NMB Employment Application Form

NAME

Last*

First*

Middle

ADDRESS

Street*

City*

State*

Zip*

Enter Email*

Retype Email*

PHONES

Phone #1* ( ) -

Phone #2 ( ) -

Last 4 digits of SSN

ELIGIBILITY

ARE YOU 18 OR OLDER?* YES | NO

Are you presently employed?* YES | NO

Are you eligible to work in the US?* YES | NO

NOTICE

Proof of eligibility will be required upon employment. The City of North Myrtle Beach participates in the E-Verify Employment Verification Program.

POLICY

It is the policy of the City of North Myrtle Beach to provide employment opportunities without regard to race, color, religion, sex, national origin or age. It is also the City’s policy to comply with all applicable laws and regulations protecting the employment and rights of veterans and handicapped persons.

A separate application is required for each position.

POSITION

Position applying for*

Earliest date you could begin work*

Is there a minimum salary you would accept? YES | NO

Check the type of work you would accept:* Full Time | Part Time | Seasonal

Have you been employed with the City before?* YES | NO

SKILLS

Please list any pertinent skills related to the position you are applying for:

MILITARY HISTORY

If you served in the military and received anything other than an honorable discharge, please explain. Discharge under other than honorable circumstances will not necessarily result in denial of employment.

REFERENCES

Please list three persons who are not related to you and who have a definite knowledge of your work. Do not repeat names of supervisors listed in your work history.

Reference #1:
Name* Phone* ( ) -
Address*
Click to enter second reference

Reference #2:
Name* Phone* ( ) -
Address*
Click to enter third reference

Reference #3:
Name* Phone* ( ) -
Address*

Do you have any relatives currently employed by the City of North Myrtle Beach? If yes, who, in what position, and in what department are they employed? What is the relationship?

In cooperation with the Family Independence Act of 1995, we are actively recruiting Family Independence, welfare, and food stamp recipients. If you are eligible, you may also qualify for special job training. Are you currently receiving AFDC or food stamps?

YES | NO

CERTIFICATE OF APPLICANT:

I hereby declare the information provided by me in this Application for Employment is true, correct and complete. I understand that if employed, any false statement, misstatement, or omission of fact may result in my being disqualified or my being discharged. I also understand that I must pass a medical examination as a condition of employment. The City is hereby authorized to make any investigation of my personal history and financial credit record through any investigative or credit agents or bureaus of its choice.

Applicant Signature: *
★ (Please type your first and last name same as above.)

I further understand and acknowledge that if employed, I will be an employee "at will", meaning that I will have the right to terminate my employment at any time, with or without notice, and with or without cause, and that the City will have the same right.

If you agree please type "I AGREE", then click NEXT PAGE button: *
★ (Note: If you don't agree with these terms your application will NOT be processed.)

NOTICE TO APPLICANTS
★★★★★★
DRUG TESTING REQUIRED BEFORE BEING HIRED.
★ Your written consent for Drug Testing is required. ★

APPLICATION FOR EMPLOYMENT

Applicant Control Sheet

Please enter the following information:

If you would like to also include a resume, browse and select the file,