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2. Section 1: Position Applied For
4. Name:
5. Date of Birth:

   MM/DD/YYYY

7. Email Address*
9. Section 2: Gender
11. Please Select One:

    1. Male
    2. Female
    3. Non-Binary
    4. Other
12. If Other, Please Explain
14. Section 3: Ethnicity

    1. Asian
    2. Black

    1. Hispanic or Latin American
    2. Native American or Alaskan Native

    1. Pacific Islander
    2. White

    Please choose all that apply

18. How did you learn about this opening?

    1. Indeed.com/Online Job Application Websites
    2. Came to a Municipal Building
    3. NC Works
    4. Social Media
    5. Town of Boone Website
    6. Other
19. Explain
23. Overtime Compensation Agreement

    For employees subject to the overtime provisions of the Fair Labor Standard Act (FLSA), we generally allow the employee to choose between time off or pay for overtime work. However, either is subject to supervisory approval and may be affected by budgetary constraints. 

27. Selective Service Registration

    1. Yes
    2. No

    If male and age 18 to 26, have you registered for Selective Service? If no, you will have 30 days to comply if selected for a position as required by Federal Law.

29. Electronic Signature Agreement

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

    1. I agree.
31. Electronic Signature

    I certify that I have read and understand the information contained on this form, complied with the instructions provided, and have done so truthfully to the best of my knowledge.

Leave This Blank:


33. 1. Receive an email copy of this form.
34. Email address

    This field is not part of the form submission.

35. Submit

* indicates a required field