CITY OF NORTH MYRTLE BEACH
1018 Second Avenue South
North Myrtle Beach, SC 29582
Phone: (843) 280-5575 / Fax: (843) 280-5638
Website: www.nmb.us / E-mail: personnel@nmb.us

APPLICATION FOR EMPLOYMENT

NAME
*
*
ADDRESS
*
*
*
*
EMAIL
*
*
PHONES
* ( ) -
( ) -
Last 4 digits of SSN
*
ELIGIBILITY
* YES | NO
* YES | NO
* YES | NO
NOTICE
POLICY
A separate application is required for each position.
POSITION
*


*


YES | NO


* Full Time | Part Time | Seasonal


* YES | NO
SKILLS

EDUCATION/TRAINING * YES | NO

None | 9 | 10 | 11 | 12
YES | NO



None | 1 | 2 | 3 | 4
YES | NO



None | 1 | 2
YES | NO





YES | NO





* YES | NO


* YES | NO





EMPLOYMENT HISTORY
MUST BE COMPLETED TO BE CONSIDERED FOR EMPLOYMENT
INSTRUCTIONS:
READ CAREFULLY BEFORE COMPLETING THE REMAINDER OF THIS SECTION. IT IS IMPORTANT THAT THIS SECTION BE COMPLETED IN DETAIL IF YOUR EXPERIENCE IS TO BE FAIRLY EVALUATED.
  1. Start with your most recent position.
  2. Give specific information about the nature and responsibilities of each position you have held. Use a separate block for each position, even if it is with the same employer.
  3. List all employment including military service, part-time and self-employment. Include all periods of unemployment except those during which you were a full-time student at an academic or technical institution.
  4. RESUME MAY NOT BE SUBSTITUTED WITHIN THIS SECTION. However, a resume may be emailed to personnel@nmb.us upon full completion of this application.
  5. If space is too limited for listing all your employment record, you may use an additional sheet of paper following the same format used below


Current or most recent position
*
*
* * * () - * YES | NO
*
* *



* *
Second recent position
*
*
* * * ( ) - * YES | NO
*
* *



* *
Third recent position
*
*
* * * ( ) - * YES | NO
*
* *



* *
Fourth recent position
*
*
* * * ( ) - * YES | NO
*
* *
* *
MILITARY HISTORY

REFERENCES

* * ( ) -
*


* * ( ) -
*


* * ( ) -
*

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:



*
★ (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.


*
★ (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. ★


Control Sheet

Applicant Control Sheet

The information requested on this form regarding race, sex, age, and Selective Service status is being collected in order to comply with certain Federal and State regulations and will in no way be used in determining your suitability for employment with the City.

Please enter the following information:

Note: All information below will be treated as confidential and will NOT be included with your application that is forwaded to the hiring department.

Gender, Date of Birth and Race Male | Female
Month and Day of Birth:
(check one or more)
  American Indian or Alaska Native: A person having origins in any of the original people of North and South America (including Central America) and who maintains tribal affiliation or community attachment.
  Asian: A person having origins in any of the original people of Far East, South East Asia, or the Indian subcontinent including, for example, Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the Philippine Islands, Thailaind and Vietnam.
  Black or African American: A person having origins in any of the black racial groups of Africa.
  Hispanic or Latino: A person of Cuban, Mexican, Puerto Rican, South or Central American or other Spanish culture or origin, regardless of race.
  Native Havaiian or Other Pacific Islander: A person having origins in any of the original people of Hawaii, Guam, Samoa or other Pacific Islands.
  White: A person having origins in any of the original people of Europe, the Middle East or North Africa.

City of North Myrtle Beach, 1018 Second Avenue South, North Myrtle Beach, SC 29582
Phone: (843) 280-5555