Have you ever applied to or worked for HTG – LAWTON MANAGEMENT LLC? yes no If yes, when? * Do you have any friends or relatives working for HTG – LAWTON MANAGEMENT LLC? yes no If yes, state name(s) and relationship(s) * REFERNCES: How were you referred to our Company? Newspaper Walk-in Internet Workforce Commission Other Employee Referral If a referral please state Employee Name: List three references not related to you that have knowledge of your work performance. State full name, address, phone # and years known: EDUCATION, TRAINING AND EXPERIENCE: List any High School you may have attended Address / Phone # / years completed / did you graduate / degree or diploma EDUCATION, TRAINING AND EXPERIENCE: List any Colleges or Vocational schools you may have attended Address / Phone # / years completed / did you graduate / degree or diploma Do you have any other experience, training, qualifications or skills, which you feel may make you especially suited for work at HTG – LAWTON MANAGEMENT LLC? EMPLOYMENT HISTORY: List your last three employments, starting with your current if currently employed. You must complete this section even if attaching a resume. Note: Attach additional page(s) if necessary) ARE YOU CURRENTLY EMPLOYED? yes no If currently employed, may we contact your present employer? yes no 1. Name of Employer: Type of Business / Street Address / City / State / Zip / Phone # / Supervisor's Name / Position and Duties / Start Date and Ending Date / Ending Wage hr. / Did you operate a Commercial Motor Vehicle on this job? 2. Name of Employer: Type of Business / Street Address / City / State / Zip / Phone # / Supervisor's Name / Position and Duties / Start Date and Ending Date / Ending Wage hr. / Did you operate a Commercial Motor Vehicle on this job? 3. Name of Employer: Type of Business / Street Address / City / State / Zip / Phone # / Supervisor's Name / Position and Duties / Start Date and Ending Date / Ending Wage hr. / Did you operate a Commercial Motor Vehicle on this job? MILITARY SERVICE: Were you ever in the Armed Services? yes no IF yes, what branch? Dates of Duty: From: Dates of Duty:To: Have you in the last 7 years, under your name or another name, been convicted of, pleaded guilty or nolo contendere to, received deferred adjudication for, or been on any form of diversion for any criminal offense? If yes, please explain Have you ever, under your name or another name, been convicted of a crime, which resulted with your being in prison and released from prison or paroled ?If yes, explain each conviction fully, when, where and of what you were convicted and disposition of the case(s):* (Note: No applicant will be denied employment solely on the grounds that they have been charged, committed or been convicted [or pleaded guilty or nolo contendere of a criminal offense; or, solely on an affirmative answer above) Are you able to perform the essential functions of the job for which you are applying with or without reasonable accommodation? yes no If no, describe the functions that cannot be performed: * Send
