Application for Employment Step 1 of 5 20% Thank you for your interest in applying for an open position with UMAR. If you are not able to complete the application in one sitting, you will be given an option to save your information and continue later. Please note, if not completed within 30 day, you will have to start over with your application. At the end of the application, you will be given an opportunity to upload a resume. After submitting the application, your information will be reviewed and directed to the hiring manager for consideration. With the volume of applications received, please allow enough time before expecting a response. UMAR is an Equal Opportunity Employer and does not discriminate against otherwise qualified applicants on the basis of race, color, creed, religion, ancestry, age, sex, marital status, national origin, disability, handicap, sexual orientation, or veteran status. If you have any technical issues, please contact marketing@umarinfo.com. First Name* Full First NameLast Name* Full Last NameMiddle Initial Middle InitialEmail* Phone*Cell PhoneAddress* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Have you lived in the state of North Carolina consistently for the past 5 years?* Yes No Previous Address (If you have not lived in NC for past 5 years) How did you hear about UMAR?* Are you eligible for employment in the United States?* Yes No Are you over the age of 18?* Yes No Do you have a valid driver's license:* Yes No State Issued:* Type of Position(s) Preferred:* Salary or Hourly Rate Expectations:* Date Available for Employment:* MM slash DD slash YYYY Location(s) Interested In/Distance (miles)?* Hours/Shifts Preferred:*Select All that Apply...Full-TimePart-TimePRN (On-Call)DaysNightsWeekendsLive In - 7 on / 7 offSplit ShiftsRotating ShiftsOvertimeFor PC users, hold CTRL to select multiple choices. For MAC users, hold Command to select multiple choices.Referred By: Employment HistoryPrevious Employer #1Company* Position* Dates Employed* Job Responsibilities*Reason for Departure*Previous Employer #2Company* Position* Dates Employed* Job Responsibilities*Reason for Departure*Previous Employer #3Company* Position* Dates Employed* Job Responsibilities*Reason for Departure*Additional Employment QuestionsIf you are presently employed, may we contact your employer?* Yes No Have you ever been employed by UMAR?* Yes No If YES, list dates employed: Location: Do you know anyone who works for UMAR?* Yes No Relationship to you: Name of Employee: EDUCATION & TRAINING: Please indicate education/ training which you believe qualifies you for the position you are seeking.DO YOU HAVE ANY SPECIAL SKILLS, TRAINING?*COMPUTER SKILLS – PLEASE DESCRIBE* REFERENCE DATA:Personal ReferencesPLEASE LIST TWO PERSONAL REFERENCES WHO ARE NOT RELATED TO YOUProfessional ReferencesPLEASE LIST TWO PROFESSIONAL REFERENCES PLEASE READ EACH STATEMENT CAREFULLY BEFORE ACCEPTINGStatement of Consent: True and Accurate Information AgreeI hereby certify that I have given true, accurate, and complete information on this application to the best of my knowledge. In the event confirmation is needed in connection with my work, I authorize educational institutions, associations, registration and licensing boards, and others to furnish whatever detail is available concerning my qualifications.Statement of Consent: Failure to Disclose AgreeI authorize investigation of all statements made in this application and understand that false information or documentation, or a failure to disclose relevant information may be grounds for rejection of my application, disciplinary action, or dismissal if I am employed, and (or) criminal action. I further understand that dismissal upon employment shall be mandatory if fraudulent disclosures are given to meet position qualifications (Authority: G.S. 126-30, G.S. 14-122.1.)Statement of Consent: Condition of Employment AgreeAdditionally, I understand that, as a condition of my employment, I will be required to successfully complete a pre-employment drug screen, criminal background check, and a motor vehicle report (driving record) if applicable for the position.Statement of Consent: NC "at will" State AgreeI understand that this application or subsequent employment does not create a contract of employment nor does it guarantee employment for any definite period of time. If employed, I understand that I have been hired at the will of UMAR and my employment may be terminated at any time, with or without cause, with or without notice. North Carolina is an “at will” state.Acceptance of Use of Digital Signature* AgreeBy selecting this box, I accept the use of my personally typed name as my digital signature for this form.Applicant's Digital Signature* Resume UploadAccepted file types: pdf, Max. file size: 6 MB. Δ
