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LEE COUNTY EMPLOYMENT
White (Non Hispanic/Latino)
Black or African American (Non-Hispanic/Latino)
Asian
American Indian or Alaskan Native
Native Hawaiian or Other Pacific Islander
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consideration as described by GS 126
Are you related by blood or marriage to any person now working for the State
2 Permanent parttime
6 Work involving Travel
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YES
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Have you served honorably in the Armed Forces of the United States on active dutyfor reasons other than training
YES_3
Do you wish to declare a serviceconnected disability
YES_4
At the time of this application are you the surviving spouse or dependent of a deceased veteran who died from servicerelated reasons
YES_5
Do you wish to declare eligibility for veterans preference asthe spouse of a disabled veteran
YES_6
AGENCY USE ONLY ELIGIBILITY FOR VETERANS PREFERENCE
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CHECK the types of work you will accept
1 Permanent fulltime
3 Temporary fulltime
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5 Any of the preceding
Will you accept work anywhere in NC
YES_8
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Yes_2
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DEGREES AND PROFESSIONAL CREDENTIALS
Person Responsible
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
NO_6
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04/04/2026Click to Sign
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