To be considered for NC State Government employment, you must answer all questions (unless listed as optional) and
complete all sections of this application form.
The State of North Carolina employs only US citizens or foreign nationals who can provide proof of identity and work
authorization within 3 working days of employment. Males subject to military selective service registration must certify
compliance to be eligible for state employment (G.S. 143b-421.1). See availability block.
When completing this application make sure you:
Complete the equal opportunity information section.
Apply for one vacancy per application.
If you are a RIF applicant with priority- please check the appropriate box.
Give complete information on your education and work history (“see resume” is not acceptable).
List separately each job held and your duties for each position when you worked for one employer
and held more than one position. Use a continuation sheet, PD 107-A, if needed.
As you describe your work history, make sure you highlight your competencies (knowledge, skills,
abilities and work behaviors) which demonstrate your qualifications for the position for which you
Provide only the last four digits of your social security number.
Check for accuracy, sign and date your application.
Thank you for your interest in employment with the State of North Carolina. North Carolina hires the most qualified
people available to serve its citizens. Although everyone who applies cannot be hired, each application will be given
consideration based on its competitiveness compared to other applications received.
PD 107 (REV Feb 2020)
Equal Opportunity Information
State Government policy prohibits discrimination based on race, sex, color, creed, national origin, age, genetic information or
disability. Sex, age or absence of disability is a bona fide occupational qualification in a small number of State jobs. The information
requested below will not affect you as an applicant and is not forwarded to the hiring manager. Its sole use will be to see how well
our recruitment efforts are reaching all segments of the population. Answering the ethnicity question is optional. Birth date is required
for correct input by our technicians of paper application content into our electronic application system, where birthdate is required in
order to save the application.
1. White (Non-Hispanic/Latino)
2. Black or African American (Non-Hispanic/Latino)
4. American Indian or Alaskan Native
5. Native Hawaiian or Other Pacific Islander
6. Two or More Races (Non-Hispanic/Latino)
APPLICATION FOR EMPLOYMENT
State of North Carolina
Month__________ Day___ Year ______
Yes, I have a disability (or
previously had a disability)
No, I don’t have a disability