The Gastonia ABC System is an equal opportunity employer. All applicants who are hired must undergo a drug test and backround check. All persons handling money must also have a credit check. All applications are kept in an active file for 90 days.

Fill out form below or CLICK HERE for printable application.

 
 


NOTE: Application must be COMPLETED IN FULL by applicant to be considered for employment.

applicant information
Date
*Last Name
*First Name
Maiden Name:
Middle Name
Previous Legal Names: 
Street Address
City
State
Zip Code
Home Number
Work Number:
Other:
Driver's License #:   State:      Expiration Date:
*Email Address
Social Security #
Position(s) Applied For:
Part-Time  Hours Available:  AM PM
Days Available:  Tues Wed   Thur Fri  Sat   Sun
Date Available for Employment with Gastonia ABC System:
   
employment history
Start with the most recent employer and list only significant periods of employment.
Employer
Dates Employed From:   To:
Primary Duties
Address
Telephone
Supervisor
Job Title
Hourly Pay/Salary
Reason for Leaving
   
Employer
Dates Employed From:   To:
Primary Duties
Address
Telephone
Supervisor
Job Title
Hourly Pay/Salary
Reason for Leaving
 
Employer
Dates Employed From:   To:
Primary Duties
Address
Telephone
Supervisor
Job Title
Hourly Pay/Salary
Reason for Leaving
 
Employer
Dates Employed From:   To:
Primary Duties
Address
Telephone
Supervisor
Job Title
Hourly Pay/Salary
Reason for Leaving
 
education
Elementary School:
Name and Address
Years Completed
   
High School:
Name and Address
Course of Study
Years Completed
Did you graduate?
Degree/Diploma Type
   
College:
Name and Address
Course of Study
Years Completed
Did you graduate?
Degree/Diploma Type
   
Other:
Name and Address
Course of Study
Years Completed
Did you graduate?
Degree/Diploma Type
   
additional information
Have you ever filed an application with us before?  No   If YES, give date(s):
 
Have you ever been employed with us before?  No   If YES, give date(s):
 
Have your DRIVER'S LICENSE ever been revoked or suspended?  No
 
Have you ever been DISCHARGED or REQUESTED to resign from a job?  No
If yes, please describe circumstances: 
 
List business or trade organizations you belong to that apply to the position you are applying for:
 
Are you related to anyone employed by this System? No   If YES, give name(s):
 
Have you ever been BONDED? No   If YES, for what job:
 
Have you ever been CONVICTED of a crime OTHER THAN a minor traffic offense? No  
If YES, please describe the circumstances:
 

 
JOB APPLICANT'S AGREEMENT

I certify that the information given by me in this application is true in all respects, and I agree that if the information given is found to be false in any way, then it shall be considered sufficient cause for denial of employment or discharge once employment is accepted.  I release all such persons from liability or damages on account of having furnished such information.

I understand that nothing contained in this employment application or in the granting of an interview is intended to create an employment contract between the Gastonia ABC Board and me for either employment or for the providing of any benefit.  No promises regarding employment have been made in writing.  If an employment relationship is established, I understand that I have the right to terminate my employment at any time and that the Gastonia ABC Board retains the same right.  If an employment relationship is established, I will be an employee at will.  I understand that if I am employed, the policies and rules which are then in effect are not conditions of employment, and the rules and regulations and policies may be revised by the employer, in whole or in part, at any time.

As part of the application process, the Gastonia ABC Board may request a consumer report (credit report) of your credit history.  This credit report is one part of the application process and a factor that can be considered before deciding whether to make a conditional job offer to an applicant.

By submitting this form I agree to the above stated terms and understand that such a report may be obtained and considered, and expressly authorize the Gastonia ABC Board by and through any of its officers, agents, or employees, to procure a copy of my consumer report or reports from a credit bureau.

 
Date of Application:     Applicant Full Name:
 

 
REFERENCE / BACKGROUND CHECK AUTHORIZATION

I grant permission for the Gastonia ABC Board's designated representative to obtain employment related information from previous employers and/or other resources of references.  I further authorize the Gastonia ABC Board's designated representative to use information provided on my application to review other areas in my background including but not limited to educational verification, driver's record verification and credit history if necessary, and grant applicable sources permission to release such information.

By submitting this application online, I am granting my authorization.

 
Date of Application:     Applicant Full Name:
 

 

DISCLOSURE THAT A CONSUMER REPORT MAY BE OBTAINED FOR EMPLOYMENT PURPOSES
AND
AUTHORIZATION TO PROCURE A CONSUMER REPORT FOR EMPLOYMENT PURPOSES

 

As part of the application process, the Gastonia ABC Board may request a consumer report (credit report) of your credit history.  This credit report is one part of the application process and a factor that can be considered before deciding whether to make a conditional job offer to an applicant. 

By submitting this form, I understand that such a report may be obtained and considered, and expressly authorize the Gastonia ABC Board by and through any of its officers, agents, or employees, to procure a copy of my consumer report or reports from a credit bureau.
 
Date of Application:     Applicant Full Name:


PLEASE BE SURE ALL APPLICABLE FIELDS ARE FILLED IN AND CORRECT BEFORE SUBMITTING!