Application For Employment

An image of the North Carolin Real Estate Seal.

The North Carolina Real Estate Commission is an Equal Opportunity Employer.
We appreciate your interest in working with the North Carolina Real Estate Commission. As an equal opportunity employer, our employment practices are in accordance with the laws that prohibit discrimination due to race, sex, sexual orientation, age, disability, or national origin. This application form was designed for use by persons applying for various types of positions – professional, technical, clerical, and administrative. Please answer only the questions that apply. All information will be treated confidentially.
Click here to obtain a paper copy of the Employment Application.

Personal Information

Name (first, middle and last name)*

Address*

Apt/Box No.

City*

State*

9-Digit Zipcode Lookup*

Personal Phone

Business Phone*

Email*

I attest that I am*

A citizen of the United States

A non-citizen national of the United States

A lawful permanent resident or alien authorized to work in the United States

Alien Registration Number/USCIS Number or Form I-94 No.

Do you have any other names you use?*

Please enter the other name(s) you use. (At least 1 name is required.)* Please enter the other name(s) you use.

Position Details

Position applying for*

Salary desired*

Date available*

How were you referred to us?*

Name of your referral source*

Education & Training

High School

Name of high school graduated from*

Address

City*

State*

9-Digit Zipcode Lookup

Major/Minor Course Work

S/Q Hours

Degree/Diploma Received*

College/University

Name of graduating school*

Address

City*

State*

9-Digit Zipcode Lookup

Major/Minor Course Work

S/Q Hours

Degree/Diploma Received*

College/University

Name of graduating school*

Address

City*

State*

9-Digit Zipcode Lookup

Major/Minor Course Work

S/Q Hours

Degree/Diploma Received*

Other

Name of other*

Address

City*

State*

9-Digit Zipcode Lookup

Major/Minor Course Work

S/Q Hours

Degree/Diploma Received*

List any awards, scholarships, honors received
(including publications, inventions, technical awards, etc.)

List professional certifications or designations
(including the date received)

Employment History

This portion of the application must be completed even if a resume is submitted. Starting with the most recent employer, list full and part-time jobs, summer or volunteer work. Include periods of military service, self-employment, and unemployment. Please leave no unexplained gaps.

Current or most recent employer

Last or Present Employer*

Phone*

Address

City*

State*

9-Digit Zipcode Lookup

Dates of employement*
(If currently employed with this employer please entered today's date)

From*

Supervisor's Name*

Supervisor's Title*

State your job title*

Give a brief description of your duties*

Reason for leaving*

Employer #2

Employer Name*

Phone*

Address

City*

State*

9-Digit Zipcode Lookup

Dates of employement*
(If currently employed with this employer please entered today's date)

From*

To*

Supervisor's Name*

Supervisor's Title*

State your job title*

Give a brief description of your duties*

Reason for leaving*

Employer #3

Employer Name*

Phone*

Address

City*

State*

9-Digit Zipcode Lookup

Dates of employement*
(If currently employed with this employer please entered today's date)

From*

To*

Supervisor's Name*

Supervisor's Title*

State your job title*

Give a brief description of your duties*

Reason for leaving*

Employer #4

Employer Name*

Phone*

Address

City*

State*

9-Digit Zipcode Lookup

Dates of employement*
(If currently employed with this employer please entered today's date)

From*

Supervisor's Name*

Supervisor's Title*

State your job title*

Give a brief description of your duties*

Reason for leaving*

Employer #5

Employer Name*

Phone*

Address

City*

State*

9-Digit Zipcode Lookup

Dates of employement*
(If currently employed with this employer please entered today's date)

From*

To*

Supervisor's Name*

Supervisor's Title*

State your job title*

Give a brief description of your duties*

Reason for leaving*

Employer #6

Employer Name*

Phone*

Address

City*

State*

9-Digit Zipcode Lookup

Dates of employement*
(If currently employed with this employer please entered today's date)

From*

To*

Supervisor's Name*

Supervisor's Title*

State your job title*

Give a brief description of your duties*

Reason for leaving*

*(If you have more employers to add please attach a word or text document in the file upload section near the bottom of this page.)

We may contact the employer(s) listed above unless you indicate those you do not want us to contact. Are there any employers listed above you do not wish us to contact?
(If yes, list the employer(s) you do not want contacted and the reason why.)*

Employer #1 Name*

Reason for no-contact with Employer #1*

Employer #2 Name

Reason for no-contact with Employer #2

Will you accept work anywhere in N.C?
(If not list below the counties in which you would be willing to work.) *

County #1*

County #2

County #3

County #4

County #5

Document Upload

Please supply any documents such as your resume, references, and examples of your work.
*Accepted File Types: .txt .pdf .docx .doc
*Max file upload size 2MBs total.

Select your file

Total File Upload Size: 0.000*Mb

*Selected file(s) size exceed upload limitations of 2MBs each

Signature and Certification

I hereby authorize the North Carolina Real Estate Commission, either on its own or by and through an agent, to thoroughly investigate my references, work record, education and other matters related to my suitability for employment, such as criminal convictions, and further authorize my present employer or any former employer or any other party, including any Government or law enforcement agency and any references I have provided, to disclose to the Commission any and all letters, reports and other information related to my work records, without giving me prior notice of such disclosure, except those which would indicate age, race, creed, color, sexual orientation, and/or national origin. In addition, I hereby release the Commission, my former employers, and all other persons, corporations, partnerships and associations from any and all claims, demands or liabilities arising out of or in any way related to such investigation or disclosure. I agree to abide by all rules and regulations of the Commission, and I understand that false statements or consequential omissions of any kind are sufficient grounds for denying employment or for dismissal.

I have read and understand the above statement. This application is complete and accurate to the best of my knowledge.

Signature Required*

(Type your name)

Date Signed

11/6/2024

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