Fill and Sign the Judicial Branch Application for Employment United States Form

May We Contact Employer? May We Contact Employer? May We Contact Employer? 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 w ork, I authorize educational institutions, associations, registration and licensing bo ards, and others to furnish whatever detail is available concerning my qualifications. I authorize investigation of all statements made in this application and understand that fal se information, false documentation, or failure to disclose relevant information may be grounds for rejection of my application, disciplinary action or dismissal if I am employe d, and/or criminal action. I further understand that dismissal shall be mandator y if fraudulent information is given to meet position qualifications. (Authority: G.S. 126-30, G.S . 14-122.1). I understand that Judicial Branch employees are not subject to the Sta te Personnel Act. Judicial Branch employees serve "at the pleasure" of their hiring autho rities. This means that employment may be terminated with or without cause and /or advance notice by either the employer or the employee. However, termination by the em ployer may not occur due to discrimination prohibited by law. If I am employed by an independent hiring authority within the Judicial B ranch of Government, such as a judge, clerk of superior court, district attorney or pub lic defender, I understand that I will serve at the pleasure of that official, that my employment ma y be terminated by that official without cause or notice, neither I nor the judicial official by whom I am employed is an employee of the Administrative Office of the Courts, and that the Administrative Office of the Courts has no authority over the hiring decisions or other employment practices of the judicial official by whom I am employed. An Equal Opportunity Employer AOC-A-133, Page Two, Rev. 11/05 2005 Administrative Office of the Courts CONTINUATION SHEET - APPLICATION FOR EMPLOYMENT - J UDICIAL BRANCH OF GOVERNMENT Social Security No. (last four digits only) Last Name Signature Of Applicant (unsigned application will not be processed) Date DO NOT SIGN BEFORE CAREFULLY READING THIS SECTION List major duties in order of their importance in the job: If part-time, no. hours per week: Employer Job Title Date Employed (mo/yr) Date Separated (mo/yr) Full-Time Part-Time Supervisor's Name Ending Salary Years Months Years Months Reason For Leaving Telephone No. No. Supervised By You: Starting Salary per $per $ ( ) No Yes List major duties in order of their importance in the job: If part-time, no. hours per week: Employer Job Title Date Employed (mo/yr) Date Separated (mo/yr) Full-Time Part-Time Supervisor's Name Ending Salary Years Months Years Months Address Reason For Leaving Telephone No. No. Supervised By You: Starting Salary $ per $ per ( ) No Yes List major duties in order of their importance in the job: If part-time, no. hours per week: Employer Job Title Date Employed (mo/yr) Date Separated (mo/yr) Full-Time Part-Time Supervisor's Name Ending Salary Years Months Years Months Address Reason For Leaving Telephone No. No. Supervised By You: Starting Salary $ per $ per ( ) No Yes Address May We Contact Employer? If part-time, no. hours per week: Supervisor's Name Address May We Contact Employer? ( ) 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 w ork, I authorize educational institutions, associations, registration and licensing bo ards, and others to furnish whatever detail is available concerning my qualifications. I authorize investigation of all statements made in this application and understand that fal se information, false documentation, or failure to disclose relevant information may be grounds for rejection of my application, disciplinary action or dismissal if I am employe d, and/or criminal action. I further understand that dismissal shall be mandator y if fraudulent information is given to meet position qualifications. (Authority: G.S. 126-30, G.S . 14-122.1). I understand that Judicial Branch employees are not subject to the Sta te Personnel Act. Judicial Branch employees serve "at the pleasure" of their hiring autho rities. This means that employment may be terminated with or without cause and /or advance notice by either the employer or the employee. However, termination by the em ployer may not occur due to discrimination prohibited by law. If I am employed by an independent hiring authority within the Judicial B ranch of Government, such as a judge, clerk of superior court, district attorney or pub lic defender, I understand that I will serve at the pleasure of that official, that my employment ma y be terminated by that official without cause or notice, neither I nor the judicial official by whom I am employed is an employee of the Administrative Office of the Courts, and that the Administrative Office of the Courts has no authority over the hiring decisions or other employment practices of the judicial official by whom I am employed. An Equal Opportunity Employer AOC-A-133, Page Two, Side Two, Rev. 11/05 2005 Administrative Office of the Courts CONTINUATION SHEET - APPLICATION FOR EMPLOYMENT - J UDICIAL BRANCH OF GOVERNMENT Social Security Number (last four digits only) Last Name Signature Of Applicant (unsigned application will not be processed) Date DO NOT SIGN BEFORE CA REFULLY REA DING THIS SECTION List major duties in order of their importance in the job: If part-time, no. hours per week: Employer Job Title Date Employed (mo/yr) Date Separated (mo/yr) Full-Time Part-Time Supervisor's Name Ending Salary Reason For Leaving Years Months Years Months Address Telephone No. No. Supervised By You: May We Contact Employer? Starting Salary per $ per $ No Yes List major duties in order of their importance in the job: Employer Job Title Date Employed (mo/yr) Date Separated (mo/yr) Full-Time Part-Time Ending Salary Years Months Years Months Reason For Leaving Telephone No. No. Supervised By You: Starting Salary $ per $per ( ) No Yes List major duties in order of their importance in the job: If part-time, no. hours per week: Employer Job Title Date Employed (mo/yr) Date Separated (mo/yr) Full-Time Part-Time Supervisor's Name Ending Salary Years Months Years Months Address Reason For Leaving Telephone No. No. Supervised By You: Starting Salary $ per $ per ( ) No Yes