Agendas & Minutes
How Do I?
Position Applying For
Last, First, Middle
Number, Street, City, State, Zip
Date Of Birth
Social Security Number
Do you have a valid driver's license?
If you are under 18 years of age, can you provide proof of your eligibility to work?
Have you ever been employed by the City of Horn Lake?
If yes, provide dates
Do any of your friends or relatives work here?
If yes, provide name, relationship and department
Have you ever been convicted of, or plead guilty or no contest to, a crime other than a minor traffic violation?
Are you currently employed?
May we contact your present employer?
Are you a U.S. citizen, or are you legally authorized to work in the U.S.?
NOTE: Proof of citizenship or authorization to work in the United States may be required.
On what date would you be available to begin work?
Are you available to work?
Are you currently on “lay-off” status and subject to recall?
Will you be able to travel if the job requires such?
Employer, Work Dates, Location, Contact
Name and Address of School
College, University or Professional School
Name and Location of School, Course of Study, Credit Hours Earned, Did you graduate? Degree
Job-Related Training or Course Work
Name and Location of School How many years did you attend? Course of Study
Describe any specialized training, skill, or qualifications you possess (ex: speak any language other than English, operate specialty equipment)
List professional, trade, business, or civic activities and offices held, if applicable. (You may exclude memberships, which would reveal sex, religion, national origin, age, ancestry, handicap or other protected status)
Upload Employment History and References