City of Wilmington, North Carolina
Employment Application
HUMAN RESOURCES
P.O. BOX 1810 * WILMINGTON, NORTH CAROLINA * 28402

City of Wilmington Employment Information
The City of Wilmington welcomes and appreciates your interest in employment with the City. Outlined below is information describing the City’s employment process that will assist you in your application process.
Equal Employment Opportunity
As we strive to maintain a diverse workforce, the City of Wilmington encourages all qualified persons to apply without regard to race, ethnicity, gender, age, religious affiliation or disability.
 
Job Opening Information
A current listing of job openings is available on our Web Site www.wilmingtonnc.gov. Positions also are posted at the Human Resources office and with the Employment Security Commission.

The City of Wilmington only accepts applications for specific open positions.
 
Employment Application
Our employment application is designed to gather information to evaluate your qualifications for the position for which you are applying. If you wish to apply for more than one position, a separate application must be submitted for each position. Please ensure all pertinent information is documented on the application. Please don’t indicate “See Resume/Attachment”. The application is your introduction to the department so every effort should be made to make your application legible and complete.

The employment application and all related information requested should be received in Human Resources by 5:00 p.m. of the application deadline. Applications received after the application deadline will not be considered for the position. All information on the application is subject to verification.
 
Application Consideration
The application review process begins after the closing date for applications. Human Resources receives and carefully reviews all applications and refers to the hiring department candidates whose qualifications best match the position’s posted requirements based on the information presented on the application. The hiring department reviews the referred applications and determines applicants to interview. Simply fulfilling the minimum qualifications for a position does not assure an interview. Candidates being offered an interview may not be contacted immediately following the closing date. Your patience in the process is appreciated.
 
Conditional Job Offer
All new employees will be offered the position contingent on passing a drug screen. Designated positions in Police and Fire will also require a pre-employment physical. The free screening is provided by the City of Wilmington. Positions that require, or will require, CDL individuals must successfully complete a DOT physical. Failure to pass the tests will disqualify you from further consideration for this position.

Additionally, some positions may require a driving record and criminal history record check prior to employment. Failure to meet the City’s designated standard will result in rescinding the job offer or dismissal.
 
Pay and Benefits
The City of Wilmington offers a competitive salary package. Comprehensive benefits include health, life and disability insurance, as well as paid holidays, vacation and sick leave and a retirement package.
 
Verification of Employment Eligibility
Under the Immigration, Reform and Control Act of 1986, all new hires will be required to provide appropriate documentation to establish identity and right to work in the United States.


Completing the employment application is the first step in the selection process. You will not be considered unless you meet the minimum qualifications as posted in the advertisement. In order to be fairly considered, answer all questions completely and accurately, relating your education, training, and experience to the position for which you are applying. No information in this application is intended to be used for discriminatory purposes. A resume may be attached, but not substituted for requested information. The Human Resources Department will keep you informed of the selection process. If hired you must provide appropriate documents to verify your eligibility for employment under the Immigration, Reform and Control Act of 1986.

Required Fields = *

IDENTIFYING DATA:
Title of Position Sought* Job No.* Date:*
First Name* MI* Last Name*
Social Security Number Email*  
 
Address-Number* Street name / Apt #*  
 
City* State* Zip Code*
Home Phone* OR Business / Message Phone *
Drivers License: Is driver's license presently restricted, suspended, or revoked?
If you do not have a driver's license, enter NONE in the Driver's License Field below.		 YesNo
Driver's License Number*            Class* State* Expiration Date* Do you currently hold an NC class A or B CDL?
       Yes No
Date Available for Work*:
Type of Position Desired*: Full Time  Part Time  Temporary
Available For*: Shift Work Weekend Work None
For some positions, there are minimum age requirements. Please check the appropriate box:*
under 16 years of age 16-18  18-21 Over 21


EDUCATION:
Choose the highest grade you completed*
1st 2nd 3rd 4th 5th 6th
7th 8th 9th 10th 11th 12th
High school Graduate?*
Yes No            
GED certificate? *
Yes No            
Name and location of high school attended.*
Name(s) and location(s) of Colleges or
Universities attended		 Major/Minor Studies Attended From:(mm/yy) Attended To:(mm/yy) Degrees Graduation Date
Professional Certificate of license to the job which you are applying Expiration Date:


SPECIAL TRAINING:
This space is for training or education that demonstrates specific qualifications for the particular job for which you are applying. The training or education may be full-time, part-time, apprenticeships, academic courses, seminars, or other types of training. Training schools, military schools, business colleges, or special courses pertinent to the position applied for should be included. Attach additional pages, if necessary, diploma or certificate, if required by vacancy.
Course Institution Dates Attended From:(mm/yy) Dates Attended To:(mm/yy) Total class hours License or Certificate Issued


Equipment Skills
List any special size and type of equipment you operate, including office, vehicles, construction, etc.:


PERSONAL REFERENCES*
(Do not list Relatives or Employers)
Name Address Occupation Telephone


EXPERIENCE*
List your most recent experience first. Experience may be paid or unpaid, full-time, part-time, or military. Describe all of your work experience thoroughly, indicating how it relates to the position for which you are applying. Include MONTH and YEAR of your beginning and ending dates of employment or experience. Failure to provide complete information may result in disqualification of your application.

RESUME MAY BE ATTACHED AT THE BOTTOM OF THIS APPLICATION TO SUPPLEMENT INFORMATION, BUT MAY NOT SUBSTITUTE FOR COMPLETION OF THIS SECTION.
Dates and Salary
Start Date:(mm/yy)
End Date:(mm/yy)
Starting Salary:
Ending Salary:
Employer
Name:
Address:
Telephone:
Supervisor:
Job, Title, Description of Duties, Hours Worked, Reason for Leaving
Title Hours
Duties: Reason for Leaving:
Equipment Operated:
Dates and Salary
Start Date:(mm/yy)
End Date:(mm/yy)
Starting Salary:
Ending Salary:
Employer
Name:
Address:
Telephone:
Supervisor:
Job, Title, Description of Duties, Hours Worked, Reason for Leaving
Title Hours
Duties: Reason for Leaving:
Equipment Operated:
Dates and Salary
Start Date:(mm/yy)
End Date:(mm/yy)
Starting Salary:
Ending Salary:
Employer
Name:
Address:
Telephone:
Supervisor:
Job, Title, Description of Duties, Hours Worked, Reason for Leaving
Title Hours
Duties: Reason for Leaving:
Equipment Operated:
Dates and Salary
Start Date:(mm/yy)
End Date:(mm/yy)
Starting Salary:
Ending Salary:
Employer
Name:
Address:
Telephone:
Supervisor:
Job, Title, Description of Duties, Hours Worked, Reason for Leaving
Title Hours
Duties: Reason for Leaving:
Equipment Operated:
Dates and Salary
Start Date:(mm/yy)
End Date:(mm/yy)
Starting Salary:
Ending Salary:
Employer
Name:
Address:
Telephone:
Supervisor:
Job, Title, Description of Duties, Hours Worked, Reason for Leaving
Title Hours
Duties: Reason for Leaving:
Equipment Operated:
Dates and Salary
Start Date:(mm/yy)
End Date:(mm/yy)
Starting Salary:
Ending Salary:
Employer
Name:
Address:
Telephone:
Supervisor:
Job, Title, Description of Duties, Hours Worked, Reason for Leaving
Title Hours
Duties: Reason for Leaving:
Equipment Operated:
Dates and Salary
Start Date:(mm/yy)
End Date:(mm/yy)
Starting Salary:
Ending Salary:
Employer
Name:
Address:
Telephone:
Supervisor:
Job, Title, Description of Duties, Hours Worked, Reason for Leaving
Title Hours
Duties: Reason for Leaving:
Equipment Operated:
Dates and Salary
Start Date:(mm/yy)
End Date:(mm/yy)
Starting Salary:
Ending Salary:
Employer
Name:
Address:
Telephone:
Supervisor:
Job, Title, Description of Duties, Hours Worked, Reason for Leaving
Title Hours
Duties: Reason for Leaving:
Equipment Operated:
May we contact your current employer?*   Yes No
If you answered No, please Explain




PERSONAL INFORMATION
1.  Can you provide proof of your identity and eligibility for employment in the United States?* Yes No
2.  Are you currently employed by the City of Wilmington? (if yes, list department below)* Yes No
3.  Have you ever been employed by the City of Wilmington? (if yes, list department below)* Yes No
  Title:    Dept:    Dates:  to 
4.  Have you ever been convicted of a crime (misdemeanor, felony, or military court martial) or had any moving traffic violations within the past two years? Conviction does not necessarily disqualify candidates from employment consideration.
If yes, list date, place, offense, and fine (or sentence) for each instance in the space below. *		 Yes No
5.  Are members of your household or relatives currently employed by the City of Wilmington?
(if yes, provide the following information) *		 Yes No
  Name:  Relationship:  Dept: 
  Name:  Relationship:  Dept: 
6.  Are you capable of performing the activities involved in the job or occupation for which you have applied with or without reasonable accommodation?* Yes No
  Explanatory remarks: (Please indicate item numbers to which answers apply:)
 


CONDITIONS OF EMPLOYMENT
Thank you for completing this application. You are urged to carefully read the following certification. All the information provided by me on this application or otherwise is accurate and complete and I hereby give the City of Wilmington permission to investigate any and all information contained herein or otherwise provided during the selection process. In addition, if appropriate for the position, I (A) authorize the City of Wilmington Human Resource Department to conduct/request a background, criminal, history and/or driving record check; (B) agree to undergo drug screening; (C) agree to undergo a polygraph examination; and (D) agree to undergo a physical and/or psychological examination. I fully understand that this application will be used only in conjunction with the position for which I am applying and that its completion neither assures me a position with the City nor obligates the City to me in any way. I further understand that the failure to complete this application may render it void and that any misleading, incorrect statements, or omissions of material facts made during the selection process will subject me to disqualification, or if employed, result in my suspension or immediate discharge from employment with the City of Wilmington. If employed, I will provide documentation establishing my identity and right to work in the United States; I agree to conform to the rules and regulations of the City of Wilmington or departments thereof; and I fully understand that employment can be terminated for any reason deemed sufficient by the City. I certify that I have read the foregoing statements and agree to the conditions stated therein.

 Yes, I agree to the conditions above.
 No, I do not wish to have my application submitted.

Date:

You will not be able to submit your application if you do not answer "yes" to these terms and conditions.
 


Recruiting Survey
To insure that we are contacting as many qualified applicants as possible we continually update our recruiting methods. To help us in this attempt please take a few moments to complete the following survey and return it with your completed application. Fill in all that apply
 
How did you receive your information concerning employment opportunities with the City of Wilmington?
 Employment Security Commission Posting
 Friend/Relative
 Job Fair                               Location:           Date:
 Internet   (Referring Web Site Address:)  
 Newspaper Advertisement     City/Name:   
 Professional Association         Name:         
 Radio Advertisement             City/Station: 
 Television Advertisement     City/Channel: 
 City of Wilmington Human Resources Office Posting
 City of Wilmington Government Access Channel
 Other     
  Todays Date:


City of Wilmington Voluntary Information
The City of Wilmington does not discriminate based on race, ethnicity, gender, age, religious affiliation, or disability. This information is to be completed by applicant on a voluntary basis. The information will be used and kept confidential in accordance with applicable laws and regulations. The City of Wilmington will utilize the information to comply with requirements regarding government record keeping, reporting and other legal obligations which may apply for federal reporting purposes.

This information is not shared with the hiring department. We invite you to complete this applicant data survey. Providing this information is STRICTLY VOLUNTARY. Failure to complete this form will not subject you to any adverse personnel decision or action. Filling out this survey will help us better serve you. Your cooperation is appreciated.

Last Name First Name Middle Telephone:
Address City State Zip
Male Female
Date of Birth
Please check one of the following Equal Opportunity Identification Groups:
Caucasian / White
(Not of Hispanic origin)  		 African American/Black
(Not of Hispanic origin)		 American Indian / Alaska Native
Asian Native Hawaiian / Pacific Islander Hispanic
Other Race Two or More Races

 OR