Town of Mocksville Employment Application

Human Resources
171 S. Clement Street
Mocksville, NC 27028

Please complete all sections of this application to the best of your ability. Your application will be used as part of the examination process and, therefore should represent your best efforts. Unsigned and incomplete applications may not be considered.

You may save this online document and complete it later by using the link at the bottom of the page. As part of this form, you may upload your cover letter, resume, and other supporting documentation if requested in the job description.

Once submitted, application materials become the property of the Town. Applications must be returned by 5:00 p.m. of the Position Closing Date to ensure consideration. If a position is posted as Open Until Filled, apply as soon as possible, because the position may close without notice.

The Town only accepts officially signed applications for employment.

Applications may be completed online or downloaded and printed out to be submitted to the address above.

Printed applications must be completed in ink or typed.

For questions regarding the application or employment with the Town of Mocksville please contact Human Resources at  336-753-6700.

 

Complete the Employment Application Online

Employment Application

The Town of Mocksville's general Employment Application form.

  • Personal Data

  • Availability

  • MM slash DD slash YYYY
    When are you available to begin employment?
  • MM slash DD slash YYYY
  • Educational Background

  • Please provide the name and location of your high school.
  • Please indicate the number of years you completed.
  • Please indicate your course of study if applicable.
  • Please provide the name and location of your college or university.
  • Please indicated the number of years you completed.
  • Please specify your course of study and any degrees you earned.
  • Please indicate any other education that we should be aware of including years you completed and if you graduated or were awarded any degrees.
  • Training

  • List fields of work for which you are licensed, registered or certified. Include the date of issuance, the state where the license was issued, and license/registration/certificate number if applicable:
  • If the position you are applying for calls for specific courses, please indicate courses completed and credit received.
  • Please specify skills, knowledge, and abilities in areas that relate to the position you are applying for.
  • References

    List three people who are not related to you who have definite knowledge of your qualifications for the position for which you are applying, such as past supervisors or co-workers.
  • Please note both the occupation of your reference and how long you have known them.
  • Please note both the occupation of your reference and how long you have known them.
  • Please note both the occupation of your reference and how long you have known them.
  • General Information

    In North Carolina, a minor traffic offense not punishable by imprisonment is identified as an "infraction" and is not included in the question.
  • NOTE: A conviction record will not necessarily exclude you from employment. Factors such as age at the time of the offense, rehabilitation efforts, how recent the offense was, the nature of the crime, and the type of job for which you are applying will all be considered.
  • If you were previously employed by the Town of Mocksville please let us know what your position was and the dates you were employed.
  • If you are subject to call for active military duty or training please let us know the details of that commitment here.
  • Employment History

    Describe in detail all work experience beginning with your present or most recent position.
  • Please be specific.
  • $________________ per _____________
  • $________________ per _____________
  • Please be specific.
  • $________________ per _____________
  • $________________ per _____________
  • Please be specific.
  • $________________ per _____________
  • $________________ per _____________
  • Please be specific.
  • $________________ per _____________
  • $________________ per _____________
  • Please be specific.
  • $________________ per _____________
  • $________________ per _____________
  • Documents

    Please upload your resume, cover letter, certification information, or other supporting documentation you want to present as part of your application for employment.
  • Drop files here or
    Accepted file types: pdf, doc, docx, jpg, png, tiff, jpeg, Max. file size: 128 MB.
      Please upload a cover letter and resume if the job you are applying for has requested it. Check the job description. You can save this form and complete it later if you need to.
    • CERTIFICATE OF APPLICANT

      It is understood and agreed that any misrepresentation by me in this application will be sufficient cause for cancellation of this application and/or separation from the employer's service if I have been employed. I further understand that this is an application for employment and that no employment contract is being offered. I understand that if I am employed, such employment is for no definite period of time and that the Town of Mocksville can change wages, benefits and conditions at any time. I give the Employer the right to investigate all references and to secure additional information about me, if job related. I hereby release fom liability the Employer and its representatives for seeking such information and all other persons, corporations or organizations for furnishing such information. I have read and understand the above. I certify that if I am a male between the ages of 18 and 26, I am aware of and in compliance with all applicable registration requirements of the Military Selective Service Act. (NC GS 143B-421.1)
    • MM slash DD slash YYYY