An Equal Opportunity Employer
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This application form is designed to protect individual rights and privacy and to insure equal employment opportunity. All questions are considered important for employment and no other use is intended for the information submitted. Chatham County is an equal opportunity employer and applicants are considered for employment without regard to race, color, religion, sex, national origin, age, marital or veteran status, disability, or other legally protected status.
Important Note for State Applications:
To be considered for state employment (Department of Social Services or Health Department), you must answer all questions and complete all section of the application form.
The State employes only US citizens or aliens who can provide proof of identity and work authorization within three (3) working days of employment. Males subject to Military Selective Service Registration must certify compliance to be eligible for State employment (G.S. 143B-421.1).
WHEN COMPLETING THIS APPLICATION, PLEASE MAKE SURE YOU:
Chatham County participates in the Chatham Local Government Job Application Sharing Network, a local application-sharing initiative designed to broaden opportunities for job seekers and local government employers. With your consent, your job application will be shared with municipalities in the county (Town of Siler City) for open positions that meet your interest.
Date of Application
Do you now work for the State of North Carolina?
Are you seeking?
Are you a layoff candidate with the State of N.C. eligible for RIF priority reemployment consideration as described by GS 126:
If you check yes to the Layoff Candidate RIF question, please provide the notification date:
Have you ever worked for Chatham County before?
Are you related by blood or marriage to any person now working for Chatham County?
Have you ever been dismissed from work or forced to resign from any position?
Have you served honorably in the Armed Forces of the United States on active duty for reasons other than training?
Do you wish to declare a service-connected disability?
At the time of this application, are you the surviving spouse or dependent of a deceased veteran who died from service-related reasons?
Do you wish to declare eligibility for veterans preference as the spouse of a disabled veteran?
Give entrance dates of your (or spouse’s) qualifying active military service:
Give separation dates of your (or spouse’s) qualifying active military service:
DO NOT COMPLETE THIS BLOCK, FOR AGENCY USE ONLY: ELIGIBILITY FOR VETERAN'S PREFERENCE:
Did you either graduate from high school or pass the high school equivalency test?
High School/Dates Attended/Graduation Date
College or University (Undergraduate)/Dates Attended
Major Course of Study/Did You Graduate/Type of Degree and Year
Graduate or Professional School/Dates Attended
Trade, Business or Correspondence/Dates Attended
Other Education or Training/Dates Attended
DO NOT COMPLETE THIS BLOCK, FOR AGENCY USE ONLY: DEGREES AND PROFESSIONAL CREDENTIALS
Complete each question for every period of employment. Include military service and previous employment with Chatham County. Failure to give complete information may result in rejection of your application. Begin with your current or most recent position. If you need to provide information on more than five employers, please attach that information at the end of this form as an attachment.
Current or Last Employer/Dates Employed
Current Employer Phone Number and Address
Your Current Job Title/Supervisor's Name and Title
Starting Salary/Ending Salary
May we contact this employer?
Employer #2/Dates Employed
Employer #2 Phone Number and Address
Employer #2 Job Title/Supervisor's Name and Title
Employer #2 Starting and Ending Salary
Employer #3/Dates Employed
Employer #3 Phone Number and Address
Employer #3 Job Title/Supervisor's Name and Title
Employer #3 Starting and Ending Salary
Who referred you to Chatham County?
List below the names of three persons excluding previous employers and relatives:
FILE UPLOAD: Use this option to upload a resume, cover letter or other documents.
ONLY IF THE FILE UPLOAD FUNCTION FAILS, you may email your resume, cover letter or other documents to firstname.lastname@example.org.
PLEASE NOTE: There is a 250MB limit on each file upload.
In order to comply with the Equal Opportunity Commission’s reporting requirements and for additional statistical purposes, the following information is being requested. This information will be kept confidential and will, in no way, be used in determining your suitability for employment with Chatham County. This section is kept separate so that it will not affect the selection process.
Date of Birth
Thank you for your interest in Chatham County and taking time to complete this information.
Due to the volume of applications received, applicants will not be notified when positions have been filled.
Please check back on the Job Opportunities webpage for the status of positions.
IF YOU HAVE QUESTIONS, please contact Human Resources at 919-542-8200.