Apply with CPI

Please fill out the form below to apply with Carolina Placement, Inc. If someone from our office does not contact you within 72 hours, please call the branch located in the city in which you are seeking employment.

Please note that applying online IS NOT a substitution for applying in person to be considered for all advertised vacancies. In order to be considered a viable candidate and complete pre-screening requirements, you must also apply in person with two forms of identification within 72 hours.

Personal Information

First Name

Middle Name

Last Name

Street Address

City/State/Zip

Home Phone

Business Phone

Email Address

Have you ever applied for employment with us?

Yes

No

If yes, what date (month and year) and location?

Position Desired

Pay Expected

Apart from absence for religious observance, are you available for full time work?

Yes

No, but I am available at these times:

Will you work overtime if asked?

Yes

No

Are you legally eligible for employment in the United States?

Yes

No

Do you have other special training or skills? (languages, machine operation, etc.)

Schedule

Date Available

Duration of Availability

What is your availability? (Check all that apply)

1st Shift

2nd Shift

3rd Shift

Office Hours

Weekends

Part-time

Evenings

Schedule Limitations

Transportation:

Car

Bus

Other

Education

College

Name and Location of School

Course of Study

No. of Years Completed

Did you graduate?

Yes

No

Degree/Diploma:

Business/Trade/Technical

Name and Location of School

Course of Study

No. of Years Completed

Did you graduate?

Yes

No

Degree/Diploma:

High School

Name and Location of School

Course of Study

No. of Years Completed

Did you graduate?

Yes

No

Degree/Diploma:

Employment

Please give an accurate and complete full-time and part-time employment record. Start with your present or most recent employer.

Job 1

Company Name

Street Address

City/State/Zip

Telephone

Supervisor

Job Title

Employment Period:

to

Weekly Pay:

Starting

Last

Work Description

Reason for Leaving

Job 2

Company Name

Street Address

City/State/Zip

Telephone

Supervisor

Job Title

Employment Period:

to

Weekly Pay:

Starting

Last

Work Description

Reason for Leaving

Job 3

Company Name

Street Address

City/State/Zip

Telephone

Supervisor

Job Title

Employment Period:

to

Weekly Pay:

Starting

Last

Work Description

Reason for Leaving