Instructions to Complete Employment Application

Please fill out the Employment Application as accurately and complete as possible.

Submit the application in one of three ways:

   1. Fill out the form below and press “Submit.”

   2. Print the PDF from your computer and fill out the form, then scan onto your computer and email to matt@mortypride.com.  Please include your name and “Employment Application” in the subject line to ensure it is not overlooked.

   3. Print the PDF from your computer then fill out the form and deliver in person to our office at: 3603 Clinton Road Fayetteville, NC 28312

Download a pdf version of the Employment Application here.

If you have any questions, please contact our office at (910) 483-6004 or email matt@mortypride.com.

Thank you for considering Morty Pride as your next place of employment!

    APPLICANT INFORMATION

    Last Name *

    Middle Initial

    First Name *

    Date mm/dd/yyyy *

    Street Address *

    Apartment/Unit #

    City *

    State *

    ZIP *

    Phone Number (XXX)XXX-XXXX *

    Email Address *

    Date Available MM/DD/YYYY

    Social Security Number *

    Desired Salary

    Position Applied for

    Are you a citizen of the United States? *
    YESNO

    If no, are you authorized to work in the U.S.?
    YESNO

    Have you ever worked for this company?
    YESNO

    If so, when?

    Have you ever been convicted of a felony? *
    YESNO

    If yes, explain

    EDUCATION

    High School

    Address

    From: To:

    Did you graduate?
    YESNO

    Degree

    College

    Address

    From: To:

    Did you graduate?
    YESNO

    Degree

    Other

    Address

    From: To:

    Did you graduate?
    YESNO

    Degree

    REFERENCES

    Please list three professional references.

    Full Name

    Relationship

    Company

    Phone

    Address

    Full Name

    Relationship

    Company

    Phone

    Address

    Full Name

    Relationship

    Company

    Phone

    Address

    PREVIOUS EMPLOYMENT

    Company

    Phone

    Address

    Supervisor

    Job Title

    Starting Salary

    Ending Salary

    Responsibilities

    From: To:

    Reason for Leaving

    May we contact your previous supervisor for a reference?
    YESNO

    Company

    Phone

    Address

    Supervisor

    Job Title

    Starting Salary

    Ending Salary

    Responsibilities

    From: To:

    Reason for Leaving

    May we contact your previous supervisor for a reference?
    YESNO

    Company

    Phone

    Address

    Supervisor

    Job Title

    Starting Salary

    Ending Salary

    Responsibilities

    From: To:

    Reason for Leaving

    May we contact your previous supervisor for a reference?
    YESNO

    MILITARY SERVICE

    Branch

    From: To:

    Rank at Discharge

    Type of Discharge

    If other than honorable, explain

    DISCLAIMER AND SIGNATURE

    I certify that my answers are true and complete to the best of my knowledge. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.

    Signature *

    Date *

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