Personal Contact Info

First Name:

James

Last Name:

Hathorn

Middle Initial:

P

Address:

*** **.** ***

City:

Milan

State:

TN

Zip Code:

38358

Telephone Number:

914-***-****

Alternative Number: Email:

ad2bcx@r.postjobfree.com

Availability Information

Shifts you are willing to work Days available to work

Day Shift

Evening/Swing Shift

Night/Graveyard Shift

Rotating Shift

Split Shift

Sunday

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Full or Part-Time Employment Type

Full Time (30 Hours or More)

Part Time (Less than 30 Hours)

Full or Part Time

Information Not Provided

Regular

Temporary

Seasonal

Contract

Volunteer

Internship

Apprenticeship

On the Job Training

Availability Comments:

Education Background Information

Highest Grade Completed:

Name of School Course of Study Degree

High School Diploma or

Equivalent

Occupational License/Certificates

Certificate Name Organization Completion Date

List any other qualifications such as special skills, abilities, equipment which should be considered

Abilities Honors Additional Information

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Military Background Information

Are you a Veteran? Yes No

Drivers License Information

Do you have a valid drivers

license?

Yes No

Drivers License Type: REG

Issuing State: TN

Drivers License Class: City Government Vehicles

Motorcycles

Private Vehicle class

Endorsement(s): Class H - Hazardous Waste

Class N - Tankers

Class P - Transport Passengers

Class S - School Bus

Class T - Double / Triple Trailers

No Endorsements

Employment History

1st Most Recent Employer

Employer Name:

Job Title:

Start Date:

End Date:

Reason for Leaving:

Salary:

Salary based upon:

Job Duties:

2nd Most Recent Employer

Employer Name:

Job Title:

Start Date:

End Date:

Reason for Leaving:

JOBS4TN.GOV - Online Application https://www.jobs4tn.gov/vosnet/Resume/OnlineApplication.aspx 2 of 3 10/10/2021, 1:18 AM

Salary:

Salary based upon:

Job Duties:

Signature of Applicant

Date: 10/9/2021 8:14:06 PM

Certification

I certify that all information contained in this application and any attachments is true and complete to the best of my knowledge. I understand that any willful misrepresentation, false statement, or omission by me in the application or interview process will be cause for rejection of my application or termination of my employment. I authorize investigation of all statements made on this application and any attachments, and I release all persons, companies, and organizations from liability for providing or receiving such information. I further understand that this employment application and other employment related documents are not contracts of employment and, that any oral or written statements to the contrary are hereby expressly disavowed. JOBS4TN.GOV - Online Application https://www.jobs4tn.gov/vosnet/Resume/OnlineApplication.aspx 3 of 3 10/10/2021, 1:18 AM

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