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Bladen and Bladenboro Housing Authorities Employment Application

706 Chestnut Street | PO Box 339 | Bladenboro, NC 28320
Monday - Thursday: 8:30 am - 6:00 pm | Closed Fridays
P: 910.863.4919 | F: 910.863.3000

If a field does not apply, enter N/A.

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before signing application.","className":"d-block"},{"type":"paragraph","subtype":"p","label":"I have submitted the attached form to the company for the purpose of obtaining employment. I acknowledge that the use of this form, and my filling it out, does not indicate that any positions are open, nor does it obligate the company to further process my application.<div><br></div><div>My signature below attests to the fact that the information I have provided on my application, resume, given verbally, or provided in any other materials, is true and complete to the best of my knowledge and also constitutes authority to verify any and all information submitted on this application. I understand that any misrepresentation or omission of any fact in my application resume, or any other materials, or during any interviews, can be justification for refusal of employment or, if employed, termination from the Company's employ.</div><div><br></div><div>I also affirm that I have not signed any kind of restrictive document creating any obligation to any former employer that would restrict my acceptance of employment with the Company in the position I am seeking.</div>","className":"d-block"},{"type":"paragraph","subtype":"p","label":"I understand that this application is not an employment contract for any specific length or time between the Company and me and that in the event I am hired, my employment will be \"at will\" and either the Company or I can terminate my employment with or without cause and with or without notice at any time. Nothing contained in any handbook, manual, policy and the like, distributed by the Company to its employees is intended to or can create an employment contract, an offer of employment or any obligation on the Company's part. The Company may, at its sole discretion, hold in abeyance or revoke, amend or modify, abridge or change any benefit, policy practice, condition or process affecting its employees.","className":"d-block"},{"type":"paragraph","subtype":"p","label":"References: I hereby authorize the company and its agents to make such investigations and inquiries into my employment and education history and other related matters as may be necessary in arriving at an employment decision. I hereby release employers, schools and other persons from all liability in responding to inquiries connected with my application and I specifically authorize the release of information by any schools, businesses, individuals, services or other entities listed by me in this form. Furthermore, I authorize the company and its agents to release any reference information to clients who request such information for purposes of evaluating my credentials and qualifications.","className":"d-block"},{"type":"paragraph","subtype":"p","label":"Temporary/Contract Employment: If employed as a temporary or contract employee, I understand that I may be an employee of the company and not of any client. If employed, I further understand that my employment is not guaranteed for any specific time and may be terminated at any time for any reason. I further understand that a contract will exist between the company and each client to whom I may be assigned which will require the client to pay a fee to the company in the event that I accept direct employment with the client, I agree to notify the company immediately should I be offered direct employment by a client (or by referral of the client to any subsidiary or affiliated company), either for a permanent, temporary (including assignments through another agency), or consulting positions during my assignment or after my assignment has ended.","className":"d-block"},{"type":"text","required":true,"label":"Signed:","description":"Please sign after printing.","name":"Signed","className":"col-md-6","subtype":"text"},{"type":"date","required":true,"label":"Date of Signature:","name":"Date-of-Signature","className":"col-md-6"},{"type":"paragraph","subtype":"p","label":"<hr>","className":"d-block"},{"type":"paragraph","subtype":"p","label":"For Massachusetts Applicants Only:<div>It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.</div>","className":"d-block"},{"type":"paragraph","subtype":"p","label":"<hr>","className":"d-block"},{"type":"paragraph","subtype":"p","label":"For Maryland Applicants Only:<div>Polygraph Notification and Acknowledgement:</div><div>Under Maryland Law, an employer may not require or demand as a condition of employment, prospective employment, or continued employment, that an individual submit to or take a lie detector or similar test. Any employer who violates this provision is guilty of a misdemeanor and subject to a fine not exceeding $100.</div>","className":"d-block"},{"type":"text","label":"Signature of Applicant","description":"Please sign after printing.","name":"Signature-of-Applicant","className":"col-md-6","subtype":"text"},{"type":"date","label":"Date of Applicant Signature","name":"Date-of-Applicant-Signature","className":"col-md-6"},{"type":"paragraph","subtype":"p","label":"<hr>","className":"d-block"},{"type":"paragraph","subtype":"p","label":"For California Applications Only (Optional)<div>I am providing my contact information to the Company for limited purposes only and consider such information to be private. I understand that from time to time individuals file class action lawsuits against companies and that the mere filing of a lawsuit does not mean that the claims in the lawsuit have merit. I also understand that it is possible that individuals or their attorneys may ask that the Company provide them with my contact information as part of a class action lawsuit. I do not consent to the company providing my contact information to any individual or attorney in any such lawsuit that may be filed, unless I later give me express written consent, or unless the Company is required to do so by law or the Company determines that I am a witness to that lawsuit.</div>","className":"d-block"},{"type":"text","label":"Signature of Applicant (CA)","description":"Please sign after printing.","name":"Signature-of-Applicant-CA","className":"col-md-6","subtype":"text"},{"type":"date","label":"Date of Applicant Signature (CA)","name":"Date-of-Applicant-Signature-CA","className":"col-md-6"},{"type":"paragraph","subtype":"p","label":"<hr>","className":"d-block"}]