Please Answer All Questions. Resumes Are Not A Substitute For A Completed Application. We are an equal opportunity employer. Applicants are considered for positions without regard to race, religion, sex, national origin, age, disability, or any other category protected by applicable federal, state, or local laws.

Full Name

Position

telephone

Alternate No

Present Address

How Long have you lived there

Previous Address

How Long have you lived there

List all counties that you have resided in North Carolina in the last 12 months

If under the age of 18, can you produce the necessary work certificate at the time of employment?  *

Yes

No

Type of employment desired *

Full-time

Part-time

Are you willing to work overtime? *

Yes

No

Date on which you can start work if hired *

Desired Salary/Hourly Rate *

Have you ever plead guilty or no contest to or been convicted of any criminal offense other than the applicable exceptions listed above? *

Yes

No

Have you been convicted of a felony within the last seven years? *

Yes

No

If yes, Date of Conviction *

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APPLICATION FOR EMPLOYMENT AT FCR