Horn Solutions, Inc. - Horn Solutions, Inc.

APPLICANT INFORMATION

Last Name: First Name: M.I.

Street Address: Apartment #:

City: State: Zip:

Phone: Cell #: email:

Desired Position: Desired Hourly Pay rate :

Current Salary: Desired Salary:

Are you willing to travel? yes no If so, where?:

Are you a citizen of the United States? yes no If no, are you authorized
to work in the U.S.? yes no

Have you ever worked for Horn Solutions? yes no If so, when?:

Have you ever been convicted of a felony? yes no If yes, explain:

PREVIOUS EMPLOYMENT - PLEASE PROVIDE ANY INFORMATION MISSING FROM RESUME

Company: Phone:

Job Title: Salary:

Supervisor: Supervisor title: Supervisor phone:

Reasons for Leaving

May we contact your previous supervisor for a reference?: yes no

Company: Phone:

Job Title: Salary:

Supervisor: Supervisor title: Supervisor phone:

Reasons for Leaving

May we contact your previous supervisor for a reference?: yes no

Company: Phone:

Job Title: Salary:

Supervisor: Supervisor title: Supervisor phone:

Reasons for Leaving

May we contact your previous supervisor for a reference?: yes no

REFERENCES

We need a total of three references, two of which must be current or most recent supervisors. If we cannot check
references above please provide additional references here. Thank you!

Full Name: Relationship:

Company: Phone:

Full Name: Relationship:

Company: Phone:

Full Name: Relationship:

Company: Phone:

EDUCATION

College: Address:

From: To: Did you graduate? yes no Degree obtained:

Other: Address:

From: To: Did you graduate? yes no Degree obtained:

DISCLAIMER

I understand and agree that:

1. My answers are true and complete to the best of my knowledge. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.

2. Any offer of employment I may receive from Horn Solutions, Inc. is contingent upon my successful completion of the firm's total preemployment screening process, including the firm's receiving references that it considers satisfactory, and my satisfactory completion of any postoffer preemployment medical examination that the firm may require. I also agree, if employed, to submit to a medical examination at any time at the firm's request. I hereby consent to having the results of any postoffer, preemployment or postemployment medical exams I may be required to take disclosed to Horn Solutions, Inc.

3. I understand that as a condition of employment, I may be required to undergo and successfully pass a screening for alcohol and/or drugs. I also understand and agree that, if employed, I may be required to submit to an alcohol or drug screening at any time at the discretion of Horn Solutions, Inc. I hereby consent to having the results of any such alcohol or drug screening I may be required to undergo disclosed to Horn Solutions, Inc.

4. I authorize and request that all of my present and former employers and those individuals I have listed as personal references furnish information about my employment record, including a statement of the reason for the termination of my employment, work performance, abilities, and other qualities pertinent to my qualifications for employment, hereby releasing them from any and all liability for damages arising from furnishing the requested information.

5. In consideration of my employment, I agree to comply with the policies, rules, regulations, and procedures of the firm and understand that my employment and compensation can be terminated with or without cause or notice, at any time, at the option of either the firm or myself.

By checking this checkbox I verify that I have read this disclaimer and that I understand and agree to it's terms.

ATTACH COVER LETTER AND RESUME {OPTIONAL}

COVER LETTER:

RESUME: