Carolinas Pain Center, PLLC. provides equal employment opportunity to all qualified persons, and does not unlawfully discriminate against any
person on the basis of race, color, creed, religion, sex, national origin, age, disability, marital or veteran status, sexual orientation, or any other
legally protected status.
• Complete all items on the application, even if the information is included on your resume or other document submitted by
• Sign and date your application.
• Specify the exact title of the position in which you are interested.
• Type or print all requested information.
• If necessary, attach additional 8 ½ “ x 11” sheets of paper to this application.