Contact Information

First Name:    Last Name:

Address:

City:    State:    Zip/Postal Code:

If under 18, please list age

Phone:

Email:

Salary and Availability

Salary Desired:

Days/hours available to work:
Check all tha apply.

No Pref    Mon    Tues    Wed

Thurs    Fri    Sat    Sun

How many hours can you work weekly?

Employment Desired:

Full Time    Part Time

When available for work?

Available Now    2 Weeks     Specify Date (Ex: 03-04-2009)

Education College

College Name:

Address:

City:    State:    Zip/Postal Code:

Years Completed:     Major & Degree:

Other

Have you ever been convicted of a crime?: Yes    No

If yes, explain number of conviction(s), nature of offense(s) leading to conviction(s), how recently such offense(s) was/were committed, sentence(s) imposed, and type(s) of rehabilitation.

Do you have a driver's license?: Yes    No

State of issue:

Do you have a car for work travel?:

Have you had any accidents during the past three years?: Yes    No

If yes how many?:

Have you had any moving violations during the past three years?: Yes    No

If yes how many?:

References

First Name:    Last Name:

Company:

Address:

City:    State:    Zip/Postal Code:

Phone:

An application form sometimes makes it difficult for an individual to adequately summarize a complete background. Use the space below to summarize any additional information necessary to describe your full qualifications for the specific position for which you are applying.

Please list your work experience for the past five years beginning with your most recent job held. If you were self-employed, give firm name.

Work Experience 1

Name of Employer:

Address:

City:    State:    Zip/Postal Code:

Phone:

Name of last supervisor:

Employment dates: From    To

Pay or salary: Start    Final

Your last job title:

Reason for leaving (be specific):

List the jobs you held, duties performed, skills used or learned, advancements or promotions while you worked at this company.

Work Experience 2

Name of Employer:

Address:

City:    State:    Zip/Postal Code:

Phone:

Name of last supervisor:

Employment dates: From    To

Pay or salary: Start    Final

Your last job title:

Reason for leaving (be specific):

List the jobs you held, duties performed, skills used or learned, advancements or promotions while you worked at this company.

Work Experience 3

Name of Employer:

Address:

City:    State:    Zip/Postal Code:

Phone:

Name of last supervisor:

Employment dates: From    To

Pay or salary: Start    Final

Your last job title:

Reason for leaving (be specific):

List the jobs you held, duties performed, skills used or learned, advancements or promotions while you worked at this company.

NOTE: HTS is an equal opportunity employer. All HTS employment are "at will" relationships.