the U.S.?*
- Yes
- No
Have you been convicted of a felony in the last 7 years?*
- Yes
- No
Employment Interests
Title of Position*
Desired Salary*
Date you can start*
MM slash DD slash YYYY
Have you ever worked for or applied to this company before?*
- Yes
- No
Education
Where did you attend High School?*
School Name Address Dates Graduated
Where did you attend college?*
School Name Address Dates Graduated
Other:*
Name Address Dates Graduated
Employment History
Employer (current or most recent)
Position
Dates Employed
From To
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone
Contact
Responsibilities
Employer (Second Most Recent)
Position
Dates Employed
From To
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone
Contact
Responsibilities
Employer (Third Most Recent)
Position
Dates Employed
From To
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone
Contact
Responsibilities
Disclaimer and Signature:
I certify that my answers are true and complete to the best of my knowledge. I authorize a thorough investigation of my past employment and activities. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my termination. I agree to submit to any lawful drug testing that may be required as a condition of my employment or continued employment and understand that refusal to submit to such testing my result in my discharge. I agree that my employment can be terminated, with or without cause, at any time, by either me or the company.
Digital Signature:

Printing your First Name + Middle Initial + Last Name will act as your digital signature.
Date
MM slash DD slash YYYY
CAPTCHA

Location:

Personal Information:

Employment Interests

Education

Employment History

Disclaimer and Signature:

PHONE

HOURS

From	To

From	To

From	To