Question	Answer
Form Name	Nc F3 Fillable Form
Form Length	17 pages
Fillable?	Yes
Fillable fields	647
Avg. time to fill out	33 min 25 sec
Other names	ncf3 form online, nc training and standards forms, f3 application, north carolina training and standards f3 form

Agency: _____________________________________					Month: _________		Day: _______	Year: ______
PERSONAL
1.	Name: __________________________________________					2. Social Security Number: ______________
	First		Middle	Last
	Maiden Name:		___________________________________________________________________
	Other Previous Last Names: ________________________________________________________________
	Nicknames or Aliases:		___________________________________________________________________
	Has your name been legally changed after age 12?				Yes	No
	If yes, submit documentation with date and attach to this form.
3.	Present Mailing		____________________________________________________________________
	Address:		Street & Number		City	County	State	Zip Code
	Permanent Mailing		____________________________________________________________________
	Address:		Street & Number		City	County	State	Zip Code
	Telephone Number: ____________________________					______________________________________
	(Include Area Code)		Home				Work
	Cell Phone: ________________________________				Email Address: ______________________________
4.	Date of Birth:_______________________________				5. Place of Birth: _____________________________
6.	Citizenship:	U.S. Born		U.S. Naturalized		Other – Specify	_______________________

Applicant Name: ______________________________				Agency Applied: ________________________________

	NOTE: Data solicited in this box will be used for Equal Employment statistical purposes only.
7.	Ethnic Background
		American Indian		Spanish American
		Asian American		White
		Black		Other ______________________
8.	Sex	Male	Female

Indicate the type of High School you attended:
Traditional	Home School
Distance Learning	Did not attend high school		Other: _____________________________

Name		No. Full	When	Graduated	Degree	Major
Address (City & State)		Yrs Work	Attended	(Yes/No)	Awarded	Field
		Completed
High Schools
High Schools


Universities or
Colleges


Extension or
Correspondence
Courses

15. Are you related by blood or marriage to any person(s) now employed by this agency?	Yes	No
If yes, give name(s) and details:


	Yes	No	If yes, list organization name and give details: _____________________________
	__________________________________________________________________________________
	__________________________________________________________________________________
	__________________________________________________________________________________
29.	Do you object to wearing a uniform?			Yes	No
30.	Do you object to working nights?			Yes	No
31.	Do you object to working rotating shifts?			Yes	No
32.	Do you object to occasionally being away from home overnight and for other periods of time attending
	meetings, acquiring training and otherwise performing official duties?					Yes	No

Street	City	State	Zip Code
Date Employed _____________	Starting Salary		__________ Last Salary
Date Separated______________	Name/Title of Supervisor _____________________
Full Time __ Yrs____ Mos	Part Time ____	Yrs	Mos
If part time, number of hours worked per week ______		No. employees supervised by you _

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