NCBEEC Employment Application - NC State Board of Examiners of Electrical Contractors

State of North Carolina Application for Employment

North Carolina State Board of Examiners of Electrical Contractors

***NOTE: You cannot save this application or resume later once started.***

EQUAL OPPORTUNITY INFORMATION

State Government policy prohibits discrimination based on race, sex, color, creed, national origin, age, genetic information or disability. Sex, age or absence of disability is a bona fide occupational qualification in a small number of State jobs. The information requested below will not affect you as an applicant and is not forwarded to the hiring manager. Its sole use will be to see how well our recruitment efforts are reaching all segments of the population.

Ethnicity

White (Non-Hispanic/Latino)

Black or African American (Non-Hispanic/Latino)

Asian

American Indian or Alaskan Native

Native Hawaiian or Other Pacific Islander

Hispanic/Latino

Other

Gender

Male

Female

Other

Disability

Yes, I have a disability (or previously had a disability)

No, I don't have a disability.

I do not wish to answer.

APPLICANT INFORMATION

Date of Application(Required)

Job Applied For:(Required)

Enter the specific title of the job for which you are applying.

Name(Required)

First Middle Last

Last 4 Digits of Social Security No.(Required)

Date of Birth(Required)

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Email(Required)

Email address where you can be reached

Phone(Required)

Phone number where you can be reached

MILITARY SERVICE

Have you served honorably in the Armed Forces of the United States on active duty for reasons other than training?

YES

At the time of this application, are you the surviving spouse or dependent of a deceased veteran who died from service-related reasons?

YES

Do you wish to declare eligibility for veteran’s preference as the spouse of a disabled veteran?

YES

Do you wish to declare a service-connected disability?

YES

Give dates of your (or your spouse’s) qualifying active military service:

Entered Service:

Branch of Service

Please list the qualifying military branch of service:

Date

Separated Service:

Rank

Please list the qualifying rank and position of military service:

AVAILABILITY

Referral Source(Required)

Please indicate how you found this position.

Enter the earliest date you could begin work:(Required)

Check the types of work you will accept:(Required)

Permanent full-time

Permanent part-time

Work involving travel

Will you accept work anywhere in N.C.?(Required)

If no, list below the counties in which you would be willing to work.

YES

You answered "NO" to the previous question.

Please list the counties in which you would be willing to travel to/work.

Do you currently work for the State of NC?(Required)

YES

You answered "YES" to the above.

Please specify the state agency and division in which you are employed.

Are you related by blood or marriage to any person now working for the State?(Required)

YES

You answered "YES" to the above.

Please provide the name, relationship to you and agency in which relative is employed.

EDUCATION

Select the highest grade completed:(Required)

High School / GED

Associate Degree

Bachelor's Degree

Graduate or Professional Degree

Some College

Other

High School / GED(Required)

Enter name and city/state of high school or where GED was obtained.

Completed Date:(Required)

(or graduation date)

Graduate?(Required)

Yes

College(s) / University(s)

Enter name and city/state of college(s) attended.

Type of degree received:

Type of degree and major/minor/area of study

Date Attended

(start date)

Date Attended

(end date)

Graduate?

Yes

Graduate or Professional School(s)

Enter name and city/state of graduate or professional schools attended.

Type of degree received:

Type of degree and major/minor/area of study

Date Attended

(start date)

Date Attended

(end date)

Graduate?

Yes

Other Vocational School, Apprenticeships, etc.

Enter name and city/state of schools/programs attended.

Type of degree received:

Type of degree and major/minor/area of study

Date Attended

(start date)

Date Attended

(end date)

Graduate?

Yes

Special training programs and/or seminars you have completed in the last five years (list):

LICENSES & CERTIFICATIONS

License/Certificate Name

List type/name of license or certification held.

License Number

License or certification number.

Licensure State

Give State in which license or certification was obtained.

Issue Date

Give date license or certification was obtained.

Expiration Date

Give date license or certification expires.

License/Certificate Name

List type/name of license or certification held.

License Number

License or certification number.

Licensure State

Give State in which license or certification was obtained.

Issue Date

Give date license or certification was obtained.

Expiration Date

Give date license or certification expires.

Additional License(s) and Certificate(s)

List name/number/state/date(s) for any additional licenses and/or certifications.

WORK HISTORY

Include any unpaid and/or volunteer experience. As you describe your work history experiences, make sure you highlight your competencies which demonstrate your qualifications for the position for which you are applying.

Current or Last Employer:(Required)

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Job Title:(Required)

Date Employed:(Required)

Date Separated:(Required)

Employment Type:(Required)

Full Time

Part Time

Seasonal

Other

Reason for Leaving:(Required)

May we contact this employer?(Required)

YES

Supervisor Name(Required)

First Last

Supervisor Email(Required)

Supervisor Phone:(Required)

Job Duties and Responsibilities:(Required)

List major duties that demonstrate your competencies related to the position for which you are applying in order of their importance in the job:

Employer:

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Job Title:

Date Employed:

Date Separated:

Employment Type:

Full Time

Part Time

Seasonal

Other

Reason for Leaving:

May we contact this employer?

YES

Supervisor Name

First Last

Supervisor Email

Supervisor Phone:

Job Duties and Responsibilities:

List major duties that demonstrate your competencies related to the position for which you are applying in order of their importance in the job:

Employer:

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Job Title:

Date Employed:

Date Separated:

Employment Type:

Full Time

Part Time

Seasonal

Other

Reason for Leaving:

May we contact this employer?

YES

Supervisor Name

First Last

Supervisor Email

Supervisor Phone:

Job Duties and Responsibilities:

List major duties that demonstrate your competencies related to the position for which you are applying in order of their importance in the job:

DOCUMENT UPLOAD

Upload your Resume and any additional documents you would like to submit with your Employment Application below. DOCUMENTS SENT AFTER APPLICATION SUBMISSION WILL NOT BE ACCEPTED.

Resume

Upload your Resume and Cover Letter (if any) here.

Drop files here or

Accepted file types: jpg, png, pdf, doc, docx, Max. file size: 64 MB, Max. files: 2.

Additional Documents

Upload any additional files here (i.e. Drivers License copy, Professional License copy, etc.).

Drop files here or

Accepted file types: jpg, png, pdf, doc, docx, Max. file size: 64 MB, Max. files: 5.

CERTIFICATION & CONSENT

I certify that I have given true, accurate and complete information on this form to the best of my knowledge. In the event confirmation is needed in connection with my work, I authorize educational institutions, associations, registration and licensing boards, and others to furnish whatever detail is available concerning my qualifications. I authorize investigation of all statements made in this application and understand that false information or documentation, or a failure to disclose relevant information may be grounds for rejection of my application, disciplinary action or dismissal if I am employed, and (or) criminal action. I further understand that dismissal upon employment shall be mandatory if fraudulent disclosures are given to meet position qualifications (Authority: G.S. 126-30, G.S. 14-122.1.)

CAPTCHA

Phone

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