The Pd 107 form is an application for employment with the State of North Carolina. This form is essential for individuals seeking to join the state government, as it requires comprehensive information about personal details, work history, and qualifications. To ensure your application is considered, complete the form accurately and thoroughly, following the instructions provided.
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The PD 107 form is a crucial component for anyone seeking employment with the State of North Carolina. This application form, revised in February 2020, outlines the necessary steps and information required to be considered for a position within the state government. Applicants must provide complete and accurate details about their education, work history, and personal qualifications. Notably, the form emphasizes the importance of highlighting competencies that align with the job being applied for. Additionally, it includes sections on equal opportunity information, military service, and veteran’s preference, ensuring that the application process is inclusive and fair. Compliance with military selective service registration is also mandatory for certain applicants. Furthermore, the form requires candidates to certify their eligibility and provide only the last four digits of their Social Security number, maintaining a level of privacy while ensuring thorough vetting. Each applicant must remember that attention to detail and accuracy can significantly impact their chances of securing a role in state government, making it essential to approach the PD 107 form with care and diligence.
Revised Feb 2020
APPLICATION FOR EMPLOYMENT
State of North Carolina
INSTRUCTIONS:
To be considered for NC State Government employment, you must answer all questions (unless listed as optional) and complete all sections of this application form.
The State of North Carolina employs only US citizens or foreign nationals who can provide proof of identity and work authorization within 3 working days of employment. Males subject to military selective service registration must certify compliance to be eligible for state employment (G.S. 143b-421.1). See availability block.
When completing this application make sure you:
•Complete the equal opportunity information section.
•Apply for one vacancy per application.
•If you are a RIF applicant with priority- please check the appropriate box.
•Give complete information on your education and work history (“see resume” is not acceptable).
•List separately each job held and your duties for each position when you worked for one employer and held more than one position. Use a continuation sheet, PD 107-A, if needed.
•As you describe your work history, make sure you highlight your competencies (knowledge, skills, abilities and work behaviors) which demonstrate your qualifications for the position for which you are applying.
•Provide only the last four digits of your social security number.
•Check for accuracy, sign and date your application.
Thank you for your interest in employment with the State of North Carolina. North Carolina hires the most qualified people available to serve its citizens. Although everyone who applies cannot be hired, each application will be given consideration based on its competitiveness compared to other applications received. PD 107 (REV Feb 2020)
Equal Opportunity Information
State Government policy prohibits discrimination based on race, sex, color, creed, national origin, age, genetic information or disability. Sex, age or absence of disability is a bona fide occupational qualification in a small number of State jobs. The information requested below will not affect you as an applicant and is not forwarded to the hiring manager. Its sole use will be to see how well our recruitment efforts are reaching all segments of the population. Answering the ethnicity question is optional. Birth date is required for correct input by our technicians of paper application content into our electronic application system, where birthdate is required in order to save the application.
Ethnicity:
1. White (Non-Hispanic/Latino)
2.Black or African American (Non-Hispanic/Latino)
3.Asian
4.American Indian or Alaskan Native
5.Native Hawaiian or Other Pacific Islander
6.Two or More Races (Non-Hispanic/Latino)
7.Hispanic/Latino
Birthdate (required):
Month__________ Day___ Year ______
Gender (required):
Male
Female
Disability:
Yes, I have a disability (or previously had a disability)
No, I don’t have a disability
I don’t wish to answer
STATE OF
Date of Application
NORTH CAROLINA
Last 4 digits of Social Security No.
Last Name
First Name
Middle Name
Address (Street number and name)
City
County
State
Zip Code
Phone number where
you can be reached
Email Address
Availability
Are you a layoff candidate with the State of N.C. eligible for RIF priority reemployment
If subject to Military Selective
Do you now work
for the State of NC?
consideration as described by GS 126?
YES
NO
Notification Date:
Service registration, certify
YES NO
Are you related by blood or marriage to any person now working for the State?
compliance by initialing dotted line
If yes, give name, relationship to you and the agency where employed.
.......................................................
...............................
Military Service
Have you served honorably in the Armed Forces of the United States on active dutyfor reasons other than training?
Do you wish to declare a service-connected disability? YES
At the time of this application, are you the surviving spouse or dependent of a deceased veteran who died from service-related reasons?
Do you wish to declare eligibility for veteran’s preference asthe spouse of a disabled veteran? YES
Give dates of your (or spouse’s) qualifying active military service:
Entered:
Separated:
Branch:
Rank
AGENCY USE ONLY: ELIGIBILITY FOR VETERAN’S PREFERENCE:
CHECK the types of work you will accept:
1.
Permanent full-time
2. Permanent part-time
3.
Temporary full-time
4. Temporary part-time
5.
Any of the preceding
6.
Work involving Travel
7. Shift or Split Shift Work
If you are not available for work now, enter the earliest date you could begin work (mo./day/yr.)
Will you accept work anywhere in N.C.?
NO (If no, list below the counties in which you would be willing to work.)
2.
4.
Job Applied For
Enter below the specific title and vacancy number of the job for which you are applying.
Job Title:
Vacancy Number:
Referral Source
Please indicate your referral source:
If you were referred by NC Workforce Solutions please indicate which local office:
Education
Circle highest grade completed: 1 2 3 4 5 6 7 8 9 10 11 12
GED College 1 2 3 4 Graduate School 1 2 3 4
Under S/Q Hrs., list the hours of credit received and if they were semester (S) or quarter (Q) hours.
Schools
Name and Location
Dates Attended
Grad?
S/Q Hrs.
Major/Minor Course Work
Type of Degree
(mo./yr.) From:
To:
Received
High School
College(s)
University (s)
Graduate or
Professional
Other educational,
vocational school,
internships, etc.
Special training programs and seminars you have completed in the last five years (list):
If the job(s) applied for calls for specific courses, indicate those courses taken and credits received:
Current professional status: (List fields of work for which you have been registered)
Registration:
State:
No.
DO NOT COMPLETE THIS BLOCK
DEGREES AND PROFESSIONAL CREDENTIALS
Have been verified
Will be verified within 90 days (G.S. 126-30)
Person Responsible:
Other Licenses and certifications, including Driver License and State, if any (List, giving dates and sources of issuance):
Have you ever been convicted of an offense against the law other than a minor traffic violation? (A conviction does not mean you cannot be hired. The offense and
how recently you were convicted will be evaluated in relation to the job for which you are applying.) YES NO (If yes, explain fully on an additional sheet.)
WORK HISTORY (include volunteer experience) Use additional sheets if necessary. As you describe your work history experiences, make sure you highlight your competencies which demonstrate your qualifications for the position for which you are applying.
Current or Last Employer:
Address:
Supervisor’s Name
Telephone Number:
No. Supervised by you:
Date Employed (mo./yr.)
Supervisor's e-mail:
Reason for Leaving
May We Contact Employer
Date Separated (mo./yr.)
List major duties that demonstrate your competencies related to the position for which you are applying in order of their
importance in the job:
Full Time
Years
Months
Part Time
If part time, number of hours
worked per week:
Employer:
Telephone Number
Supervisor's e-mail
If part time, number of hours worked per week:
I certify that I have given true, accurate and complete information on this form to the best of my knowledge. In the event confirmation is needed in connection with my work, I authorize educational institutions, associations, registration and licensing boards, and others to furnish whatever detail is available concerning my qualifications. I authorize investigation of all statements made in this application and understand that false information or documentation, or a failure to disclose relevant information may be grounds for rejection of my application, disciplinary action or dismissal if I am employed, and (or) criminal action. I further understand that dismissal upon employment shall be mandatory if fraudulent disclosures are given to meet position qualifications (Authority: G.S. 126-30, G.S. 14-122.1.)
Signature of Applicant (unsigned applications will not be processed)
Date
Filling out the PD 107 form is an important step in your application for employment with the State of North Carolina. This form collects essential information about your background, qualifications, and availability for the position you are applying for. Make sure to provide accurate and complete information to enhance your chances of being considered for the role.
The PD 107 form is an application for employment with the State of North Carolina. It is designed to collect essential information about applicants, including their work history, education, and qualifications. Completing this form accurately is crucial for being considered for a job with the state.
Only U.S. citizens or foreign nationals who can provide proof of identity and work authorization within three working days of employment are eligible to apply. Additionally, males subject to military selective service registration must certify compliance to be eligible for state employment. This ensures that the state hires qualified individuals who meet legal requirements.
Accuracy is vital, so be sure to review your application before submitting it.
The equal opportunity information section collects data to ensure that recruitment efforts reach diverse populations. Completing this section is optional, and the information provided will not affect your application. It is used solely for statistical purposes and is not shared with hiring managers.
Filling out the PD 107 form can be a straightforward process, but many applicants make common mistakes that can hinder their chances of securing employment. One significant error is not completing all required sections. Each question must be answered unless specified as optional. Leaving sections blank can lead to automatic disqualification, as the form is designed to gather comprehensive information about each applicant.
Another frequent mistake involves the education and work history sections. Some applicants simply write “see resume,” which is not acceptable. The form specifically requires detailed descriptions of education and job experiences. Each position held should be listed separately, including specific duties and responsibilities. This information helps hiring managers assess qualifications effectively.
Many applicants also overlook the importance of highlighting their competencies. When describing work history, it's crucial to emphasize skills, knowledge, and behaviors that demonstrate suitability for the position. Failing to do so can result in a missed opportunity to stand out among other candidates. Make sure to connect your experiences directly to the job you are applying for.
Providing incorrect or incomplete information can also be a major pitfall. For instance, applicants often forget to include the last four digits of their Social Security number or fail to check for accuracy before submitting the form. These small details may seem trivial, but they can lead to significant delays or rejections in the application process.
Lastly, many applicants neglect to sign and date their application. An unsigned application will not be processed, which means all the effort put into completing the form could be wasted. Taking the time to review, sign, and ensure all information is correct is essential for a successful application.
The PD 107 form is an essential document for those seeking employment with the State of North Carolina. Alongside this application, several other forms and documents may be required to complete the application process. Below is a list of commonly used forms that accompany the PD 107.
Completing the PD 107 form and its accompanying documents accurately is crucial for a successful application. Each form serves a specific purpose in the hiring process, helping to ensure that candidates are evaluated fairly and thoroughly.
The PD 107 form is a crucial document for applying to state employment in North Carolina. Several other forms share similar purposes and structures. Below is a list of seven documents that are comparable to the PD 107 form:
When filling out the PD 107 form for employment with the State of North Carolina, there are important do's and don'ts to keep in mind. Here’s a helpful list to guide you:
Following these guidelines will help ensure your application is complete and increases your chances of being considered for employment. Good luck!
When it comes to the PD 107 form, there are several misconceptions that can lead to confusion for applicants. Understanding the realities behind these misconceptions can help streamline the application process and ensure that candidates present themselves effectively. Here are seven common misconceptions:
By addressing these misconceptions, applicants can better prepare their applications and increase their chances of success in securing a position within the State of North Carolina. Clarity and attention to detail are key components of the application process.
Filling out the PD 107 form is a crucial step in applying for employment with the State of North Carolina. Here are some key takeaways to keep in mind: