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1、Other (Specify)NoIf no, give total credit receivedSTATE OF SOUTH CAROLINAEMPLOYMENT APPLICATIONRETURN TO:1. APPLYING FOR:Job TitlePosition NumberLocation2. HOW DO WE CONTACT YOU?Social Security NumberYour NameMailing AddressCityCountyStateZip CodeHome Phone () Business Phone () Fax Number () E-mail
2、Address3. TELL US ABOUT YOUR EDUCATION:High School (Name)(Location)DiplomaHighest Grade CompletedCollege Graduate? YesYour Name If Different While Attending SchoolGive name & address of school, major course of study, and degree received.Undergraduate College / UniversityGraduate SchoolDegreeYear Deg
3、ree ObtainedDegreeYear Degree ObtainedPertinent Undergraduate CoursesCreditsPertinent Graduate CoursesCreditsJob-Related Training and Course WorkList any skills, licenses, and certificates which are related to the job you seek (including words per minute typing speed and computer software proficienc
4、y).STATE OF SOUTH CAROLINA - AN EQUAL OPPORTUNITY EMPLOYERPD- 1 DID (REVISED 6/98)YesNo4. TELL US ABOUT YOUR WORK EXPERIENCE:Describe your work experience in detail, beginning with your current or most recent job. Include military service (indicate rank) and job related volunteer work, if applicable
5、. Provide anexplanation for any gaps in employment. All information in this section must be complete. A rsum may be attached, but not substituted for completing this section.1. Name of Present or Last EmployerAddressPhone () Job TitleNumber SupervisedSupervisors NameFrom/To/Hours Per WeekSalaryMay w
6、e contact this employer?Job Duties (give details)Reason for Leaving2. Your Next Most Recent EmployerAddressPhone () Job TitleNumber SupervisedSupervisors NameFrom/To/Hours Per WeekSalaryJob Duties (give details)Reason for Leaving3. Your Next Most Recent EmployerAddressPhone () Job TitleNumber Superv
7、isedSupervisors NameFrom/To/Hours Per WeekSalaryJob Duties (give details)Reason for Leaving4. Your Next Most Recent EmployerAddressPhone () Job TitleNumber SupervisedSupervisors NameFrom/To/Hours Per WeekSalaryJob Duties (give details)Reason for Leaving5. Your Next Most Recent EmployerAddressPhone (
8、) Job TitleNumber SupervisedSupervisors NameFrom/To/Hours Per WeekSalaryJob Duties (give details)Reason for Leaving6. Your Next Most Recent EmployerAddressPhone () Job TitleNumber SupervisedSupervisors NameFrom/To/Hours Per WeekSalaryJob Duties (give details)Reason for LeavingYesNoABCDEFMGYesNoYesNo
9、YesNoDo you possess a valid drivers license?If yes, provide(State)NumberExpiration DateClass: (check one) Do you have any relatives employed with the State of South Carolina? If yes, please provide names below:NameRelationAgencyNameRelationAgencyHave you ever been convicted of a criminal offense?Not
10、e: Omit minor vehicle violations and any offense committed before your 17th birthday, which was finally adjudicated in juvenile court or under ayouthful offender law. Conviction of a criminal offense is not a bar to employment in all cases. Each conviction is evaluated individually.If yes, please li
11、st charge(s)Where ConvictedDateDisposition/StatusHave you ever been terminated or forced to resign from any job?If yes, explainAre you legally authorized to work in the United States?Give the names of two people, not relatives, who are familiar with your work.NameAddressPhoneNameAddressPhonePLEASE C
12、AREFULLY READ THE FOLLOWING STATEMENTSStudent Loan: State law (59-111-50) prohibits employment with the State to people who have defaulted on certain student loans, unless they canprove that satisfactory arrangements have been made for repayment. By my signature, I certify that I am not currently in
13、 default on a student loan.SignatureDateAuthority to Release Information: By my signature, I consent to the release of information to authorized officers, agents, and/or employees ofthe State of South Carolina which may include but not be limited to information concerning my past and present work; including my official personnelfiles; attendance records
