Personal Contact Info
First Name:
James
Last Name:
Hathorn
Middle Initial:
P
Address:
City:
Milan
State:
TN
Zip Code:
38358
Telephone Number:
Alternative Number: Email:
***************@*****.***
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